Cui Yutao's Parenting Notes 020- Milk Flaps in the Poop

Breast flap is a white particle or floc in baby's stool, which is related to protein's indigestion in baby's digestive system.

Breast flap is a very common condition. If the baby's defecation regularity and defecation amount are moderate, there is no obvious odor and abnormal color, and the baby does not have frequent and severe flatulence or colic, most of them are fine, and will gradually relieve after 4-6 months.

Breast flaps may occur in both breast-fed and formula-fed babies. This is because breast milk, milk and goat milk are rich in protein, and protein will be denatured in acidic environment. This process will happen when milk meets stomach acid, and floc-like precipitate will be formed after protein is deformed. If it is not fully digested and absorbed by the intestine, these flocculent sediments will often be called breast flaps after being excreted. But generally speaking, mixed feeding and formula milk powder feeding baby's stool, milk flap is more common, the amount will be more.

So what should we do once the breast flap appears in the baby's stool? This time depends on what the baby's body is in.

Specifically, if the baby defecates regularly and grows normally, then you don't need to pay special attention to whether there are breast flaps in the stool.

Why do you say that? Because there are two reasons for breast flap in this case.

For small-month-old babies, their digestive system is not mature enough, and the intestinal muscles are not well coordinated, so there will be excessive intestinal peristalsis. When the intestinal peristalsis is too fast, the milk does not have enough time to be digested and absorbed. At this time, undigested milk will be discharged with stool, forming a breast flap.

Then parents don't have to worry. Because with the baby's growth, his digestive function will gradually mature, the phenomenon of excessive intestinal peristalsis will improve itself, and the milk flap in the stool will disappear.

Eating too much food will undoubtedly increase the burden on the digestive system, and for small-month-old babies, their digestive function is not mature enough. Therefore, these foods can't be completely digested and absorbed, and undigested milk will be discharged with the stool to form a breast flap.

That's because many parents regard the baby's crying as a sign of hunger. As soon as the baby cries, they feed it immediately. After drinking milk, most babies will make their parents think that their babies are really hungry, because they are comforted and stop crying. But in fact, sometimes a baby crying doesn't mean he is hungry, and it may be caused by colic or other reasons. Over time, whether the baby is hungry or not, this habit of crying and feeding will lead to excessive intake of the baby.

If the breast flap in the baby's stool is caused by excessive intake, they are usually fatter and gain too much weight.

In this regard, parents should learn to judge when the baby is really hungry, and feed according to the baby's hunger needs to avoid overfeeding.

Well, as we said above, there are breast flaps in the baby's stool, but how to deal with them in good health.

Next, let's talk about another situation, that is, if the baby has milk flaps in his stool, and his weight gain is slow, or he is accompanied by other discomfort symptoms, then he should pay attention.

Generally, the reason for this situation is related to the baby's intolerance to formula powder. What you need to pay attention to is us

We know that although the ratio of whey protein and casein in formula powder is similar to that of breast milk, formula powder is not breast milk after all, and it is still very different from breast milk in composition.

Therefore, the baby is likely to be intolerant of formula powder, which will also lead to indigestion of the baby, and then the phenomenon of defecation and milk turning will occur.

If this is the reason, then parents can replace the baby with deep hydrolysis formula powder.

This formula powder will decompose protein in advance, which is equivalent to pre-digestion. It is also beneficial for the baby to digest and absorb milk more thoroughly and reduce the generation of breast flap.

Because if the baby consumes too much calcium, the unabsorbable calcium will combine with fat in the intestine to form a white calcium soap that is insoluble in water. These white calcium soaps are also white particles or flocs like milk petals after being discharged with stool.

If you give calcium to your child, he has flocs in his stool that look like milk flaps, then we suggest that you'd better go to the hospital to see a doctor for a more detailed judgment.

