Category: Digestion

  • Feldenkrais method for kids: Sitting straighter, using hands more

    Feldenkrais method for kids: Sitting straighter, using hands more

    Posture Analysis:

    Nisarga’s development seemed stuck with him sitting hunched, braced against his hands or rather the back of his hands. Looking at some videos of using the Feldenkrais Method with kids and reading and mimicking his posture, I realized that this too is a manifestation of him not using his lower back. His knees turn inward as well and muscle tension is a constant to overcome for most movements. He was not comfortable sleeping on his back, though he is able to sleep on his back easily now after some work I did last month. When crawling, his legs stick straight out and stiff without movement. There is very little self awareness that can be leveraged to help him differentiate these movements enough to alter habitual patterns.

    Nisarga W-sitting

    His hands are often clenched and he avoids touch on the palm of his hands, preferring to use the back of his hands to push against the floor. Similarly, he avoids contact with the soles of his feet, lifting his legs if you try to stand him up or not bearing any weight on them. There is hardly any muscle tone. Recent sessions have allowed him to be comfortable resting them on the floor while in a rocking chair or walker, without putting weight on them.

    In terms of posture analysis, he is often like a diver in the middle of a somersault. Upper body curved, legs tight together, straight out at an angle. Except he also hunches his shoulders in and his legs turn inward as well.

    The Feldenkrais Method resources I found useful for this:

    It was easier said than done, but three consecutive movement therapy lessons based on functional integration movements from Yochanan Ryewerant’s book “The Feldenkrais Method: Teaching by Handling” have shown small but definite improvements. I also got many practical ideas from Michelle Turner’s excellent video series on Functional Integration lessons with children using the Feldenkrais Method.

    The Feldenkrais Method Functional Integration movements I did:

    Self awareness is half the battle. In various functional integration movements, I helped him learn to move his pelvis to support his lower back better, resulting in an immediate straightening of his spine while his lower back was engaged. Particularly useful was gently rocking his pelvis forward while he played and touching the top of his head so he had some self awareness how he became taller as his back straightened. Rounding his back by pushing lightly from his lower chest and then straightening it by pressing lightly on his lower back.

    I did another variation of this with him lying on his side, which really seemed to register on his self awareness as it is not a movement we do normally and he did not have to worry about bearing weight or balance. Additionally, and possibly unrelated, I worked with very gentle movements of his toes till his legs started relaxing more. I think the muscle tension in his whole body relaxed and there was more ease, but it was not such an immediately observable change for whole body.

    I was not able to video shoot these functional integration lessons, because I don’t have anyone assisting me and also because he becomes instantly distracted by a camera. I have never been able to set it up without him noticing.

    He still forgets to sit straight, but now that he can, if he wants to, he is able to do a lot more movements than before. All of a sudden. Adding something new with each session.

    The Results

    He still uses his hands for balance, but is sitting up more often and also uses his hands for balance more often than bearing his weight. He has started rocking back and forth while sitting in a W-sit. He has started enjoying being rocked side to side (shifting weight from one buttock to the other) if done in rhythm with music. He has started using the palms of his hands more often than the back of his hand, which was usual up to this series of functional integration lessons.

    He used to grab my hair to pull my head down to plant kisses on it all the time. He loves it. So I have started not bending when he pulls and letting him come up to me instead. He has started pulling himself up on his knees if he can get a fistful of my hair (it hurts, but considering that it is one of the very few things he grabs strongly and willingly, I am glad he does it). His back is not strong enough to do it well yet, but once in a while he surprises himself by standing on his knees. Grin, kiss, fall back into a sit. This is something he had started briefly last month, but is able to do it slightly better after these sessions.

    He has started babbling a lot more and using his hands more readily.

    He is also showing definite improvements with how he uses his hands. He takes out a spoon from a bowl, and then puts it back in. Gave him a rounded pot with a deep dish that fits in the mouth like a cover and he played with it in a variety of ways putting one on top of the other, putting on as lid, taking off, putting my mobile phone in the pot and putting on the “lid”… All this is new and has managed to alter habitual patterns of immediately releasing anything he grasped. All of a sudden he seems to be discovering a wide range of possibilities to try out. I believe this too is a direct result of his hands being easier to free now that he doesn’t use them as much for bearing weight.

