What could make a baby gassy and cause them to spit up?

Question

Hello doctor,

My baby is 2 months old. He is on pumped milk and once-a-day formula milk (Enfamil). He is gassy and cries mostly from evening till midnight. Spits up even after burping for 30 minutes. I give exercise and tummy time, but there is no change. He gets reflux which makes him uncomfortable. His spits are watery.

My pediatrician suggested Colicaid and Yamoo which I am using four times a day. Still, he gets gas and spits up. And now he did not poop for the past two days and trying very hard and cries in between feeds by trying to poop. Is this an effect of enzymes? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Please note the following,

The clinical picture that you are giving is most suggestive of reflux. It is advisable first to get a reflux study done to find the grade of reflux. The initial medications to be given for reflux are Zantac (Ranitidine) and Perinorm (Metoclopramide). In most cases, this works. The next step beyond this is Gaviscon (antacid) and feed thickening.

Also very important is to keep the child in a slightly upright position (30 degrees to ground) after feeding (and most of the time) to reduce the amount of discomfort the child may be facing due to reflux. This one method goes a long way in helping children. As the child grows bigger, the need for this reduces eventually.

In regard to the crying episodes during stools, if the stools are hard or if there is gas the child may cry. Both are less likely due to the enzymes. They are mostly physiological considering the clinical scenario of the child.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.