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Expert Q&A:
Why does my 5-month-old fuss and kick when I feed him formula?

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Angela Rosas
Answered by Angela Rosas M.D.
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"The most enjoyable thing for me in practicing general pediatrics is to use my professional training and my experiences as a mother to help families to improve the health of their children," says Angela Rosas. "It is a wondrous feeling to watch children heal and develop into healthy young adults, knowing that you played a small role in the process."

Angela Rosas M.D., graduated from Stanford University with a degree in human biology. She attended medical school and completed her residency in pediatrics at the University of California at San Diego. She has been a fellow in the American Academy of Pediatrics since 1991. Dr. Rosas has practiced general pediatrics for eight years in community clinics, private practice, and university hospitals. She is currently Assistant Professor of Pediatrics at the University of California at Davis Medical Center in Sacramento, California. Her clinical and research interests are breastfeeding, asthma, adolescent care, children with disabilities, child abuse and neglect, and accident prevention. Dr. Rosas has published several articles in peer-reviewed journals and contributed to various pediatric textbooks. She frequently lectures on pediatrics issues at medical conferences and for community agencies. Dr. Rosas is married to another pediatrician and has three young daughters.
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Question


Why does my 5-month-old fuss and kick when I feed him formula?

Answer


This is a good question to discuss with your baby's medical provider, since it could be so many things. The first step is to establish whether your baby is gaining weight well. If he is not, he may have a serious medical problem that your doctor will definitely want to evaluate thoroughly with a physical exam and perhaps blood tests and special X-rays. If your baby is gaining weight well or is even overweight, he may be suffering from reflux or simply overfeeding. Reflux occurs when the acid stomach contents flush back up into the esophagus and cause irritation. Your baby's fussy feedings and burping may be pain or discomfort from the reflux.

If the medical provider confirms that reflux is the problem, the treatment consists of small, frequent feedings, an increased amount of solid foods, and upright positioning as much as possible. There are also various medications, but fortunately most reflux cases go away on their own by 6 to 8 months of age.
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