Physiolac

Baby's little upset

Baby is always hungry

Feeds are quicker and more frequent.

What can be done? 

Regulate your baby's appetite without increasing the amount of milk, or the number of bottles. Use a hungry milk that contains slow carbohydrates and allows digestion to occur over time.

Don't forget! 

Allow 2 to 3 hours between each bottle. When your baby calls you by crying, this is not necessarily due to hunger; perhaps all he/she wants is to be changed, or he/she has woken up and wants you or wants to smile at you. Drinking spring water, especially in warm weather, is an essential and calorie-free way of satisfying your baby.

If this is not enough

If a hungry milk is not enough to satisfy your baby, you can add infant cereals to a bottle. They are a source of slow carbohydrates and thicken milk. Infant cereals can be used from 4 months onwards on the advice of a health professional. They must be gluten-free (protein found in wheat, barley, oats and rye) due to the risk of allergy. Use cereals with no added sugar. Always add them gradually, in order to achieve the desired texture and which will satisfy your baby's hunger.





Baby has irregular bowel movements

Note:  a breastfed infant can have fewer stools, but they must be soft and lumpy, and even runny.

Do not hesitate to seek advice from your pharmacist or doctor.

What can be done? 

If you are breastfeeding, continue. Give the baby more water by offering the other breast and by limiting the feed from the 1st breast to begin with (milk rich in water and mineral salts).  You can also give a little water.

If your baby is bottle fed, use a milk less rich in caseins (similar to breast milk) and rich in lactose.

Milks enriched with prebiotics or probiotics can help your child's intestinal flora to be balanced. See your pharmacist or doctor who can advise you on weaning your baby.

When introducing solids, limit foods that slow down bowel movements (rice, carrots, quince, banana, etc.) and give drinking water.

Baby has irregular bowel movements

Frequency of stools is an indicator of irregular bowel movements and constipation:

  • Up to 6 months:  less than one stool a day  

  • From 6 months:  less than 3 times a week.



Baby has colic

Colic is very common in infants, but it is benign. It goes away naturally about 4-6 months. A shrill cry, a red face, increased anxiety, burps and gas after meals, are the most common signs.

Medical advice should always be sought.

What can be done?

If you are breastfeeding, moderate intake of fermentescible foods such as cabbage, seed beans, fruits and fruit juice, Irrespective of breastfeeding method, some advice:

  • Create a quiet and relaxed atmosphere during and after meals which will calm the baby.

  • Restrict intake or air during feeds by allowing the bottle to "rest" after it has been made up, to eliminate air bubbles formed during mixing.

  • Check the flow of the teat which must not be too fast.

  • Check that your baby has the teat completely in its mouth, its lips perfectly covering the wider part of the teat.

  • Check that your baby burps to eliminate swallowed air.

  • Take care with nutritional composition of formula milk by preferring a milk containing two types of carbohydrate:  lactose and maltodextrins do not vary your baby's diet too soon.

  • When introducing solids, avoid foods that cause gas production: peas, cabbage, cauliflower, etc.…





Baby has reflux

Regurgitation or reflux is milk or food coming back up into the mouth, without vomiting. Reflux generally occurs in the minutes after a meal. It is common and is often considered to be benign in infants. It generally goes away after the 1st year.
See your pharmacist or doctor who can advise you on which milk to use.

What can be done?

An Anti-reflux milk (AR) must allow thickening of alimentary bolus without causing secondary disturbances: avoid slowing down bowel movements, do not reduce the volume and the portion,
It is therefore preferable for milk to thicken in the stomach whilst remaining liquid in the bottle (easier feed, no effort or fatigue).   Starch can overcome this restriction.

To avoid a slowing down of bowel movements, it is recommended using a milk with a moderate casein content.

Preventive steps

  • Quite and calmness at meals is recommended,

  • Avoid too quick feeds,

  • Try to spilt meals up to allow the stomach time to distend and for the alimentary bolus to thicken,

  • Do not put your baby to bed straight after a meal,

  • Do not change your baby's sleeping position without seeking advice from your doctor or pharmacist,

  • Use clothes that are not too tight,

  • Avoid exposing your baby to cigarette smoke which can worsen reflux,

  • Read the label on the box of milk carefully,

  • Follow the advice of your pharmacist and doctor.



Baby has a risk of allergy

He/she has a family history of allergies (parents, siblings)

What can be done?

  • Draw up a family record of those with allergies (grandparents and parents, brothers and sisters)

  • Breastfeed your child for as long as possible; breast milk is the ideal milk for your child

  • If breastfeeding is not possible, the medical profession can advise you on a hypo-allergenic milk

  • Delay going on to solid foods as much as possible. Gradually introduce foods that are potentially allergic, checking for any reactions

  • Always seek medical advice from your pharmacist and doctor.

Vigilance and precautions

Do not confuse an allergic risk and a confirmed allergy! 

A peptidic milk is a milk suited to allergic children, especially those allergic to cow's milk. This will be prescribed for your child by a doctor. 

A hypo-allergenic milk (HA) is a milk whose allergenic capacity has been reduced, limiting the risk of the baby having an allergy (allergy to cow's milk, eczema, etc.).  A hypo-allergenic milk can be advised in combination with breastfeeding, according to your pharmacist's or doctor's advice. 

A hypo-allergenic milk IS NOT SUITABLE FOR ALLERGIC INFANTS. It does not replace a peptidic milk, suited to allergies to cow's milk.



Baby has diarrhoea

Acute diarrhoea is a common problem in paediatrics*:  at least 4 or 5 liquid stools in 24 hours for less than 5 days. Chronic diarrhoea can last for more than 5 or 6 days.

What can be done?

See a doctor urgently who can diagnose and treat if required. Your child's diet must be changed whilst diarrhoea is ongoing.

Rehydrate

Give your baby an Oral Rehydration Solution (ORS) Rehydration will be exclusive if the baby is not breastfed, for the first 6 to 12 hours depending on weight gain. If you are breastfeeding, continue feeds, but top up with an ORS. The solution will be freely given in small amounts to limit the risk of vomiting. Give him/her this solution very frequently. Stools can stay soft or runny, but your child will be rehydrated. 

Re-feed

In conjunction with an ORS, use a milk substitute suitable for diarrhoea, lactose-free, for at least 5 days before gradually resuming normal feeding.
If you are breastfeeding, continue and only give a re-feeding speciality if your baby is refusing your milk. 

A few rules for a quicker return to normal 

  • Always wash your hands before handling your child and bottles, Oral Rehydration Salt (ORS), milk pack and other items

  • Sterilise your baby's feeding equipment

  • Read labels and leaflets of special diarrhoea milks and ORS carefully.

  • Check your baby's weight gain. Diarrhoea usually evolves in under 72 hours without dehydration issues if the normal formula milk is stopped immediately and if the ORS is given quickly.

  •  See your pharmacist or doctor.

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