Everyday Wellness Babies for Beginners Guide Babies for Beginners Guide Overview Baby Care Change a Diaper Swaddle a Baby Bathe a Baby Use a Baby Wrap Measure Shoe Size Development Help Baby Sit Up Teach Baby to Crawl Teach Baby to Roll Over Teach Baby to Walk Teach Baby Sign Language Make Baby Laugh Health & Conditions Burp a Baby Help with Hiccups Help with Congestion Help with Gas Nutrition Prepare Baby Formula Start Baby-Led Weaning Make Baby Food Make Baby Oatmeal Introduce Eggs Staying Tidy Wash Baby Clothes Fold Baby Clothes Sterilize Baby Bottles Make Baby Wipes Clean Baby Toys How to Help a Baby or Toddler With Gas By Vincent Iannelli, MD Vincent Iannelli, MD Facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial process Updated on November 02, 2022 Medically reviewed by Paul A. Rufo, MD, MMSc Medically reviewed by Paul A. Rufo, MD, MMSc Paul A. Rufo, MD, MMSc, is an assistant professor of pediatrics and senior investigator in the Center for Inflammatory Bowel Disease at Boston Children's Hospital. Learn about our Medical Review Board Print Verywell / Photo Illustration by Madelyn Goodnight / Getty Images Table of Contents View All Table of Contents Formula-Fed Babies Breastfed Babies Toddlers and Older Children How to Treat Gas in Babies and Toddlers Next in Babies for Beginners Guide How to Prepare Baby Formula A buildup of gas in the intestine can lead to pain in babies and children, causing concern for parents. However, gas is often normal—especially in newborns. Thankfully, it can be treated at home in most cases. Signs that your child may have more than just simple baby gas include frequent fussiness, loose or foul-smelling stools, difficulty feeding and/or sleeping, and crying for long periods of time. These could be symptoms of colic or a food intolerance. On the other hand, for babies who are otherwise happy and feeding well, gas can be normal and not a sign of an underlying medical condition. If periodic gas causes your child discomfort, find out how to avoid common triggers and treat gas pain when it occurs. What to Consider in Formula-Fed Babies If your infant seems to experience gas-related discomfort after drinking formula, review the following factors to see if one or more may be causing excessive gas. How to Get Free Baby Formula Samples Type of Formula Parents may be tempted to try a new formula at the first sign that their baby is having gas pain. Though there are formulas that are designed and marketed to help with gas, it is not always necessary to make the switch. Willow Jarosh, MS, RDN, a registered dietitian nutritionist based in Manhattan and member of Verywell Family's Review Board, says, "I'd recommend speaking to your baby's pediatrician (or a dietitian who specializes in infants and can also communicate with your pediatrician) before changing formulas." They may want to try other measures first to see if your baby's symptoms improve. If a formula change is deemed necessary, one of the following sensitive, gentle, or "comfort" baby formulas may help with gas: Enfamil GentleaseEnfamil ProSobeeEnfamil RegulineGerber Good Start GentleGerber Good Start SootheGerber Good Start SoyParent's Choice Gentle FormulaParent's Choice Sensitivity FormulaParent's Choice Soy FormulaParent's Choice Tender FormulaSimilac Sensitive (formerly Similac Lactose-Free)Similac Soy IsomilSimilac Total Comfort The above formulas offer different protein sources than those found in standard infant formula. As the name implies, soy formulas are made with soy protein rather than casein and whey, the proteins found in cow's milk. Gentle, sensitive, and comfort formulas provide specific protein and/or sugar profiles for infants who may not tolerate standard formula. For example, some products include partially-digested cow's milk protein that may help ease gas production. Lactose-free formulas offer sugars other than the lactose that is naturally found in cow's milk. It's worth noting, however, that lactose is also the type of sugar in breast milk. The vast majority of breastfed infants tolerate lactose without any problem. Because children don't usually develop symptoms of lactose intolerance until they are between 2 and 5 years old, changing your baby to a lactose-free formula is often unnecessary. However, they might temporarily need a lactose-free formula after a viral infection (such as rotavirus) that caused severe diarrhea. If lactose intolerance is causing your baby's gas, they will most likely display bloating, cramps, and diarrhea in addition to gas, starting 30 minutes to 2 hours after drinking lactose-containing formula. True cow's milk allergy (CMA) is relatively rare, occurring in less than 5% of children. Infants and children with an allergic reaction to the protein in cow's milk usually display non-digestive physical symptoms in addition to digestive ones. Symptoms can take up to 48 hours to begin after eating, and may include: DiarrheaHivesRespiratory symptoms (e.g., coughing, difficulty breathing, wheezing)SwellingVomiting If your baby displays symptoms in addition to gas after eating and you're concerned, contact a pediatrician for an evaluation. While changing from a standard formula to a soy-based or gentle product is sometimes recommended, the switch does not always improve symptoms, and