, Dec 28 2012 07:10 PM
20 replies to this topic
Posted 28 December 2012 - 07:10 PM
I'll start by telling my story. Over a week ago I gave birth to my second child via Caesar. Healthy 8 pound 2 girl. I breast fed her in the hospital but changed to formula when I got home. She's been on formula now for 5 days. I have a non existent milk supply. I decided to use Karicare lactose free formula as that's what my previous daughter was on and it helped her silent reflux and her general well being enormously. But it seems to be causing my DD2 to be constipated. I went to my local pharmacy and the nurse suggested a teaspoon of brown sugar and 50 ml of boiled water. I gave that to DD2 and she ended up throwing it all up. I don't know whether to try it again or what. She also suggested changing formula to nan ha gold 1. I've jumped on product review and other sites and it has gotten such a bad review I'm reluctant to try it.
I guess I'm looking for other people's experience if this has happened to them and they resolved the issue.
Also people's opinions on what formula to try if I changed. Otherwise my DD2 is healthy, plenty of wet nappies and is sleeping extremely well. Very contented bub. She's not in any distress when passing a bowel movement.
Thanks so much and I really appreciate you taking the time to read this.
I also realise that breast milk is by far the best nutrition I could give my daughter but it just didn't go to plan. I already feel terrible about the circumstances.
Posted 28 December 2012 - 07:19 PM
Did she pass meconium within 24 hours? If she didn't please PM me--I don't follow this forum and will miss follow up.
Good luck with finding a formula which suits her. It seems to be a difficult time for many.
Posted 28 December 2012 - 07:20 PM
unless they are upset or freting, my midwife said that they probably are not constipated. But then DD2 got all upset so she suggested simply cooled boiled water - don't try the sugar again as it can sometimes make it worse (by messing around with their gut flora) worked within about 4-5 hours and haven't had an issue since.
we also use heinz nuture - but be careful with switching, that can cause binding up as well.
Do you have anyone who can donate some breastmilk to you? that can often help almost immediently and has the added bonus of all those extra added stuffs not in formula
Posted 28 December 2012 - 07:22 PM
My girl is on Nan Pro 1 which is different to the nan HA 1. The Ha is the one that had all the problems when they changed one of the ingredients but the pro gold is great both my kids have been on it since bith.
Posted 28 December 2012 - 07:23 PM
DS was similar, very constipated in the first week and we ended up giving him boiled water (with brown sugar was the next step, as recommended by MCHN). We used Nan HA - but this was 9 months ago so old recipe! I think that as you're starting it from new, not having to switch, it could well be ok. I didn't like the consistency of the new Nan, but then I've found it's very similar to all the other formulas I've tried anyway.
Karicare do a Gold HA (they're the only other HA I've seen), in the under 6 month formula only. DS is now on the Karicare Gold, which I have seen recommended often on EB and works well for him, I tried S26 and Bellamy's Organic but they both gave him constipation.
Karicare can be in short supply though (so many people switched from Nan, I think, they can't keep up the supply), so if it works for you I recommend always having a little stockpile.
Posted 28 December 2012 - 07:24 PM
She did pass her meconium. Thanks already for the replies.
Posted 28 December 2012 - 07:24 PM
My kids when they were on formula were a poo every five days nearly to the hour.
Their poos were curry paste consistency. They were not constipated.
Posted 28 December 2012 - 07:53 PM
I'm wondering if I should try coloxyl infant drops but am worried DD2 is too young. That was another option the nurse mentioned.
Posted 28 December 2012 - 08:02 PM
Do they have milkbank where you are, and is there a chance you would be eligible to get breastmilk?
I'm not saying there's anything wrong with formula, just that my DD used to get constipated by formula as well, and it caused her immense discomfort. For DS it didn't bother him. I think some just have trouble with it.
We did try the nan HA gold but it constipated her as much as the other ones.
Posted 28 December 2012 - 08:18 PM
Mine were constipated unless I used HA formula. The one I used for DS1 and DS2 is no longer around. DS3 is on NAN HA with no problems.
Posted 28 December 2012 - 08:30 PM
You may find that because she is young and hadn't been having the previous NanHa formula, she will be fine on it. I am a midwife and we haven't seen any of the adverse reactions parents reported with using NanHa at our hospital so Im wondering if the reactions that occurred happened because of the change in the formula that the babies had already been having?
