What can I do to relieve her constipation, she is very gassy and uncomfortable is there anything I can give her or do to keep her regular that is safe for a newborn? If I giver her Mylicon to help with the gas, will that increase constipation?
Most of the time (especially in previously solely breastfed infants) once formula is introduced there can be a notable change in stooling frequency, Formula tends to slow the stooling frequency. You may want to eliminate the nighttime Formula and see if your baby goes back to more frequent stooling. That is safer than giving medications to help the pooping.
Mixing of formula and nursing sometimes cause this trouble. You can give her some times to adjust to new routine or may use 1:1 mixture of juice and water and give it over the day to help her stool daily. If that also does not help then consult your pediatrician for prescription of Lactulose.
It is normal for an infant of this age to have a decreased number or no stools for several days because they are going through a rapid growth phase where they are gaining weight.
They are only drinking fluids and not eating solid food so if the body needs it they are absorbing all the liquid food and there are no or very few stools. So what you are experiencing is normal.
They should still be urinating well.
You can still use Mylicon if the child is gassy.
To relieve gas symptoms, be sure to frequently burp her during feeds. Also, you can bicycle her legs in order to help move the gas. Simethicone is the safest option to relieve gas, but there are no studies that prove it is actually effective.
Your baby is settling into her regular stooling pattern now. While many breastfed infants seem to poop after every feed, it is also normal to have infrequent bowel movements, up to once every three days...even a week! As long as the stool is soft and not small, hard, and pebbly, she is not constipated.
To help your baby have more comfortable bowel movements and less gas, try massaging and stroking her tummy a few times a day, in a clockwise fashion. This helps to move gas bubbles in an outward fashion, and also helps to optimize intestinal motility. I'm a big fan of infant massage. You can do this with her regular lotion, or something like grapeseed or olive oil, which usually do not cause reactions on skin. Avoid any fragranced products. If she is grunting and straining to stool, apply some pressure to her feet to help her out so she has something to push against-- it is hard to expel stool on one's back.
Mylicon (chemical name simethicone) is safe for newborns, it just does not always work in every baby. It is not absorbed into the system, but stays in the intestines, and works by decreasing the surface tension of gas bubbles, essentially popping existing ones and preventing new ones from forming. It will not increase constipation.
If your baby is truly continuing to have constipation (hard pebbly stools), now that she is older, you can try some prune juice (1-2 oz) added to her formula. I prefer not to do this in babies less than 1 months old. Lactulose can also be added to formula, but should be discussed with your pediatrician.
Glycerin suppositories can be used occasionally when a baby has hard impacted stool, however, this should not be used routinely as it can alter the body's natural rhythms to expel stool. A dependence on rectal stimulation for stooling can develop.
If your baby had delayed passage of meconium at birth (should pass within first 48 hours of life) and is having ongoing, recurrent ,or chronic issues with constipation, consult your pediatrician to discuss whether or not something more serious might be going on, such as a condition called Hirschsprung Disease, in which the nerves are not developed properly in the colon, so that it fails to relax and expel stool properly. Also consult with your pediatrician if your baby has ribbon-like stools (very narrow in diameter), or is not growing or developing as she should. Seek urgent medical attention if your baby every has bloody stool, is vomiting, or has significant abdominal distention.
I hope she is better now!
I hope you will be relieved to know there is nothing wrong with your baby and she sounds very healthy. It is normal for an infant to have changes in their bowel patterns and gassiness is common. Gas drops are safe to use according to package instructions. Massaging a baby's abdomen in a clockwise direction can also be of some help.
Constipation in this age group does not mean skipping days of poopy diapers, unless poop becomes firm or difficult to pass. Gas and discomfort can be increased in babies who are breast fed if mother eats raw cruciferous veggies (broccoli, kale, etc.) and sometimes caffeine or chocolate.
Hope this is helpful. Congratulations on your new addition!
To answer your question about gas drops. They are safe and effective, but they can increase constipation. Gripe water is also good for gas. Tummy massage and warm bath is another way to relief gas and fussiness.
I would not use any medication for constipation for a two-week newborn.
If the issue continues I would consider rectal stimulation for quick relief using a Q-tip with QY or Vaseline (you can also use rectal thermometer with lubricant). We do not recommend the regular use of rectal stimulation!
We do not give water as it can overload the kidney.
If all of the above don't please contact your pediatrician to rule out other organic issues.
Occasionally, your diet may be affecting her, so try to have a balanced diet, avoiding gassy foods and minimizing dairy products in your part. You should be drinking plenty of fluid and continue to take your prenatal vitamins. If she is fussy, it may be related with your diet. You seem to be using the right formula.
It is OK to use Mylicon drops (0.3 ml - 1/2 dropper) every 6 hours around the clock. Use them regularly to maximize effect. Mylicon shouldn't increase constipation. If your problem continues it would be advised to consult with your pediatrician.
Hope this answer helps you.
However this gassy issue can probably improve with burping the baby for a while as some babies may take a longer time.
It is reassuring that she is gaining weight well.
She didn't have a BM for 2 days, but when she does go, it is soft, seedy, mushy, liquidy, pasty or small balls? Most breast fed babies have frequent stooling, but some have one or one every a few days. That does not make them abnormal as long as what is being passed is soft. The babies due cry in order to increase the pressure in the abdomen to push the stools out. It doesn't necessarily mean it is painful. Every child have a different bio-rhythm in terms of how often they defecate, so do not worry if she takes a couple of days to go. You do not need to give her any medication at he present time, but you can give her Mylicon for gassiness. Mylicon does not make her more constipated. It is not absorbed in the body and is very safe. I hope this helps.
Hope this helps,