I don't know if the mother has encountered this kind of problem. It is that no matter how you lick your baby, the baby is still crying. What is the reason for this situation? Will infant lactose intolerance cry all the time?
Kiki started crying last night. When the pediatrician Xiaoyuan Liao learned about the situation after the morning shift, he quickly rushed to the ward to check the baby. Asked about the baby feeding food situation, defecation, after touching the abdomen, teacher Liao may consider improper feeding, or open the air-conditioned room too cold to cause flatulence or lactose intolerance.
Now, Mommy doesn't have much breastfeeding diet. When feeding baby milk, He recommends trying to change the milk powder for the baby. If the situation is not improved, then replace the lactose-free milk powder or add lactase to try it, and take probiotics at the same time. As adjunctive therapy, if the child is no longer crying, if the situation improves, it may be caused by lactose intolerance, but further examination is needed to confirm the diagnosis.
In this case of Kiki, there are still many possibilities to be ruled out. Parents need to go to the hospital to test the related intolerance symptoms. They can't delay the baby's treatment because of their own mistakes, and the baby suffers a lot of crimes.
The baby is crying and uneasy. Sometimes the root of the problem comes from the often-overlooked lactose intolerance. The lack of lactase makes the child cry easily because of gastrointestinal discomfort. If it is ignored for a long time, it may cause gastrointestinal dysplasia, slow development, or Causes other gastrointestinal diseases symptoms of the baby.
For newborns, a good diet and sleep are related to the baby's growth and development. If the child has a bad eating or a bad sleep, in addition to affecting the growth curve, the child will be emotionally unstable and easy to cry, the parents will also be worried. Mingfa Liu, a pediatric attending physician at Xinguang Wuhuo Lion Memorial Hospital, said that if all the needs of the newborn have been met, it is still inexplicably baby crying in sleep. Many times it is related to the child's stomach upset, the most often overlooked is lactose intolerance.
According to the study, about 70% of people have lactose intolerance genes, but only about 25% of adults have symptoms. The obvious symptoms are that when drinking dairy products on an empty stomach (whether it is a latte, milk tea or yogurt), it will appear light and heavy. Intestinal discomfort or flatulence of varying degrees. If there is only a slight lactose discomfort, the patient usually receives more dairy products per day than patients with severe lactose discomfort.
Under normal circumstances, even if lactose intolerance is not present, the amount of lactase in the body will decrease after 2 years of age (the reason why breast milk is recommended to be 2 years old).
Therefore, Dr. Liu Mingfa suggested that the supply of dairy products from 1 year old to adolescents should be 400-500ml a day, and supplemented after three meals (mixed food can reduce discomfort), try to avoid drinking on an empty stomach. Individuals can also determine their daily consumption based on their acceptance of milk. If you drink too much, you will reduce your intake, or use soy milk or other foods as a substitute for nutrition after 1 year of age.
Baby inexplicably crying may come from lactose intolerance
The genetics of lactose intolerance is located in the second pair of chromosomes of the human body. These genes cause a lack of lactase in the stomach, which prevents lactose from being completely digested in the stomach and produces too much hydrogen, which in turn causes flatulence.
Dr. Liu explained that under normal circumstances, pregnant mothers are 32 to 38 weeks pregnant, the amount of lactase in the gastrointestinal tract of the fetus can be increased to 70% of the adult population. Postpartum feeding will continue to stimulate the development of lactase in the baby, at 4 months of age. Left and right, can develop mature. However, if the baby has lactose intolerance, feeding after birth can not stimulate the continuous production of lactase, 1 to 2 weeks after delivery, as the number of milk increases, you can find that the baby's milk is not smooth, symptoms include reduced food intake, flatulence Milk can not be fed, easy to overflow milk, diarrhea, slow weight gain, easy to cry during feeding.
