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连云港除甲醛电话:宝宝总吐奶,不排便该怎么办? 父母别急!

宝妈A问:我家宝宝今天92天,人工喂养,现在每次喝奶120毫升,两到三小时喂一次,最近喝奶后吐奶频繁,而且喝奶后还会有吐清水的现象,这是什么原因呢,该怎么给宝宝缓解下,或者是可以服用点什么药,请老师指导下。还有就是可以给宝宝吃拜奥益生菌吗,如果可以,能吃多久?

精选问答—宝宝总吐奶,不排便该怎么办?父母别急,鲍奶奶这样说

鲍教授回答:家长你好,宝宝吐奶中有清水的情况,考虑是吃奶量有点多,奶液中的营养物质被吸收,剩下的水分就吐出来了,这个月龄的宝宝奶量保持在600-900ml之间最好,奶量太多,会增加宝宝的肠胃负担,导致消化不良,目前可以建议每次100ml左右,每隔3小时喂奶一次。吃奶后一定要排出1-3个嗝,最少竖抱半小时后,再让宝宝躺下,可以有效的预防宝宝吐奶。不建议随意给宝宝吃药,除必要时的治疗药物外,类似助消化、健脾之类的药物,不建议给宝宝服用,会对胃肠道有损伤。平时白天清醒的时候,多和宝宝玩耍,让宝宝多趴一趴,增加消耗,父母也要多和宝宝做做游戏、和宝宝对聊聊天,多让宝宝笑一笑,宝宝情绪好 ,就是帮助消化吸收最好的方式。

另外,您需要知道,益生菌不是万能的,益生菌的主要作用,是针对有长期便秘、腹泻,以及使用抗生素史导致的肠道黏膜损伤,以及肠道菌群紊乱,需要连续服用两周才能起到效果。而宝宝日常出现的很多生理性的现象,吃益生菌是无效的,也即是说吃了也没什么影响,但是不对症。所以只要宝宝不是以上的问题,是不建议吃益生菌的。

精选问答—宝宝总吐奶,不排便该怎么办?父母别急,鲍奶奶这样说

宝妈B问:医生您好,我家孩子从出了月子开始就不排便,第一次七天,第二次五天,老人说孩子攒肚子,没当回事。紧接着就9天,12天,我怕他便秘就给用开塞露,咨询大夫说正常不应该超过七天,于是过了七天没拉我又给用开塞露,后来又九天…排出来的便起初像黑芝麻糊状,颜色金黄,最近一次用开塞露上出来的便,头上像包一层肠衣,请大夫帮忙看看这是什么情况,需不需要去医院检查。期间给换了三种益生菌,现在在吃妈咪爱,也给揉肚子做排气操,每天都放很多屁,非常臭,孩子现在放屁会使劲,还会哭,肚子不硬不胀,精神状态良好。出生七斤两个半月13斤半,最近半个月没太涨秤。纯母乳。连云港除甲醛哪家强,如果一直不拉需不需要用药物引导,最长多少天需要用药物引导。

鲍教授回答:家长你好,首先看了宝宝的排便性状,是正常的糊状便,6月龄以内的小宝宝,出现排便间隔延长,不是疾病指征,确实是正常的攒肚现象,对于小月龄的宝宝来说,食物被尽可能的吸收,所以就导致了食物残渣变少,排便间隔延长。如果家长摸到宝宝肚子软软的,平时吃喝玩也不受影响,那么家长等待宝宝下次排便即可,一般正常宝宝的排便为金黄色的糊状或者膏状便,只要每次排便都是这样的,那就是正常的,攒肚可能有3、5天排次便或是8-10天不排便,最长的见过22天才排便的,并不是超过七天就是不正常的,只要孩子吃的好、玩的好、精神好,家长就不用过于紧张。不建议给宝宝随意用开塞露或者其他润肠类的物质,容易导致宝宝排便习惯的改变,慢慢形成依赖,目前肚子不硬不胀不建议也不用引导。而且宝宝目前是正常的攒肚现象,所以不建议用。如果攒肚达到20天,您觉得很担心,可以偶尔用一次开塞露。平时家长可以把手掌搓热,顺时针给宝宝揉揉肚子、母乳妈妈饮食健康,且多增加绿叶菜的摄入,都有助于宝宝排便。另外宝宝攒肚属于生理现象,吃益生菌的意义不大,宝宝屁臭,提示母乳妈妈,近期吃了很多蛋白高的食物,如牛奶及牛奶制品,豆制品等,可以吃但尽量少吃一点,因为母乳妈妈进食直接影响宝宝的排便。

