HV has recommended 'comfort' milk for constipated DD (4 wks old). What is it?

(42 Posts)
Tiredemma Wed 02-Oct-13 16:00:00

As title suggests-

DD is four weeks old and has had constipation since about 3 days old. I changed from Aptamil to Hipp about two weeks ago so I am reluctant to change again unless absolutely necessary.

GP has prescribed lactulose but DD remains constipated (in fact she has only done a poo on average every 3 days and thats after I have applied a vasiline tipped cotton bud to her bottom)

The HV isnt keen for DD to have lactulose everyday and suggested changing to a comfort milk- ive looked on internet and read stories about it actually making constipation worse??

any advice?

HappyGoLuckyGirl Wed 02-Oct-13 16:24:48

Probably not the best person to advise as my DS is actually allergic to cows milk so is on special formula.

We had him on Aptimal Comfort from 2-8 weeks. He winded so much better and wasn't constipated but that had never been an issue with him.

I'd say try it. She's young enough to take to another formula without too much fuss and you've nothing to lose.

Oh and by the way, comfort formula is partially hydrolised formula. It means that the protein chains in the milk have been partially broken already, making it easier for your DD to digest.

HappyGoLuckyGirl Wed 02-Oct-13 16:26:40

Oh and giving cooled boiled water is supposed to help constipation. smile

stargirl1701 Wed 02-Oct-13 17:00:09

I would check with your GP. DD was on Lactulose for a while and there didn't seem to be an issue with her being on it long term. The paediatrician was more concerned about her bowel becoming distended.

mrsmartin1984 Wed 02-Oct-13 17:02:32

You know the different brands of formula are the same. There is a legal standard of what has to be in formula. Which all companies have to go buy. So changing brands is not an issue

Rootvegetables Wed 02-Oct-13 17:07:47

I think lactulose is very gentle and can take a little while to get working as it's a softener rather than a laxative, I think you should maybe go back to the GP if you are thinking of changing formula again.

Tiredemma Thu 03-Oct-13 08:13:54

Thanks all- DD did a massive poo at teatime so im just going to stay on the same milk and see how it goes.

thnaks again

Is she actually constipated? I ask because I thought dd was at one point , dr gave her movicol. She kept straining and grunting so had all the appearances of constipation but it wasn't actually what it was.

What are the poos like when's she does go? Are they normal?

Tiredemma Thu 03-Oct-13 08:45:00

The first part of the poo comes out very hard (I would describe its consistency like playdoh or plasticine). Then once she has pushed that part out (during which she appears to be in pain)- she then has an immediate second load come through that is more mushy and like infant poo.

she has between 1oz/2oz water a day also.

JRmumma Thu 03-Oct-13 09:01:19

Sorry to hijack but happy how did you get the cows milk allergy diagnosed and what were you ds symptoms? I think my ds has this but the paediatrician thinks its just reflux (i think its both) as he seems to be in pain Imo lower down than heartburn and has issues when pooing

What colour is it?

Tiredemma Thu 03-Oct-13 09:21:40

like an 'avacado' green?

What did the HV say about the poo? Tbh I'd try the comfort formula, it's lower in lactose and easier to digest. It won't hurt to try and if it stops her needing medication it's worth it.

AndThatsWhatIThinkOfYou Thu 03-Oct-13 09:57:51

my friends daughter was like this but so constipated to the extent there was blood in her nappy, in the end after lots of fobbing of and trips to the doctors they found out she's allergic to dairy.

My dd was also intolerant to dairy. I was holding of saying invade of worrying you but the poo was acidic, green and stunk to the point the smell woke me up.and she strained and strained producing nothing and was very distressed it stopped her feeding properly. The lactose reduced stuff may help but if not see the gp.

AndThatsWhatIThinkOfYou Thu 03-Oct-13 12:07:18

she was also on a dose of lactose that would work on an adult and it didn't make a difference

Tiredemma Thu 03-Oct-13 16:05:12

Does the comfort milk have to be made up any different to normal formula? I'm reading stuff on net about you having to make sure that the water is hot otherwise the powder doesn't 'break down' ?

I can't remember tbh I think it's pretty much the same. It's thicker though so you would need the next size up teat.

The instructions are on the tub.

JRmumma Thu 03-Oct-13 16:10:52

It doesn't dissolve as easy so yes, use freshly boiled water rather than letting it cool for 30 mins. When i used it i made up 3 bottles at a time, flash cooled and stored in the fridge till needed then warmed up as it was easier.

HappyGoLuckyGirl Thu 03-Oct-13 23:59:53

Agree with JRmumma. I always made up a few bottles at once and then used when needed.

JRmumma - I went to my HV and explained that my DS had a rash all over his face and chest, he would projectile vomit, his poos were very runny and bright yellow and that he was hard to settle after a feed.

