How do you know what formula is best for a child who suffers from constipation and colic and breast milk doesn't seem to help?
Michael Blake, MD, PhD answered:
There are very few reasons to recommend formula over breast milk. If you feel your baby suffers from constipation or colic due to your breast milk, you should first review your diet. Most often there is something that you could change or eliminate in your diet that would help with these symptoms. If you eat a food that gives you gas, it will likely give your baby gas and make him uncomfortable and fussy. Moreover, there are some foods that you may tolerate well (example: cauliflower, broccoli, cabbage, dairy, etc.) that may cause problems with stools and gassiness in your baby.
Another consideration is baby reflux or heartburn. All babies, even breastfed babies, have some degree of reflux that usually improves over the first six months of life. Baby reflux is usually successfully treated with positional changes, but may sometimes require taking “anti-reflux” medications. If you feel your baby has bad constipation or colic due to your breast milk, I would recommend discussing your concerns with your Pediatrician before you stop breastfeeding and start formula.