Infant feeding issues
🍼 Infant feeding issues can arise due to developmental, physical, or behavioural factors.
⚠️ Addressing these problems early helps prevent long-term nutritional consequences.
🔎 Common Feeding Problems
- ❌ Poor latch or sucking difficulty
- ↩️ Gastroesophageal reflux (GERD)
- 🥛 Food intolerance or allergies
- 😢 Colic or excessive crying
- 📉 Slow weight gain or failure to thrive
- 🚫 Feeding aversion or refusal
👶 Signs & Symptoms
- 🌀 Frequent spitting up or vomiting
- 😮💨 Choking, gagging, or coughing during feeds
- 😭 Persistent crying or discomfort post-feed
- ⚖️ Inadequate weight gain
- 🤱 Breast refusal or fussiness at the breast
📌 Note: Always consult a paediatrician if your infant shows persistent feeding difficulties or poor weight gain.
🛠️ Management Strategies
- 🪑 Ensure proper positioning during feeding
- 💨 Frequent burping to reduce swallowed air
- 🍽️ Offer smaller, more frequent feeds
- 🍼 Use specialised bottles for reflux/GERD
- 🥛 Trial elimination of maternal dietary allergens (for breastfed babies)
- 🥣 Consider thickened formula (only under medical advice)
🚨 When to Seek Help
- 🚫 Baby consistently refusing feeds
- 💧 Signs of dehydration (few wet nappies, dry mouth)
- 📉 Poor weight gain over time
- 🌡️ Symptoms of allergy (rash, swelling, breathing difficulty)
👩⚕️ Feeding difficulties can sometimes indicate an underlying condition.
Referral may include lactation consultants, dietitians, speech & language therapists (for swallow assessment), or paediatric specialists.
💡 Clinical Pearls
- Reflux peaks at 4–5 months and usually resolves by 12–18 months.
- Failure to thrive always warrants a structured growth and feeding assessment.
- Colic is self-limiting but distressing - reassurance and supportive care are key.
- Allergy (e.g., cow’s milk protein intolerance) can mimic reflux and colic - keep it in the differential.