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4 month old- extremely gassy and taking
Current weight 6.2 kg
Age 4 month 2 week
(Preterm baby born at 35 week, BW- 2.27 kg, lowest weight 2.19 kg)
My baby has become extremely gassy and though his urine count is normal and he passes stool after 3 days
-Lately he has started passsing alot of gas
- he has started avoiding nipple and takes only dream feed.
-when he is awake and i put nipple in his mouth he cries alot and does not take feed at all.
* he sleeps throughout the night and sometimes due to gas he moves otherwise he sleeps throughout.
What can be the reason ? He is exclusively bf
I am really worried !!
At 4 month they do like that only , they look around ,most mothers concern.Baby weight gain as per western standards.Good job for dream feeding. Try to give mother milk upto 2 yrs. for more benifits .all enzymes will develop at 4 months in USA they start wean at 4 months.More details needed
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn specialist )
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Hello, I understand your concern
The baby’s growth is appropriate — current weight 6.2 kg (good gain from birth 2.27 kg).
Passing urine well and sleeping through the night are reassuring signs. Most likely, this is temporary feeding difficulty due to gas or reflux — common at this age.
Possible Causes:
1. Gas / Colic: Swallowing air while crying or during feeds.
2. Reflux discomfort: Babies may arch back or refuse feeds when lying flat.
3. Nipple confusion or flow preference (if bottle/pacifier used).
4. Nasal congestion or mild infection — can make feeding uncomfortable.
5. Maternal diet or fast milk flow causing gassiness.
Next Steps
Continue exclusive breastfeeding.
Offer smaller, more frequent feeds.
Try feeding in upright / semi-reclined position.
Keep baby upright for 20–30 min after feeding.
Relieve gas:
Gentle tummy massage clockwise.
“Bicycle leg” movements.
Burp well after every feed.
Mother’s diet: Avoid excess caffeine, cabbage, broccoli, or very spicy food temporarily.
Monitor feeding behavior:
If baby feeds only during sleep (dream feeds), still track urine count (≥6/day) and weight gain weekly.
Avoid force-feeding or repeated nipple insertion when baby resists — increases aversion.
Health Tips
When to review urgently:
Refusal of all feeds (even dream feeds).
Lethargy, poor urine output, persistent vomiting, or abdominal distension.
Weight loss or not gaining.
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Your baby is gaining weight absolutely normal,
He has good weight at 4 months
For gaseous discomfort , babies often cries & do these activities
You can comfort your baby by multiple manoeuvres like cycling movements of legs
For further detailed examination of baby , plz video consult
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
Contact number: 97012307 two nine
Dr. G. Avinash MBBS, MD (Pediatrics
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Extremely gassy abdomen could be due to gulping of air during feeds,improper burping technique.
Adviced
1.To correct the burping technique
2.Clockwise massage on abdomen
3.cycling movements for 10-20 minutes and 3times a day
However detailed history and assessment in this baby is essential to rule out other serious conditions.
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