    There is a new self awareness that has him pausing and taking stock when confronted with something new as though evaluating potential before engaging.

    His is normally constipated, but in last three days his bowel movements have been fine. Though this may be related or a coincidence.

    All in all, an exciting time and for the first time, I am experiencing that I am actually able to help him to learn movement. Strikes me anew just how much I need to learn. At the moment, it is better than last year, but many sessions don’t seem to strike any note with him. I see this as a direct result of me lacking the knowledge to choose movements that will help him. In the last few months, my skill has improved, and it is helping him dramatically.

    Note: Parents in India often ask me if I will help their child. I will, but please note that I am a self learned practitioner and am not a better option than finding a real one, which may be near impossible in India, but possible if you go abroad. Also note that I will not be able to travel to your home for it. You will have to come here, though you are welcome to come and even stay for a few days if you find it useful.

  • Caring for gassy infant – How to treat gas in infant

    Here’s some tips on caring for gassy infants born from my trial by fire:

    1. At the FIRST sign of gas – crying, squirming, passing very little gas after a lot of action… use neopeptine. I’d say, when in doubt, use neopeptine too.
    2. Comfort baby. Cuddle in fetal position. This brings legs closer to stomach and naturally helps pass gas, while making the baby feel secure.
    3. Feed baby. Babies tend to have bowel movements (or attempts) when feeding. The feeding comforts as well as helps them move the gas along.
    4. Put some massage oil (coconut oil should be fine) on your hands and rub the tummy gently. G-e-n-t-l-y. You are not trying to squeeze the gas out. Just soothe and encourage movement.
    5. Move the baby a lot. The squirming that is tiring your baby out is basically the baby moving to help pass gas. You can be a huge help to baby here. Rock, swing, exercise legs in bicycling motions, hold legs up like for a diaper change….. keep changing positions. The baby will not settle till the gas passes, so a position change is only temporary relief. Don’t let the infant get all worked up when it loses its effectiveness, move to a different position.
    6. Of course, when a position soothes baby, hold it for longer, or move to something else quickly.
    7. The end of the baby that gas is expected to exit has to be higher. Gas rises, remember? So, if your baby is moving his head restlessly, rocking back and forth, etc, hold him vertical, pat back, encourage burp. If he is squirming the whole body, drawing up legs and kicking them out, etc. Put horizontal and raise legs, cuddle in cradle hold, lightly rub small circles on lower back, etc.
    These are things to do while your baby is suffering. If you are breastfeeding your infant, it might help to look into fore-milk hind-milk imbalance or lactose overload (NOT lactose intolerance), which I have written about earlier.
  • Baby weight gain and bonnissan

    I had written earlier about how Nisarg was having problems with gas and diarrhoea and the doctor had prescribed Bonnisan. Then I wrote about how after just two days, Nisarg had normal baby poop for the first time in his life.

    Well…. half a month later, we haven’t had a single loose bowel movement yet, and Nisarg is filling up quite well, with chubbying cheeks and slight hints of plumpness that we associate with babies. I don’t think he’s ever going to be one of those round babies, but hey, he’s healthy, active and putting on weight steadily. He also put on an inch in height – he’s now 22 inches.

    I don’t know what he weighs, but I wouldn’t be surprised if he’s put on a kilo from the last appointment to the next.

    Maybe its just regular growth, but I’m of the opinion that the Bonnissan really helped. He just was cranky (for him) and slow to grow since the gas set in till before we started with it.

  • Neopeptine drops for infants with gas

    Okay, like I said that the baby’s loose bowel motions got sorted by Bonnisan, the other helpful miracle we had with the infant gas and colic was Neopeptine drops for infants. We had been asked not to give gripe water to Nisarga. Opinions vary on this from gripe water containing something that is risky for infants to accusations of doctors wanting to promote branded medicines instead of traditional remedies. Whatever the truth is (and we never investigated) we were not giving him gripe water to prevent infant gas. However, considering that a friend who gave her child gripe water regularly had similar problems to ours, so I’m not certain the gripe water helps.

