Colic And Infant Formula Flashcards

1
Q

Are infant formulas better than breast milk for infants?

A

No, breast milk contains nutrients and antibodies that are crucial for infant growth and health

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2
Q

What is Lanolin(Lansinoh) Cream?

A

This cream helps with nipple irritation associated with breastfeeding

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3
Q

Why did Saskatoon hospitals stop accepting free infant formula?

A

Free formula gets parents “hooked” on giving their children formula once they get home. More infant formula use results in lower milk production.

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4
Q

What is the closest adult product to infant formula?

A

Meal replacement drinks like Boost or Ensure

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5
Q

What does iron-fortified in infant formulas really mean?

A

This is a marketing ploy. Everything in an infant formula is already fortified. Not helpful for consumers

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6
Q

Are lactose-free infant formulas useful for babies?

A

Not really, almost all infants can digest lactose. Parents who are lactose-free might go for this option, but it has no real advantage over regular formula

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7
Q

Is lactase deficiency a concern in babies?

A

No, congenital lactase deficiency in babies is exceedingly rare, but a milk protein allergy is more common

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8
Q

What is secondary lactase deficiency?

A

Following a gastrointestinal viral infection (stomach flu), a lot of the enzymes are destroyed. Lactase production can take some time to return to normal populations and lactose metabolism ability

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9
Q

What is the advantage of soy-based protein infant formulas?

A

The most significant benefit is it lacks milk proteins. This helps with milk protein allergies

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10
Q

Are infant formulas after the age of 1 useful?

A

Food is king, try to stay away from infant formulas. The formulation between different age groups are virtually the same.

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11
Q

What is the current advice for preventing allergies in kids?

A

Exposure is now accepted as significantly more effective versus staying away from potential allergens

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12
Q

What is the advantage of thickened infant formulas?

A

Extra rice starch is used to make infant formula to thicken in the stomach. This adds viscosity and should reduce amount of food gurgled up

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13
Q

Why do babies gurgle up food?

A

1) Swallowing air during feedings
2) overeating
3) sensitivity to allergens transferred through breast milk
5)GERD is very rare in babies

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14
Q

What is value of essential fatty acids in infant formulas?

A

There is no clear evidence that EFAs in infant formula has an effect on children’s intelligence or health. Largely a marketing ploy to sell expensive infant formula

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15
Q

Are probiotics useful in infant formulas?

A

It is harmless, they are getting tons from the environment. There isn’t clear evidence for having a better effect vs. Regular formula

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16
Q

What are some types of formulation for infant formulas?

A

Ready-to-feed (expensive, but gets rid of concerns about water supply)

Concentrate

Powder (cheapest, need more prep, water quality concerns)

17
Q

What is the definition of true colic?

A

Crying occurs 3 hours per day, 3 days per week, for more than 3 weeks

Baby is inconsolable
(10-40% of babies are affected)

Disappears suddenly in a few months

18
Q

What makes a child’s behaviour colic-y vs. True colic?

A

If the baby is fine between episodes, feeds well, and gains weight; your baby has colic. Despite crying fits, colic babies are relatively healthy

19
Q

Why does lactose intolerace cause bloating?

A

This is because the body does not produce lactase, so bacteria in the intestines use fermentation to break down lactose. This results in gas and acid production, causing bloating

20
Q

What non-drug treatments can be used to help with colic?

A

re-positioning child
stimulation/destimulation
changing infant formulas
changes in mother’s diet

21
Q

What does simethicone do to help with colic-y symptoms?

A

It is a de-foaming agent (GI discomfort via trapped gas)
By de-foaming, gas bubbles are coalesced and released

Questionable efficacy (tone down patient expectations)

22
Q

How does dicyclomine help with colic-y symptoms?

A

It is a dicyclomine (Bentylol) is a anti-spasmodic

Used for adults with IBS, not indicated for people under 6 months

23
Q

What is in gripe water?

A

Contains oils, ginger, fennel, antacid

effectivity is dubious, but worth the try

24
Q

How effective is Cocyntal?

This is the box with a Koala on it and has prepackaged packets of liquid

A

It is safe, but ineffective

25
Q

What can cause colic-y behaviours?

A

Constipation
Food allergies or intolerances
Teething pain
Trapped gas
Gut spasms
Maternal smoking
GERD

26
Q

What conditions can cause colic-y behaviour?

A

Trapped gas
Emotional distress
Gut spasms
Maternal smoking
GERD