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4 week old very unsettled before BM

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#1 B0612

Posted 16 January 2013 - 06:51 PM

My 4 week old DS in predominantly BF however requires a top up of formula in the late evening due to milk supply. The last few days he has become increasingly unsettled and uncomfortable when trying to open his bowels, the number of BM's have also decreased to 1-2 per day. His poo's are a yellow/mustard colour and a paste consistency. I have read that it can be common for newborns to become unsettled when trying to open bowels due to having to work out their digestive systems and that they can go days w/out having a BM however I am concerned that he is in pain. I have spoken to my mchn and rang a child health hotline nurse both of which said it is normal.
I'm wondering if anyone else has experienced this with their newborns? I'm also wondering if it's the formula.


#2 Bob Loblaw

Posted 16 January 2013 - 07:06 PM

My DD is showing the same signs and is breastfed exclusively. They do tend to be unsettled at this age - I think she gets wind quite a bit too.

#3 Loz07

Posted 16 January 2013 - 07:36 PM

Yep, my DD has always been a cranky pants at poop time, and she's 5 mo! All smiles after tho  original.gif
You can try cycling his legs, gentle tummy massage and warm baths if needed to help move things along.

#4 Goggie

Posted 16 January 2013 - 07:54 PM

Yep my DS is almost 5 months and I agree with the suggestions from Loz07. I also bought a naturopathic colic remedy from a pharmacy that aids digestion as well as a probiotic every night and I think it's improved. If you are in Victoria, look up William and Goldby pharmacy in boronia. You can order and pay over the phone and they express post it to wherever you are.

#5 lucky 2

Posted 16 January 2013 - 08:07 PM

Hi, this unsettled behaviour in the evenings is common newborn behaviour and to be expected, it peaks at around 6-8 weeks of age. Babies usually do well when given the breast as needed, this is helpful for milk supply as when the breasts are at their softest they are producing milk at their fastest.
Ideally formula is not introduced so the baby can continue to work with the breasts and receive milk and comfort, formula supplementation interferes with this normal bfing pattern and does make changes in the gut.
Would you consider not using any formula especially if your baby is thriving?
The link below discusses normal behaviour and breastfeeding.
All the best.

#6 B0612

Posted 16 January 2013 - 08:27 PM

Thanks for the replies.

I have been giving DS a warm bath and also tummy massages and cycling legs along with taking his nappy off and generally after a good 20min or so he does open his bowels.

DS is also demand fed and put on the breast when required for comfort. I find in the late evening he will not settle without a top up, if I have EBM he is given that however sometimes formula is needed, I have discussed this with both my mchn and lc and a top up was suggested. I am putting him to the breast as much as he requires and expressing to boost my supply.

#7 porkchop's mama

Posted 17 January 2013 - 08:28 AM

Bron, no advice but I'm in the same boat with my 2.5 week old.  He is always v unsettled when needing to open his bowels.  I'm mixed feeding as well.  The crying distresses me more than him, I suspect.


#8 B0612

Posted 17 January 2013 - 11:12 AM

Hi porkchop's mama,

It definitely is distressing, I hate the thought that he is distressed and experiencing discomfort. I have tried to ditch the one top up he does get thinking it may be the formula but it just makes him more unsettled.

What formula are you using if you mind me asking? I am thinking of switching.

#9 porkchop's mama

Posted 18 January 2013 - 01:51 PM

Bron, I'm using nan HA gold.  It was the one we used in hospital.

Today has been a shocker.  It's 40C plus outside and I've already topped up with 160 ml of formula.  I usually hang out until the evening at the earliest but bubs has been so distressed today. Outside of the usual bowel crying.  He was getting hoot and bothered with his crying and 4 solid hours on the breast didn't help him at all.....

#10 Red nut

Posted 18 January 2013 - 04:45 PM

Our 4 weeker gets quite cranky at times too, usually in the evening,  and I kept trying to feed, mainly boob, but occasionally a bottle of formula. It can calm him, but I think we're figuring out he's actually overtired rather than hungry, and trying to take him for a walk in the sling instead, which seems to be a sure fire way of getting him off for a nap, and settling things down. Worth a try?

The crying is awful isn't it. Almost brings me to tears too, and you want to try anything to make it stop.

#11 Copper and May

Posted 18 January 2013 - 04:55 PM

Instead of expressing your milk, could you give it to the baby from the breast, as more feeding and more suckling of the breast, will make more milk and you won't possibly need top-ups. If you think he needs a top up at night, could you wait about 10minutes - 15 minutes and there will be breastmilk there again.

Your breasts work by demand and supply, so if you feed your baby every 2 hours around the clock, you will have more milk. It is not that you have a certain amount of milk for the day, it will be always there if your bubs demands it.

#12 Puppy Love

Posted 18 January 2013 - 04:58 PM

I had / have the same problem & bub is 6 weeks & only breast fed. I found what I was eating didn't help ( lots of broccoli), so changed that. After I fed I rub his belly & this has helped a lot, usually a BM comes.It's always at night around 8pm he gets upset & it was always due to lower gas.Good luck.

#13 B0612

Posted 18 January 2013 - 05:12 PM

DS is breastfed generally every 2hrs, sometimes he will go a little longer maybe 2.5 hrs to 3hrs and sometimes less, he stays on the breast for a good 30min to 45min.

He is also becoming irregular with his poo's, has been 2 days now and tends to get upset when passing wind (which is also quite smelly).

I am putting him to the breast whenever I see his hunger signs and he is feeding 10plus times per day which I am happy to do. I am just wanting to make sure he is getting everything he needs. He always has wet nappies (generally changed before every feed so over 8 wet nappies per day) its just the pooing I am concerned about.

If he hasn't opened his bowels this weekend I will definitely be taking him to my gp.

#14 Fairey

Posted 18 January 2013 - 05:15 PM

DD is like this. She used to have a nappy pressie for me at every change, then changed to one daily. At around 3ish months, she didn't do one for over a week. We were told it was normal because she was receiving breast milk. She was crabby and unsettled before her BM that time too! She's now into a regular pattern of twice a week. She's always a tad unsettled that day and works really hard when doing her business. But she's smiles all around when she's finished original.gif
Perhaps your son's pattern is changing already?

#15 B0612

Posted 18 January 2013 - 05:25 PM

Hi Fairey,

Thanks for your reply.
When I spoke to my mchn she said it was normal and his gut is just maturing so I am hoping he does grow out of it as I don't like seeing him distressed.

It is reassuring to hear that it is something other babies and their parents experience.

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