If you can drink 90ml of milk in the previous 20 minutes, but after the symptoms appear, 90ml of milk needs to be fed for more than an hour, or it is very hungry, but the milk does not drink much, refuses to drink again, the number of bowel movements per day exceeds 10 times, etc. Must be suspected of lactose intolerance or allergy to milk protein. The symptoms of milk protein allergy are similar to those of lactose intolerance, but bloodshot is more likely to occur during defecation, and may also be accompanied by symptoms of vomiting and skin irritation.
Many babies with lactose intolerance symptoms in the early stage, because no real-time diagnosis and treatment, the side effects of lactase deficiency affect the digestive function (such as poor villi development, intestinal inflammation, etc.), but expand the child's gastrointestinal problems or affect the stomach Development, long-term may cause children persistent malnutrition, slow growth, colic or emotional problems (often crying because of discomfort).
Breastfeeding with probiotics
For infants and young children, to meet the developmental needs, on the one hand, we must consider balanced nutrition, on the other hand, we must give enough calories. Take breast milk tailored to your baby as an example. The average 100ml of breast milk contains 7 grams of lactose, which is specially used for the growth and development of your baby. Also, the lactose in breast milk is accompanied by sialic acid, oil, and other substances that are beneficial to brain development, so that the baby can help the brain to develop while supplementing energy.
On the whole, breastfeeding has a great health benefit for the baby, so even if the baby has symptoms of lactose intolerance, most of the doctors will encourage the mother to continue breastfeeding, with probiotics and anti-flatulence drugs, or directly The addition of lactase to breast milk allows mothers to continue breastfeeding before the child is 1 year old (in the stage of milk-based diet). If the baby's diet contains formula in addition to breast milk, the formula should be changed to lactose-free milk powder, and the ratio of breast milk to formula should be adjusted according to the degree of lactose tolerance and improvement of the child.
Pay attention to your diet and seek medical advice at the right time
If the symptoms of baby lactose intolerance persist and are not treated, the villus tissue may be underdeveloped, which may lead to allergies to milk proteins or skin problems such as eczema or skin irritation. At this time, it is necessary to choose a mixed formula of lactose-free and hydrolyzed protein to replace the milk powder, to help solve the baby's gastrointestinal problems.
The lactose-free formula usually uses maltodextrin or corn syrup instead of lactose to supply the calories your baby needs. This formula does not replace the benefits of other active substances in breast milk, but it allows the child to Relieve symptoms and restore gastrointestinal function with adequate calorie supply. Clinically, about 80% of lactose intolerant babies can return to a normal diet after changing the lactose free baby formula.
The gastrointestinal tract is an important body's immune system parts. A healthy gastrointestinal tract is responsible for the healthy development of the immune system. It may even solve the baby's skin allergies, colic, and difficulty in sleeping and emotional restlessness. Therefore, it is recommended that if a newborn has a dietary problem, it is necessary to seek the diagnosis of a pediatric gastroenterologist early, find an appropriate method to prescribe the right medicine and avoid delaying treatment due to subjective judgment.
And for lactose intolerance, let's learn about it today.
I wonder if you have uncomfortable after drinking milk? For example, stomach swelling, diarrhea, etc., this is what we call lactose intolerance, due to insufficient lactase secretion, can not completely digest the decomposition of lactose in milk. Breast milk and dairy products are the main source of food and energy for infants and young children. Lactose is an important nutrient in mammalian milk. Lactose enters the human body and is decomposed by the action of lactase to be absorbed and utilized by the body. Loss of lactase or decreased activity can lead to lactose malabsorption, which causes a series of manifestations of the bowel, bloating, abdominal pain after eating, and diarrhea called lactose intolerance.
Premature babies are more prone to lactose intolerance, and their intestinal system is not fully developed, called "developmental lactase deficiency." However, this condition usually only lasts for a short period, and most premature babies can drink lactose-containing formula and breast milk after they grow up.
There is also a situation in which the baby has "congenital lactase deficiency", which is a very rare genetic disease. The baby can't break down the lactose in the breast milk or the formula, so they can only be lactose-free. Infant formula, otherwise severe diarrhea in babies, dehydration, and weight loss will occur.