Experience Licensed Naturopathic Physician for 6 years
Currently: Faculty in the Department of Naturopathic Medicine, National University of Health Sciences, Lombard, IL
Organizations American Association of Naturopathic Physicians
Illinois Association of Naturopathic Physicians
Education/Credentials Bastyr University, doctor of naturopathic medicine
University of Bridgeport College of Naturopathic Medicine, residency in family and integrated medicine
Question My granddaughter is 4 months old but born 3 months premature on Feb. 3. She had a perforated bowel which resulted in an ostomy until April 25 when it was reversed. Her mom was not able to keep up the breastfeed so she's on Enfamil for premature babies. Her belly is huge and hard and she's always gassy and farting and grunting although it seems she has normal bowel movements regularly. Her pediatrician just says that's normal for premature babies. I'm wondering if that is truly the case. Do you have any recommendations? She's almost 7 lbs now (starting at 2 lbs at birth) and seems alert and normal except for the bowel problems. She eats well and sleeps well. It's the belly that concerns me and I don't want to upset the parents if it's not warranted. Thanks for your help.
Answer Hello Brigid,
Thanks for writing. This is a crucial time in your granddaughter's development, so your being proactive is important. It's true that premature babies have some difficulties that full term infants do not, but often they can still be very healthy. And the GI symptoms you are describing may not be serious, but may certainly have an effect for her later on; proper digestion is crucial.
The first thing that comes to mind is the formula. I have looked for formulas options for moms before, and it's difficult. Most conventional ones like Enfamil contain trans-fats, corn & soy products, and sweeteners--ingredients I think are not suitable for infants (or adults for that matter, at least in the forms they are in). This will be particularly important for a baby who's digestive system is less developed. There are some better options out there--most are homemade, or there are some organic brands in health food stores that are ok. Another thought is to add in some supplements for decreasing gas: fennel tea, also called gripe water, and homeopathics (Hyland's brand has a good formula for colic). Also, a good probiotic will help build normal GI flora, which may improve digestion & immune function; there are infant formulas available as a liquid or powder.
For more individual information, I'd suggest seeing a naturopathic (www.naturopathic.org) doctor in your area. For your whole family, this may be a good step to take; not to be alarming but just to make sure you are doing all that can be done for getting her to optimal health. Good luck!
Dr Conner