up to 60% of infants with CMA also react to soy protein. In these cases, a hypoallergenic formula such as Nutramigen or Alimentum is required. It's important to remember that the protein and sugar in milk-based formulas are two separate things. Most infants who have a milk protein allergy can still tolerate lactose without a problem. A pediatrician or pediatric dietitian can provide guidance on which formula is the best for your child, especially in cases of allergy or intolerance. Health and Hype of the Latest Baby Formula Trends 1:19 Click Play to Learn How You Can Help Your Baby With Gas Feeding Technique Jarosh notes that in addition to the type of formula your baby drinks, the way in which you feed them can affect their digestion. This applies to both babies drinking formula or expressed breast milk from a bottle. Both the speed of milk flow and the quality of their latch are important. Willow Jarosh, MS, RDN If the flow of formula or breast milk from the bottle is too fast, baby might be gulping which can cause gas. Alternatively, if the flow is too slow, baby could suck in more air trying to get more formula. — Willow Jarosh, MS, RDN In addition to making sure your baby is drinking at a moderate pace, notice how they are latching onto the bottle. As Jarosh points out, "no matter the flow, if baby's latch is not correct on the bottle then they may be swallowing too much air while eating." If you're unsure whether your infant is drinking correctly from their bottle, a lactation consultant can provide an evaluation and help resolve issues that may be contributing to gas. What to Consider in Breastfed Babies Similar to parents who feed their babies formula, breastfeeding parents should only consider gas a problem if it is excessive or accompanied by other symptoms. The following are possible issues that may cause gas in your breastfed baby. Parent's Diet In the past, breastfeeding parents were sometimes told that avoiding certain foods in their own diet could improve their babies' digestive symptoms. However, newer research has shown that the foods in a breastfeeding parent's diet don't always affect infants' physical symptoms. The caveat to this is babies who have CMA or other immune-mediated food allergies. If your breastfed infant has been diagnosed with a food allergy, it's important to work with a pediatrician, dietitian, or allergist to determine whether you need to eliminate certain foods from your diet. Some babies can tolerate breast milk even if their parent eats the foods they are allergic to, whereas others cannot. Parents with a breastfed infant who has painful gas may want to try eliminating milk and milk products from their diet for a week or two. If your baby's symptoms improve, they could have allergic colitis (a sensitivity to cow's milk protein). While allergic colitis is not a true food allergy, the milk proteins from your diet that pass into your breast milk may still be causing a problem. Infants with this condition also typically have bloody stools. Experts caution that breastfeeding parents should not restrict their diet unnecessarily. Food avoidance can be a barrier to breastfeeding, causing some parents to discontinue breastfeeding early or not start at all from the (often unfounded) belief that they will have to cut out certain foods. Willow Jarosh, MS, RDN Restricting food during this period can not only put the nursing parent at risk for not having enough energy, but can affect mental health and milk production. — Willow Jarosh, MS, RDN The best advice is to eat a varied, nutritious diet while breastfeeding. If your breastfed infant is having painful gas, talk to a pediatrician, dietitian, or lactation consultant before removing foods from your diet. Best Foods for Breastfeeding Parents Lactose Overload Also known as foremilk-hindmilk imbalance, lactose overload can cause gas and other physical symptoms such as green, foamy, or watery stools in babies. Parents with an overabundant milk supply may produce too much foremilk. If you are timing your feedings rather than letting your baby nurse until they are finished on the first side before switching to the other, they may have gas and other symptoms because they are getting too much foremilk, which is higher in sugar than hindmilk. In this case, allow your baby to breastfeed until they drain the breast completely before switching sides. This practice will allow them to receive more hindmilk, which has more fat and less sugar. If you have so much milk that your baby is not able to drain one or both breasts before getting full, you may consider hand-expressing or pumping some milk before breastfeeding to remove some of the excess foremilk. Overactive Letdown Another issue that commonly occurs as a result of an overabundant supply is an overactive letdown reflex. This causes milk to flow faster than the baby can take it in. As a result, they may gulp and swallow air as they try to drink quickly. Once the air is in their GI tract, it can cause gas (unless it's released when you burp after feeding). This problem is not unlike when babies drink from a bottle with a flow that's too fast. Often, the solution is to express some breast milk before you put your baby to the breast, which should make the flow slower so they can drink without