I agree though that unless she is unsettled and showing signs of being constipated, I wouldn't rush in and treat here. FWIW we recommend a teaspoon of brown sugar in 100ml of warm water and give baby only 10 - 20mls prior to a feed - the 50ml dilution may have been a little too concentrated.
Unless you have access to a registered milk bank I wouldn't be sourcing other means of getting breastmilk. If it hasn't been properly screened you may be placing your baby at risk of things that can be passed on in breastmilk including any medications the mother may be on that her baby has become "accustomed" too since being breastfed since birth ie antidepressants etc.
Perhaps give her a couple more days to see if things settle and right themselves. You could try the suggestion of just giving 10ml of warm water prior to a feed to see if that gets things moving. I wouldn't try coloxyl drops unless there is evidence of constipation when she finally does go ie pebble like appearance of stools, straining when she goes etc.
Posted 28 December 2012 - 08:32 PM
I used Bellamy's and DS was never constipated on it. It is also the least smelly and, to my taste, the most like breast milk.
Posted 28 December 2012 - 08:38 PM
You could try this formula http://www.novalac.com.au/babyconstipation.asp
but I would check with your GP/MACH nurse first.
Posted 28 December 2012 - 08:44 PM
Thanks again for the replies. She has passed pebble like poops, then she might pass a more peanut paste poop. But her latest bowel movement was pebbles. Her poops seemed to get better than we are back to pebbles. I have bought the nan ha gold formula today, maybe I should try her on a bottle tomorrow. I just don't want to upset her gut anymore. Part of me thinks its just her gut getting used to the formula and coloxyl drops might help get things moving.
Posted 28 December 2012 - 08:49 PM
Are you making the formula up exactly according to instructions?
I think a week old IS too young for Coloxyl drops.
Posted 28 December 2012 - 08:53 PM
I'm absolutely making sure the water level is spot on and the scoop is leveled. Thanks for the suggestion though.
Posted 28 December 2012 - 09:33 PM
Please please stop using the Nan HA Gold at the first sign of unsettledness. My DS was affected badly by it. I had chopped and changed with a few formulas with no adverse reactions until the new Nan HA (as the PP suggested might have been the cause), he was only comp fed, much older than your bub yet the reaction to it was terrible. It still makes me feel angry and that was months ago. Seriously I wouldnt feed that stuff to a cat.
My DS had a few constipation issues with different formulas, S26 being the worst. The old NanHA was fine and then after he reacted to the new one he went on to Karicare Aptimal and that was fine. Best formula I used and we stuck with it until he weaned.
Posted 28 December 2012 - 09:50 PM
I would suggest you seek assistance from a health professional ASAP to talk through the issues and gain advice about what to do.
Please do not rely on advice on the boards regarding how to treat constipation in your one week old baby.
Personally I'd do some hand exp
ression and get out some breast milk, even if it is 5 mls (or less or more) and give this on a spoon or in a little cup.
It will help soften the stool.
You do have access to a 24 hour phone line to talk to a nurse if you wish, the link below is to a pinned thread in the Birth-6 months forum.
If you are in Victoria then you can call the 24 hour MCHN phone line.
When are you due to the next check up with your chn?http://www.essentialbaby.com.au/forums/ind...howtopic=896134
All the best.
Posted 29 December 2012 - 07:03 AM
I'm curious, if you breast fed in hospital, how is it you have a "nonexistent supply" if you managed in hospital?
Did you give formula because the hospital suggested it? have you tried mottilim(sp) or fenugreek etc to boost your supply?
Posted 30 December 2012 - 12:50 PM
Just thought I'd update. I decided to change to another formula, Karicare gold HA and it's worked a treat. Thank you to everyone who shared their experience.
Posted 01 January 2013 - 12:37 PM
I used old recipe nan ha gold 1 and 2 with both kids, ingredients changed recently when ds2 changed to 6 months plus version. He did get pretty constipated on it initially. I put prune juice in with his cooled boiled water for a few days and then he happily drank the water alone.
He was older and starting on solids so I think it was more than just the formula. He also isn't a big milk or water drinker. I didn't have problems with the nan ha formulas
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