Q 1: Hello Cui Shen, my baby is three months old. I have been feeding pure milk powder and pulling breast flaps every month. Yueyue said it was normal, and I didn't pay attention. After coming home, I still pulled my breast flap. I said it was normal to drink formula milk and pull breast flaps, but I didn't pay attention. However, in the last month, the nipple has been pulled again and again. I thought it was because I didn't look at the water level correctly and the way of milk flushing was improper, but I have been flushing milk one by one for half a month, but I still pulled the milk flap. Is this milk powder not suitable for babies? I bought Kangcuile, but I learned that Kangcuile was eaten by a baby over one year old, so I didn't feed it to the child. The hospital prescribed probiotics. Should I change the baby's milk powder? I don't want to change his milk frequently. (No hurry. . )

In fact, it is not uncommon for infants fed formula powder to have milk flaps in their stools. Is it intolerance to formula powder?

In fact, before considering this question, we should consider three questions:

First, there is no overfeeding. Because if the child grows normally, it means that he has taken enough formula powder. However, if the amount of this formula powder is exceeded, it may lead to indigestion in children. The most direct manifestation is that there are milk flaps in the stool.

For example, if a child has colic and often cries, parents may mistakenly think that the child is crying because he is hungry. Then if you feed him again at this time, the feeding amount is actually beyond the normal range and will be more. Therefore, we say that if the child grows normally, it is just a matter of stool, and parents need not worry too much.

In the second case, the child does not accept the formula powder well, which affects the baby's growth. At this time, we have to switch to partially hydrolyzed formula, which is easier to absorb, so that the baby's growth is relatively more secure.

Third, it is wrong to just take probiotics to solve the problem, because probiotics are not omnipotent.

Therefore, when there are milk flaps in the stool, we should first pay attention to whether the child eats normally, grows normally and rests normally. If all this is normal, parents should actually think about whether it is overfeeding as I mentioned just now.

If these are a little abnormal, we will consider whether the child can't accept the formula powder. Don't think that probiotics are omnipotent when you mention them, just as calcium supplementation was omnipotent in the past. Actually, this is not right.

Don't attribute children's indigestion to the fact that eating probiotics can work. This is a problem that we know, that is, we should not be slaves to the baby's stool. If a child eats well, sleeps well and grows well, stool is a small nipple. It is not a problem to have nipples in the stool, but if there is a problem, it should be solved in time.

Q2: Dr. Cui, my daughter 17 months. She has three meals a day, one bowl for each meal, about 25 grams of noodles or porridge, and meat, vegetables and fungi. I feel that eating two kinds of fruits a day is neither too much nor too little. Sometimes she drinks yogurt according to her appetite. Her stool is normal once a day, sometimes twice a day or once every two days. The stool is basically digested, and sometimes there is undigested granular food.

Dr Cui replied:

In fact, the question parents want to ask is about slow growth.

In fact, the slow growth is related to three major factors. First of all, food intake is insufficient, which can be divided into absolute shortage and relative shortage.

Absolute deficiency is generally related to the child's appetite, or other problems, resulting in the child's own food shortage. On the other hand, it is relatively insufficient, that is to say, is the food we give our children fake and coarse? For example, how thick is the porridge mentioned by parents just now? Everyone says that I can cook very thick, which is also the result of water being sucked into the rice after we cook for a long time, not really much; One more thing, eating noodles is 25 grams. What does 25 grams mean? Is it 25g dried noodles or 25g cooked noodles? Besides, what do you use to cook noodles? Do you want to cook the noodles with broth, or do you want to cook the noodles with clear water, take them out and add other things to eat? In fact, these are to remind everyone not to have fake thickness, which seems to be a lot. In fact, it is mainly due to moisture.

The second point is digestion and absorption. Indigestion, that is to say, there are many undigested food particles in the child's stool; Poor absorption refers to a large amount of defecation, a large amount of defecation each time, or a large number of defecations a day, indicating that the child's intestinal absorption capacity is limited.

The third point is abnormal loss. For example, if the child has severe allergies, congenital heart disease or other abnormal diseases, the child may eat a lot, but because of relative consumption, the child's growth may be affected.

As for parents, we can consider what kind of situation is caused by children according to the three points I said, so as to solve the problem in time.