taking in so much air. You can either discard the milk or freeze it for later use. You may also find luck with a different breastfeeding position such as a laid-back position where you are reclined, your baby is lying on you upright and tummy-to-tummy, and gravity won't exacerbate the fast letdown. Latch and Position If your breastfed baby is experiencing painful gas, check their latch and the position you are holding them in while breastfeeding. If your baby is not getting a good latch, they could be taking in air along with breast milk. The following signs may indicate a poor latch: Babies who do not make sucking sounds as they nurse Breastfeeding for more than 30 minutes with no signs of fullness Bruised, cracked, and/or sore nipples Poor weight gain Pulling off the breast repeatedly If you suspect your infant may not be latching on well, contact a lactation consultant or pediatrician for an evaluation. Certain positions can make it trickier for infants (especially newborns and premature babies) to latch on well. One breastfeeding position that makes it easy for your little one to get a good latch and allows you to easily see their mouth is the cross-cradle hold. In this position, you lay your baby on a pillow across your body and support them with your arm. Their head is turned toward you, even with the breast they are nursing from. A lactation consultant will also be able to recommend other positions after they evaluate you and your baby during a breastfeeding session. How to Get Rid of Baby Hiccups What to Consider in Toddlers and Older Children While gas can also be normal in toddlers and older children, a chronic problem with gas pain could point to an underlying medical condition. Lactose intolerance, irritable bowel syndrome (IBS), malabsorption, and celiac disease can all cause gas in addition to other digestive symptoms. Fortunately, older kids are often better at describing associated symptoms, such as bloating, diarrhea, and abdominal pain. They may also be able to recognize the association between their physical signs and specific foods, including milk, fruits, or vegetables. Food and Nutrition Dietary Modifications Although foods often get the blame for causing gas, you shouldn't restrict your child's diet unless you have talked with a pediatrician or dietitian first. If you and your healthcare team do decide to try eliminating certain foods to see if their symptoms improve, here are some common culprits to take a close look at. Gas and gas pains may subside if your child avoids: Artificial sweeteners (often found in sugar-free drinks, candy, and gum) Carbonated drinks Cow's milk (in cases of lactose intolerance) Eating too fast, so they don't swallow excess air while eating Fruit juices with a high sorbitol content (such as apple, pear, grape, and prune juices) Although not common among kids, high-fiber diets can also 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 a pediatrician, even if you think it is causing some gas. Fiber Recommendations for Children How to Treat Gas in Babies and Toddlers There are a variety of treatment options for gas-related pain and discomfort, though what is safe and appropriate will be dependent on your child's age. While determining the underlying cause and preventing gas is the best bet, there are things you can do to help your child when they experience gas pain. Home remedies and over-the-counter medications are often very effective at improving gas-related symptoms. Babies When your infant is fussy and displaying signs of abdominal discomfort, gently massaging their tummy can help. Lay your baby on their back and rub in a clockwise motion to help move the gas out. Another way to get things moving is to gently grasp your baby's ankles and rotate their legs in a bicycling motion. Tummy time is a natural way to put pressure on the abdominal area, which can encourage the movement of gas. In addition to these at-home methods, simethicone is a popular over-the-counter medicine for gas. It is available for babies as Infants' Mylicon oral drops and generic gas relief drops. Toddlers and Older Children Avoiding gassy foods is usually the best treatment for children with excessive gas. If gas does bother them, however, simethicone is available for kids in several forms, including Gas-X and Mylanta Gas Relief. Beano, available as drops or a chewable tablet, is a digestive enzyme that helps make many high-fiber foods, including beans, broccoli, and whole-grain bread, easier to digest. And 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 the lactase in milk. 16 Sources Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. 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Glob J Health Sci. 2015;8(6):147-53. doi:10.5539/gjhs.v8n6p147 International Foundation for Gastrointestinal Disorders. Foods that may cause gas. Burta O, Iacobescu C, Mateescu RB, Nicolaie T, Tiuca N, Pop CS. Efficacy and safety of APT036 versus simethicone in the treatment of functional bloating: A multicentre, randomised, double-blind, parallel group, clinical study. Transl Gastroenterol Hepatol. 2018;3:72. doi:10.21037/tgh.2018.09.11 International Foundation for Gastrointestinal Disorders. Tips on controlling gas. By Vincent Iannelli, MD Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit