How cute -- your baby's cooing! Gurgling! Hiccuping! And now he's . . . he's . . . Oh my, that's not very polite!
You probably suspected that you'd encounter lots of less-than-glamorous stuff as a new parent, from messy diapers to puddles of drool. But did you ever imagine how gassy your infant would be? Babies, like the rest of us, get intestinal bubbles. Yet unlike adults and older kids, they have no inhibitions about making it known -- often loudly.
Gassiness isn't pretty, but it is normal. Sometimes, however, it can be a problem, causing discomfort or even pain. Knowing what creates gas -- and how to relieve it -- will help both you and your little one rest easier.
Even when she's feeling fine, an infant burps and passes gas throughout the day, says Robert Shulman, M.D., a professor of pediatrics at Texas Children's Hospital, in Houston. Some of the gas is air that she's swallowed while eating, crying, and hiccuping, but some is also produced during digestion.
Whenever we eat sugar, including the kind found naturally in many foods, our small intestine processes it only partially, send-ing the rest to our large intestine (aka the colon), Dr. Shulman explains. Millions of bacteria exist down there to help our digestive tract function, and they depend in part on this sugar to stay alive. As the bacteria break down the sugar, some gas is created. This is a normal experience for people of any age; babies may seem more gassy than the rest of us simply because they feel no social pressure to hold it in.
Still, some babies do occasionally have a painful buildup of gas. You'll see your child's belly become distended, and he may pull up his legs and cry or scream.
Fortunately, there are remedies. For starters, burp your child more often during feedings, and massage his tummy gently from right to left if he becomes bloated. You can also try the "gas hold." Holding your child horizontally so that he faces away from you and slightly downward, place one of your arms between his legs and across his body, your hand resting lightly beneath his chin for support. This puts gentle pressure on his intestines, encouraging pent-up air to get moving. Or lay your baby faceup on a padded surface, then gently hold his ankles and "pedal" his legs as though he were riding a bike.
If these approaches don't work, speak to your doctor. He may recommend giving your baby some commercial gas drops. Their active ingredient, simethicone, makes gas bubbles come together more readily, which allows for the easier passage of gas.
If your baby's gassiness is chronic, you may need to reevaluate how, or even what, you are feeding her (or yourself, as well, if you're breast-feeding). Though you shouldn't do anything without your doctor's blessing, here are some tactics you might discuss and explore.
It's easy to blame gas if your child often develops a distended belly and acts distressed. But if his fussy behavior occurs on an almost daily basis, especially at certain hours (say, in the early evening), your child could be suffering from colic.
A colicky baby may develop a puffy belly and pull up his legs, just as if he were gassy. But he'll cry so hard, and for so long, that you may wonder if he'll ever stop. Doctors diagnose a baby as having colic if he cries for three or more hours a day on three or more days in a week, for at least three consecutive weeks.
No one knows for sure what causes colic. The good news is that most children outgrow it by 3 months. In the meantime, talk to your doctor: Many of the soothing tactics used for gas can help.
If your baby wails at feedings, he could also have reflux, in which acidic stomach fluids wash up into the esophagus. Call your doctor if a problem that seems gas-related lasts more than a couple of days or if your baby seems very distressed (i.e., cries inconsolably for hours at a time).
Originally published in the July 2002 issue of Parents magazine.