REGURGITATION

The nursing ones usually regurgitate small milk quantities during the captures or later, when they are stimulated to belch.
This phenomenon can stem from a too rapid feeding or from the air swallowing. In these cases, it usually useful to use feeding-bottles with tetinas more road surfaces and with smaller holes, and to do be that the child belches more often.
Sometimes, the excessive regurgitation can be a problem of sobrealimentación.

VOMITING

The vomiting appearance can indicate a disorder more serious than the simple regurgitation, and if they are very pertinacious it is convenient to study them. The vomiting can be a sign of illnesses or processes as:

• estenosis pilórica (tightness of the pylorus, or valve of emptying of the stomach in the duodenum)
• ebb gastroesofágico
• high intestinal obstruction for tightness of the duodenum or for a vólvulo (intestine twisted on itself).
• metabolic illnesses
• infection (p. ej., sepsis or meningitis).

INSUFFICIENT FEEDING

The well fed children are usually calm or sleep shortly after receiving the food.

The nursing ones badly fed tend to remain anxious and wake up from 1 until 2 hours after having being fed, giving the impression of being hungry. These signs of bad feeding are not always clear or they are not always appreciated by the parents.

A profit of weight <200-250 grams / week in a nursing minor of 4 months it is considered to be insufficient.

If it happens, it is necessary to check the components and the proportions of the milk that the nursing one takes. Also it can be a sign of the incapability of the parents (lacking in worry or negligence).

The nursing ones fed to the breast that do not present a profit ponderal suitable can be weighed earlier and after several tetadas to determine his milk ingestion with more precision. The diet of the nursing one that receives breast feeding can be suplementada with a suitable artificial milk and cereals.

SOBREALIMENTACIÓN

It is much more frequent that increases happen consider them too rapid, objetivables in the growth curves.

Indirect sobrealimentación signs are also the crying and the excessive regurgitation after the meals.

Since the problems of obesity might begin with an excessive feeding during the lactation, the attempts for controlling the increase speed ponderal might be of big value, especially in the cases in which both ancestors are obese (and, therefore, it exists 80 % of probabilities of which the child also it is).

DIARRHEA

The nursing normal one can have frequent soft depositions that must not worry. The nursing ones fed to the breast tend to present frequent and frothy depositions, especially if they do not receive solid food.

The sudden beginning of a diarrhea with vomiting, bloody dregs, fever, lacking in famine or indifference can owe to an infection.

A diarrhea of low grade that persists for weeks or months can be a consequence of different processes, like enteropatía induced by the gluten, the fibrosis quística, the malabsorción of sugar and the allergic gastroenteropatía.

• Enteropatía induced by the gluten (illness celíaca). The gluten (the protein of the wheat) induces a bad absorption of the fats that gives place to undernourishment, and voluminous and smelly dregs (to See the handlebars ILLNESS CELÍACA and DIET WITHOUT GLUTEN)
• Fibrosis quística (mucoviscidosis). The insufficiency of the pancreas increases the fecal losses of proteins and fats, with consequent undernourishment and delay of the growth. The dregs are voluminous and often smelly. (To see the guide MUCOVISCIDOSIS)
• Sugar Malabsorción (Intolerance to the lactose). It produces diarrhea that it improves on having withdrawn the lactose of the feeding (to See the handlebars INTOLERANCE TO THE LACTOSE and DIET WITHOUT LACTOSE).
• Allergic Gastroenteropatía. When the nursing one is allergic to one or several of the proteins of the milk (alpha - lactoalbúmina, beta - lactoglobulina, casein, etc), the capture of milk can give place to diarrhea often associated with vomiting and blood presence in the dregs. The symptoms usually yield with rapidity when a formula based on the soya interferes and they reappear on having done a provocation with cow milk. These children tend to improve spontaneously after fulfilling his first year of life.

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