孩子现在放屁会使劲,还会哭,还是生理性的肠绞痛和肠胀气的现象,这是小月龄宝宝常见的肠道不适,多在4-6月龄之后逐渐消失,不会影响宝宝的生长发育,家长不用担心。平时可以采取飞机抱缓解宝宝肠道不适。

精选问答—宝宝总吐奶,不排便该怎么办?父母别急,鲍奶奶这样说

宝妈C问:你好,鲍医生,我家宝宝5个月8天了,刚出生时体重是5斤6两,到现在才12斤,长得太慢了,不知是什么原因。不过她特别爱吐奶,是不是与这个有关,有方法改善没?

鲍教授回答:家长你好,首先说声抱歉。由于看诊的原因,未能第一时间回复。宝宝这个月龄正常体重范围在5.4kg–8.8kg,宝宝现在体重6kg,虽然在偏低位的水平,但是是在正常水平范围内的。宝宝体重增长慢,首先要排除曾经或者现在有腹泻、便秘、等消耗类的问题外,首先要考虑入量不足,宝宝吐奶也是入量不足的一方面。

目前首先要纠正吐奶的问题,一般宝宝吐奶后,精神正常,那么就是生理性的吐奶,比如喂养姿势不对,喂太多或者宝宝吃得太急都可能引起吐奶。可以采取控制疗法改善症状:首先,延长宝宝的喂养时间间隔,每2-3小时喂养一次,每次喂养7-10分钟;其次,喂奶后将孩子竖起,用手轻拍其后背帮助拍嗝;此外,将宝宝右侧卧姿势放在床上,保持上半身抬高30°。建议不要一次喂得太多或太快,应该遵循少量多次的原理。用奶瓶喂奶的话,注意选择流量合适的奶嘴。喂完奶后及时拍嗝。妈妈需要将宝宝竖立抱起,轻轻靠着妈妈肩上,拍嗝的时候,妈妈用手轻拍宝宝背部,每次拍3~5下,连续几个回合,直到宝宝打嗝后,就可以停止拍嗝了。如果宝宝吐奶比较多,还应该抱起来再拍拍后背。如果宝宝吃奶太快或妈妈的奶太多,乳汁流速快,宝宝喘不过气,也容易呛奶。正确做法:吃吃停停+用手指掐住乳晕周围减慢乳汁的流速。如果持续出现体重不增,或者喷射样呕吐,那么建议就诊排除胃部的疾病问题。

目前宝宝的这个月龄,每天至少应保证至少600ml的奶量,最多不超过1000ml,一般情况下宝宝每天能尿满6块尿不湿,就说明喂养是充足的。针对孩子目前的吃奶情况,建议是少量多次的喂奶,孩子不吃的时候,不哄喂和逗喂 ,宝宝不吃的时候立刻停止喂奶,尽量拉长喂奶间隔,白天清醒的时候,多和宝宝玩耍,让宝宝多趴一趴,增加消耗,父母也要多和宝宝做做游戏、和宝宝对聊聊天,多让宝宝笑一笑,宝宝情绪好 ,对于进食也有帮助。宝宝生来就有饥饱感,这和大人是一样的,家长完全不用担心宝宝会吃不饱或者饿着,不知道宝宝平时有吃“迷糊奶”的情况吗?目前尽量减少喂迷糊奶的情况,如果宝宝迷糊着吃奶量多,那相对清醒时就饥饿感不足,肯定吃奶量也会下降,所以宝宝睡着时,就让宝宝睡到自然醒,也无需叫醒,等宝宝醒来后,直接喂奶瓶即可。家长不用那么焦虑,待宝宝慢慢适应,吃奶量也就相对增多了,体重也就谩慢慢增加了。

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