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Infant cries for hours before pooping

My baby is going to be three weeks old Friday. She is breast feeding well and having plenty of wet/poopy diapers with yellow/green loose seedy stool. But she is crying loudly for hours before she poops and straining/ contorting her body. She wakes herself up all night with this and is very hard to console. Our pediatrician advised bicycle kicks, tummy time on a heating pad on low, and frog legs but they very rarely help. You can see when she's doing this her belly is very distended with gas, and hear it rumbling. Is there anything I can do or should I take her back to the doctor?
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replied August 23rd, 2015
Welcome to e health forum.

The cause for crying baby due to colic can be due to spasmodic contractions of the digestive system, collection of gas, mood changes or a oversensitive baby. Acid reflux or stomach problems can also be a possible cause.

Most babies are gassy and bloated from time to time, some more than others. Gassiness is often worse at night. This is due, on the most part, to baby’s immature digestive system and has nothing to do with what the mother does or eats.

Identification of a High need baby is also necessary. The difference is that high needs babies are fussy by temperament whereas a baby with colic appears to be genuinely in pain. High needs babies respond well to consolation and parental attention whereas colicky babies do not.

Proper feeding and burping techniques can help to minimize uncomfortable infant gas and colic symptoms.

If your baby tends to be gassy, spits a lot, has gastroesophageal reflux disease (GERD), or seems fussy during feeding, try burping your baby every ounce during bottle-feeding or every 5 minutes during breastfeeding. If your baby does not burp after a few minutes, change the baby’s position and try burping for another few minutes before feeding again. Always burp your baby when feeding time is over.

In general, breastfed babies don't need as much burping as bottle-fed babies because they tend to swallow less air when feeding.

Proper burping technique: Hold your baby against your chest so her chin is resting on your shoulder. Holding your baby farther up on your shoulder – high enough that your shoulder presses lightly on her belly, creating a gentle pressure that will also coax the burp out. Support her with one hand and gently pat or rub her back with the other.

Other Methods to help a baby with colic include - rocking or walking with the baby, using a calm music or maintaining silence, darkening the room , using a warm bottle on his belly, a warm bath or use of a pacifier.

If your baby has issues like lack of feeding, poor growth, fever ( > 100.4 degree F), Vomiting, diarrhea (especially bloody diarrhea), appears sick and is drowsy or sleepy - then it would be recommended to consult your doctor for proper medical opinion.

I hope this helps.

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