    There are two things you need to know about infant gas. The first is that it is very painful and a leading cause of sleep deprivation for new parents. The other is that while medicines help, the biggest thing you can do is burp the baby and often. This simply cannot be repeated often enough.

    Neopeptine drops have digestive enzymes, and really helped cut the amount of abdominal pain from gas discomfort the baby goes through. Unfortunately, it took us a while to discover how to use it.

    Neopeptine drops for infants are available over the counter at most medical shops. So, if you are using Neopeptine drops for infant gas, here are some tips, which we wish someone had given us:

    • You have likely been advised to give Neopeptine drops only for extreme colic and exhaust other methods of soothing abdominal pain first. This makes you tend to wait for quite some time before the baby’s distress forces you to use it. You end up with a baby too worked up to patiently take drops and then too worn out and fussy to simply settle quietly. Don’t wait. Use it at the first sign of gas.
    • If your baby is suffering from intestinal gas, don’t give Neopeptine drops only when he is suffering abdominal pain. Give them for a day or two after getting relief from stomach pain as well, as long as you aren’t giving him more than three times, though we have given him four or even five doses once on the first day, when he was in a lot of trouble.
    • Give the drops before feeding. Pause. Then feed. Burp. Feed. Burp. Feed…. did I mention burp?
    • Neopeptine helps baby move the gas easier, but you can help it along. Give drops, burp, feed, burp, wait for some time, burp again.
    • Moving the baby’s legs will also help him pass gas, which will not hurt your situation.

    Have you used Neopeptine? How did you use it? How was your experience?

  • Nightmare night

    Last night Nisarg cried, and cried, and cried. Poor chap. He vomitted a couple of times, had loose stools, gas…. and was utterly miserable.

    He wanted to be held all the time and still sobbed on and off.

    Nothing worked. feeding, burping, music….

    Just as I was about to rush him to the ER of the nearest hospital, he started nodding off, utterly exhausted. Poor little boy. Care….fully, I put him down, and after a few sobs, he was out. Such a tiny body, so tired from the discomfort and crying.

    I was a goner too. I was tired myself, but all wired up. Sleep didn’t matter if I could just bring him some comfort…. Luckily, at 4am, this nightmare story ended from sheer exhaustion on his part. After staying awake for another half hour or so to just be sure that he was ok, I slept like a log.

    He woke up in the morning with a ear destroying scream, and I was like, “Not again….”. I began telling Raka how we were taking him to the hospital immediately after feeding, and he started getting ready.

    Just to be contrary I think, Nisarg drank and drank and drank like he was starving, belched like a drunk sailor, and was peacefully sleeping before his burping was done. He didn’t even stir as I put him down.

    Raka and I looked at each other in disbelief. Apparently, the guy was just hungry after his difficult night.

    I’ve been looking at him warily all day, but so far, so good.

  • Bonnisan works miracles with gassy infant!!!

    Of course I did a whole load of searching on Bonnisan, and then tasted it myself before even showing baby the bottle….

    I’d read all kinds of nice things about it, which kind of reassured me, and the taste is nice – similar to gripe water, so initially I didn’t know what the doctor’s big deal about the whole thing was.

    I found out for myself within our first day on the medicine. Two doses in, and the gas pains were audibly lower. Baby was sleeping better, more cheerful and eating more.

    We are now into our second day and WOW!!! Nisarg is back to the sweet tempered baby he was before this gas nightmare began. He hasn’t pooped all day today after every day since birth being an experience of a constantly pooping bottom. He still has gas, but its much less and he can pass it without going through agony for every fart or spraying poop along with it. His body just seems so limp and relaxed after feedings.

    I’d reached the end of my rope with this gas thing, and desperately needed a miracle. Looks like I got one.

    If I add my experience with this medicine, with the research I read, I don’t know why doctors don’t simply prescribe this off the bat, or at least at the first sign of trouble. Its a digestive tonic that does so many things. Just Google it. No point having to suffer through my half baked jargon.

