Infant feeding issues
๐ผ Infant feeding issues can arise due to developmental, physical, or behavioural factors.
โ ๏ธ Addressing these problems early helps prevent long-term nutritional consequences.
๐ Common Feeding Problems
- โ Poor latch or sucking difficulty
- โฉ๏ธ Gastroesophageal reflux (GERD)
- ๐ฅ Food intolerance or allergies
- ๐ข Colic or excessive crying
- ๐ Slow weight gain or failure to thrive
- ๐ซ Feeding aversion or refusal
๐ถ Signs & Symptoms
- ๐ Frequent spitting up or vomiting
- ๐ฎโ๐จ Choking, gagging, or coughing during feeds
- ๐ญ Persistent crying or discomfort post-feed
- โ๏ธ Inadequate weight gain
- ๐คฑ Breast refusal or fussiness at the breast
๐ Note: Always consult a paediatrician if your infant shows persistent feeding difficulties or poor weight gain.
๐ ๏ธ Management Strategies
- ๐ช Ensure proper positioning during feeding
- ๐จ Frequent burping to reduce swallowed air
- ๐ฝ๏ธ Offer smaller, more frequent feeds
- ๐ผ Use specialised bottles for reflux/GERD
- ๐ฅ Trial elimination of maternal dietary allergens (for breastfed babies)
- ๐ฅฃ Consider thickened formula (only under medical advice)
๐จ When to Seek Help
- ๐ซ Baby consistently refusing feeds
- ๐ง Signs of dehydration (few wet nappies, dry mouth)
- ๐ Poor weight gain over time
- ๐ก๏ธ Symptoms of allergy (rash, swelling, breathing difficulty)
๐ฉโโ๏ธ Feeding difficulties can sometimes indicate an underlying condition.
Referral may include lactation consultants, dietitians, speech & language therapists (for swallow assessment), or paediatric specialists.
๐ก Clinical Pearls
- Reflux peaks at 4โ5 months and usually resolves by 12โ18 months.
- Failure to thrive always warrants a structured growth and feeding assessment.
- Colic is self-limiting but distressing โ reassurance and supportive care are key.
- Allergy (e.g., cowโs milk protein intolerance) can mimic reflux and colic โ keep it in the differential.