35: Nutrition in the normal infant: infant formulae

Air swallowing
CryingEncourage winding
Severe colic may be related to cow’s milk protein intolerance (CMPI)
1-week trial of hydrolysed formula
Exclude UTI if excessive crying
Probiotics may help Cow’s milk protein intolerance (see Chapter 12)Vomiting, diarrhoea or blood in stool ± eczema
Family history of atopyChange to hydrolysed feed
If severe consider elemental feed Constipation (see Chapter 14)Infrequent hard stools
Check that meconium passed in first 24–48 hoursCheck formula made up correctly (see Information: Current WHO recommendations for making up formulabox) Gastro-oesophageal reflux
(see Chapter 3)Crying, back arching and refusing feedsSee Chapter 3
Also consider CMPI ObesityWeight crosses centiles upwards
More likely with formula milk than breast-feeding