Colic And Infant Formula Flashcards
Are infant formulas better than breast milk for infants?
No, breast milk contains nutrients and antibodies that are crucial for infant growth and health
What is Lanolin(Lansinoh) Cream?
This cream helps with nipple irritation associated with breastfeeding
Why did Saskatoon hospitals stop accepting free infant formula?
Free formula gets parents “hooked” on giving their children formula once they get home. More infant formula use results in lower milk production.
What is the closest adult product to infant formula?
Meal replacement drinks like Boost or Ensure
What does iron-fortified in infant formulas really mean?
This is a marketing ploy. Everything in an infant formula is already fortified. Not helpful for consumers
Are lactose-free infant formulas useful for babies?
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
Is lactase deficiency a concern in babies?
No, congenital lactase deficiency in babies is exceedingly rare, but a milk protein allergy is more common
What is secondary lactase deficiency?
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
What is the advantage of soy-based protein infant formulas?
The most significant benefit is it lacks milk proteins. This helps with milk protein allergies
Are infant formulas after the age of 1 useful?
Food is king, try to stay away from infant formulas. The formulation between different age groups are virtually the same.
What is the current advice for preventing allergies in kids?
Exposure is now accepted as significantly more effective versus staying away from potential allergens
What is the advantage of thickened infant formulas?
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
Why do babies gurgle up food?
1) Swallowing air during feedings
2) overeating
3) sensitivity to allergens transferred through breast milk
5)GERD is very rare in babies
What is value of essential fatty acids in infant formulas?
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
Are probiotics useful in infant formulas?
It is harmless, they are getting tons from the environment. There isn’t clear evidence for having a better effect vs. Regular formula
What are some types of formulation for infant formulas?
Ready-to-feed (expensive, but gets rid of concerns about water supply)
Concentrate
Powder (cheapest, need more prep, water quality concerns)
What is the definition of true colic?
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
What makes a child’s behaviour colic-y vs. True colic?
If the baby is fine between episodes, feeds well, and gains weight; your baby has colic. Despite crying fits, colic babies are relatively healthy
Why does lactose intolerace cause bloating?
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
What non-drug treatments can be used to help with colic?
re-positioning child
stimulation/destimulation
changing infant formulas
changes in mother’s diet
What does simethicone do to help with colic-y symptoms?
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)
How does dicyclomine help with colic-y symptoms?
It is a dicyclomine (Bentylol) is a anti-spasmodic
Used for adults with IBS, not indicated for people under 6 months
What is in gripe water?
Contains oils, ginger, fennel, antacid
effectivity is dubious, but worth the try
How effective is Cocyntal?
This is the box with a Koala on it and has prepackaged packets of liquid
It is safe, but ineffective