  • 6week doctor's appointment

    We had our third doctor’s appointment today. Ever since I started surfing the net and discovered that my baby was “near-term” and “underweight” I’ve been obsessing about getting him on the charts. So much for accepting the baby how it is.

    On some level, I think its good for Nisarg that I’m obsessing over his weight, because it makes me extra attentive to his needs. So maybe the mothering instinct is not completely absent when faced with charts….

    Anyway, this time, his weight was 4.35kg, which is a gain of 831 grams since the last visit a month ago. Good. He is still off the charts low though. I was thrilled to know that regular charts don’t represent normal breastfed babies and are too high, but unfortunately, he is still low on the WHO charts for breastfed babies. His height is in the third percentile though.

    Anyway, the other thing I was obsessing about was vaccinations. We could get them done for free in the government facilities (which I’ve heard are very good), but the darling would get 4 injections instead of the combined vaccine and Hepatitis-B which is only two with the pediatritian. Plus, they are supposed to be painful and cause swelling and fever. I’m terrified of injections myself, and no way would I let my love suffer from a single prick that could be avoided. Plus, the government vaccines won’t do HiB, which protects from pneumonia, influenza and whatnots. Thus, I talked myself out of the cheapest option.

    Then the doctor had two options a cheaper one (not really) that was still painful, and a more expensive one which would be “hardly noticed”. Not an easy choice considering how the better one cost twice the other. At Rs.1300/- and 2500/- neither were exactly cheap. Hmm… so I see this baby thing is not going to be a moneysaver.

    Anyway, we went, celebrated our weight gain, and got our vaccines with no pain other than that to my wallet.

    Considering how Nisarg has been suffering from a loose bowel since birth, I was determined to not leave without some answers. The reading on lactose intolerance had helped, but he was still gassy and still passed motions continuously through the day, though not in as much pain as before.

    This time, I talked about the neo-peptin and the gripe water. When I brought up the gripe water, the doctor said to not give it (again) and with a sigh scribbled out a prescription for something called Bonnisan.

    Thus armed, we have come home. Hopefully, the direction to travel is greater comfort, joy, love and all that.

  • Tips for infant gas pain

    We had gas pain again last night.

    This time around, I was able to comfort him in an hour…. which is too long for my baby to be in pain…

    What worked was:

    • Playing his favourite music
    • Cuddling to comfort him
    • Breastfeeding to comfort him
    • Patting and stroking his back while cuddling to help him burp
    • Raising his legs like for a diaper change to help him fart
    • Doing leg exercises like cycling, pressing knees to stomach, etc

    Feeling troubled about giving gripe water when the doctor said not to, I gave it anyway and discovered that burping him immediately after the gripe water provided greater relief than just giving it to him. He burped at least two times, maybe five (couldn’t be sure if those were burps).

  • Gas trouble for my baby

    We had our first horrible night.

    Nisarg just cried and cried and cried for 3 hours. We felt so helpless.

    He woke up screaming bloody murder. Poor baby had gas. Every little while, a pain built and he screamed and squirmed and kicked out with his tiny feet in agony, and all we could do was look on helplessly as all our comfort methods failed. If there was ever a moment parents could be fired for failing their babies, it was this one….

    I tried everything I could. Rocking, singing, talking, cuddling, massaging, feeding at the breast, bottle, moving his feet to help expel the gas. Everything worked for a minute or so, and the poor tyke was back to yelling. I have never felt so helpless or under prepared. The doctor had given us some drops and they helped, but it was about an hour after he had started crying that we thought to give them….

    He had cried so hard that he was still having tiny sobs after he finally drank milk and slept. The morning brought some relief, but it was back to the same screaming inconsolably a while later.

    Am at my wits end. Called the doctor, and she simply said that these things happen and to comfort him how we could.

    Mother in law says to give him gripe water everyday, but the doctor shot down the idea earlier. She repeated it again, and again, and again, till we got some and gave it to him. Not much of a difference though he does like the taste.

    On an internet expedition to find out what I can do to help him.