She suggested a diary intolerance and made a rush appointment for me at the GP. It wasn't my normal doctor but she was lovely and agreed with my HV. He's been in prescribed milk since.

He's still got problems though so I think there's something else. We've been referred to the paediatrician, we're waiting for his appointment this week.

If you think there is something up with your DC then go to the GP. If you are getting fobbed off then keep making repeat appointments, every week if poss. They'll listen eventually. Or just do what I do now and tell them you think its xyz and you want to trial xyz to see if she improves. You know your child better than any doctor. smile

JRmumma Fri 04-Oct-13 01:51:16

Thanks happy. We have been really lucky in getting referred to a paediatrician very quickly, and we are now trialling reflux meds. Like you though i don't think this is the whole problem and suspect cmpi as apparently it often goes hand in hand with reflux. The paediatrician kind of dismissed it and wanted us to do reflux meds first, but when we go back in a month im going to push for the formula if baby still isn't happy. Its do frustrating that they can't tell you what is wrong and getting it right is trial and error

Twinklestarstwinklestars Fri 04-Oct-13 02:06:04

My ds is on sma comfort and it's no thicker and you just make it up like other formula, his poo is really dark green but they said some babies digest it like that.

Tiredemma Fri 04-Oct-13 08:29:11

Thanks all-

DD was quite uncomfortable through the night - I can hear the formula 'hitting' her stomach and making an awful 'churning' sound. She then writhes around in pain.

Decided to get Comfort milk today, I am aware that HIPP (the formula I am currently using) do not do this type of Formula. Im assuming that C&G, Aptamil and SMA Comfort Milks are much of the same really?

Yes they are pretty much the same. If that dies tbhelp she may need a hydrolysed formula from the drs. Don't be afraid to take her

Tiredemma Fri 04-Oct-13 08:37:14

Ok- thanks for the advice.

Will no doubt probably be back for more!

Hope it helps smile the transformation is amazing when they get into the right milk for them. Don't be fobbed off either if you think it's more. smile

Tiredemma Sat 05-Oct-13 10:22:21

Not sure what to do now.

Went out yesterday and purchased some aptamil comfort, a flask to keep water hot for night feeds and some size 2 teats. Was all prepared to change milk last night.

On advice of HV I still gave DD some lactulose yesterday PM as she had not had a poo for two days.

Last night at about 7pm DD had an explosion of green poo- very loose, all up her back etc.

So now I dont know whether I should change the milk still???

I'd try it tbh. It's the only way to find out of it helps.

Tiredemma Sat 05-Oct-13 10:56:25

the worse that can happen is that she is likely to have another runny nappy isnt it really?

Pretty much. Can't get much worse really bless her. But do keep an eye in it invade it's not constipation and it's the actual milk.

Tiredemma Sat 05-Oct-13 11:08:50

will do. thanks for your help.

Hope it does help and she's more settled bless her. It's awful to watch isn't it .

Alanna1 Sat 05-Oct-13 11:26:21

I would ask for a referral. But in general I'd take a GP'sadvice over aHV.

Rhubarb78 Sat 05-Oct-13 11:42:21

Hi op, my dd had problems with constipation and tummy gurgling plus mega projectile vomiting. I changed her to comfort milk (she also has a prescribed thickner because of the vomiting) and she has been much better, way more comfortable after feeds and no problems with constipation at all. Hope it helps your lo

Tiredemma Sat 05-Oct-13 11:54:16

Rhubabrb- hwo do you make her feeds up?

Tiredemma Sun 06-Oct-13 09:16:51

Just tried it for first feed today.

No churning, no writhing, no spitting bottle away.

Sleeping soundly now.

That's great smile long may it continue.

Rhubarb78 Mon 07-Oct-13 08:37:22

Sorry, i forgot to recheck this thread. I make the feeds up with 2oz hot water to dissolve the powder in and then add 4oz of pre measured cooled boiled water and then shake it all up, should be ready to drink then

Tiredemma Mon 07-Oct-13 09:36:53

Thanks rhubabrb- tahts how I have been doing it (but 2oz/2oz)

DD slept really well last night and actually only woke for one feed- I think she is more content.

AND she did a poo.

I am relieved!!

Chunderella Mon 07-Oct-13 21:07:40

Simply not true in this case mrsmartin, not with the more specialist and medicalised formulas. Glad it's going well OP.

Tiredemma Thu 10-Oct-13 09:08:37

Just a quick update!

Seems much more content on this milk, only does a poo every other day, but these are 'normal' and not rock hard. Best bit?- She goes down to sleep at 7pm, wakes at 1.30am for a feed and then goes back down until 7am.

Its wonder juice.

Chunderella Thu 10-Oct-13 22:00:09

Good to hear it's made such a difference for you OP.

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