Gas Pain Symptoms in Children

Although gas can lead to gas pain, it is important to remember that gas is often normal, especially in newborns and infants.

Signs and symptoms that your child may have more than just simple baby gas include that they are often fussy, have loose or foul-smelling stools, have difficulty feeding, aren't sleeping well, or cry for long periods of time when they have gas. These could be symptoms that your baby has colic.

On the other hand, babies who are happy, feeding well, and their gas doesn't seem to bother them likely don't have any kind of medical condition.

Best Formula for Gas Pain

When faced with gas, parents of formula-fed infants may first try changing to a different formula at the first sign that their baby is having any gas pain. Though many formulas are designed and marketed for babies with gas, it is not always necessary to make the switch. These types of sensitive, gentle, and/or comfort baby formula include:

• Enfamil Gentlease
• Enfamil ProSobee
• Enfamil Reguline
• Gerber Good Start Gentle
• Gerber Good Start Soothe
• Gerber Good Start Soy
• Parent's Choice Gentle Formula
• Parent's Choice Sensitivity Formula
• Parent's Choice Soy Formula
• Parent's Choice Tender Formula
• Similac Sensitive (formerly Similac Lactose-Free)
• Similac Soy Isomil
• Similac Total Comfort

While changing from a milk-based, iron-fortified formula is sometimes recommended, it is necessary much less often than most parents realize. For example, congenital lactase deficiency, in which babies can't digest the milk sugar lactose when they are born, is extremely rare.

Older children don't usually develop symptoms of lactose intolerance until they are between 2 and 5 years old. So changing your baby to a lactose-free formula is often unnecessary. However, your baby might temporarily need a lactose-free formula if they recently had a viral infection that caused severe diarrhea, such as rotavirus.

Unlike lactose intolerance, newborns and infants can have true milk protein allergies. In this case, changing to a soy formula would likely seem to be a good idea. But since many of these babies can also have a soy allergy, a hypoallergenic formula such as Nutramigen or Alimentum is usually a better choice.

Breastfeeding and Gas Pain

As with a formula-fed infant, breastfeeding moms should usually only consider gas a true issue if it is excessive or accompanied by other symptoms. Before restricting your diet too much when your breastfed baby has gas, consider eliminating all milk and dairy products from your diet for a week or so.

If this helps your baby's symptoms, then they may have a milk protein intolerance (allergic colitis), and the milk proteins from your diet that are passing into your breast milk could be causing a problem. However, that isn't necessarily a reason to stop breastfeeding.

Breastfeeding mothers can also try avoiding a few other foods known to cause gas. Or they can try avoiding foods that seem to cause their babies to have a lot of gas.

If you have a foremilk-hindmilk imbalance (sometimes associated with an overabundant milk supply), in which you time your feedings and don't let your baby nurse until they are finished on one side, then they may have gas because they are getting too much sugary foremilk.

Your baby may have less gas if they breastfeed until they are finished on each side and receive more hindmilk, which has more fat and less sugar.

Older Children With Gas

Although it can also be normal, older children with gas can have an underlying medical condition causing their gas, including lactose intolerance, irritable bowel syndrome, malabsorption, or celiac disease.

Fortunately, they are often better at describing associated symptoms, such as bloating, diarrhea, and abdominal pain, etc. Older children also often recognize the association between their symptoms and specific foods, including milk, fruits, or vegetables.

Dietary Modifications

In general, although foods get the blame for causing kids to have gas, you shouldn't restrict your child's diet unless you have talked with your pediatrician.

A high-fiber diet, which is not common among kids, can lead to excessive gas. Since a high fiber diet is considered healthy, it is not recommended to restrict the fiber in your child's diet until you talk to your pediatrician, even if you think it is causing some gas.

Treatment for Children's Gas

Avoiding gassy foods is usually the best treatment for children with excessive gas. Simethicone is a popular treatment for gas that parents often try, with fair success. It is available in many forms, including Infants' Mylicon oral drops, Gas-X, and Mylanta Gas Relief.

Beano, available as drops or a chew tablet, is a digestive enzyme that helps make many high-fiber foods, including beans, broccoli, and whole-grain bread, easier to digest. If your child is lactose intolerant, instead of avoiding cow's milk and other dairy products, it may help if they take a lactase enzyme tablet to help them digest milk.