Suggest baby formula to be given in place of milk
Patient: my 1.5 month son has been diagnosed with cow milk protien intolerance. mother has been asked to stop consuming dairy products. we have been asked to give the baby isomil or zerolac formula in addition to breast feed as his weight gain is inadequate.. birth wieght 3.1kg and wight after 44 days 3.7kg.isomil is giving him constipation and painful stools. plz help. shpuld we switch to zerolac or wt can we do? Doctor: Hi SirI feel your son's weight gain is almost near his expected for his age(according to our calculations)..you can continue isomil as it is a perfect substitute in kids with CMPI.But i would recommend you the following dilution...jus check if you are correct...Dissolve 1 scoop of powder(the measuring spoon given by the product manufacturers) in 30 ml of leukwarm water.You can give 100 to 120 ml per feed for your son's age...which means 3 1/2 to 4 scoops in 100 to 120 ml of water respectively...you can give 6 to 8 feeds per day in addition to breastfeeds as and when required.But make sure your wife is off milk products in all forms after having a confirmation with your doctor.If the country which you reside is tropical or hot at present,you can give 2 to 3 spoons of boiled and cooled water 4 times a day.Normally we dont advise so in exclusively breast fed kids but because your son has already been started on formula feeds I'm advising you this way just to make sure his water content is also adequate.I would be glad to help you further if needed.Dr.Sri Vidhya . V.SPediatrician