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I have delivered baby 40 days back and I am still not abck to normal motions routine as i must ....I feel gases and at time constipated too...it's affecting my newborn too and he is badly gastric and at time doens't pass poo for hours..what can I do?

Monika Dhar Dhar

1 year ago

I have delivered baby 40 days back and I am still not abck to normal motions routine as i must ....I feel gases and at time constipated too...it's affecting my newborn too and he is badly gastric and at time doens't pass poo for hours..what can I do?

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Happy Tummy Expert

1 year ago

Dear Monika Dhar Dhar, Thank you for the question

During lactation & breastfeeding the lactating mother’s nutritional requirements should meet her own daily needs, provide enough nutrient in milk for growing infant and furnish the energy for milk production.

It is recommended to consume 2000+kcal with 63g (for 0-6 months lactation) and 59g (for 6-12 months lactation) of protein per day and 1200mg of calcium per day

Here are few guidelines for healthy balanced diet that can be considered:

  • Have a Diversified Balanced Diet that includes all the food groups in the right quantity which thereby provides you with all the essential macro and micro nutrients that your body requires daily for proper functioning.
  • Try to incorporate the My plate Concept by dividing your plate into 4 quadrants, fill half of your plate with fruits and vegetables, the other two quadrants with cereals and protein. A small quantity of dairy intake is recommended.
  • Begin your day with a well-balanced breakfast as it is an important meal of the day.
  • Avoid skipping meals. Also, try to avoid fasting and feasting too often.
  • Consume small frequent meals, with healthy snacking options.
  • Consume minimum 5 servings of vegetables and 1 serving of fruit as they are rich in Fiber, essential minerals & Vitamins as well as they give you a feeling of satiety.
  • Try to consume more of Whole grains, Millets and Multigrain foods as they are a good source of fiber.
  • Limit intake of deep-fried foods. Method of cooking like baking, grilling, boiling, steaming is preferable over deep frying with excess fat/ oil.
  • Have your last meal at least 2-3 hours before sleep time.
  • Drink adequate amount of water (minimum 8 glasses) of water daily to keep yourself well hydrated
  • Try and follow a good sleep regimen in terms of both quantity and Quality.

Galactogogues or lactogogue increase the prolactin secretion which in turn increase milk production foods like garlic, milk, almonds, Green leafy vegetables as they stimulate the production and Secretion of Breast milk. 

It is also important to bring to your attention that the body requires sufficient time after childbirth to recover and sustain the increased calorie needs with adequate nutrition and care.

Constipation can be due to inadequate fiber and water intake, it may also be a symptom of gastrointestinal digestive issues such as indigestion, IBS (Irritable Bowel Syndrome), intolerances etc., and/or due to an underlying health condition which requires medical attention. Some other causes that can lead to constipation include neglecting urge to defecate, irregular meals, excess stress etc. 

Certain food intolerances can cause bloating, flatulence and stomach pain after consuming specific foods. In lactose intolerance it is seen after consuming milk and milk products like cheese, paneer etc. And in gluten intolerance it is seen after consuming, wheat, rye, barley etc. For further diagnosis and assistance kindly contact your specialized health care professional.

Here are a few tips to help manage constipation

  • Include adequate amount of fiber to your daily balanced diet. Some of the good sources of fiber include Whole grains, multigrain, millets, Psyllium, fruits such as apples, banana, citrus fruits, vegetables like green beans, peas, potato, cauliflower, nuts, and soybean etc.
  • An intake of at least 2 litres of water per day.
  • A glass of hot water, preferably taken with lemon juice taken early in the morning, stimulates gastro colic reflex and helps ease constipation.

The Recommended Daily Allowance (RDA) of fiber for female is 25g per day

A few guidelines for general digestive health to be considered:

  • Do not skip your meals, have small frequent meals at regular intervals.
  • Eat a well-balanced diet including minimum 5 serving of vegetables and 1 serving of fruit in a day as they are good sources of fiber and essential nutrients such as vitamin A, Vitamin B, iron, zinc etc.
  • Include prebiotics such as banana, soyabean, garlic etc., good sources of probiotics like yogurt, buttermilk etc., to maintain a healthy gut.
  • Try to include whole grains like wheat, multigrain and millets in your daily diet as they are a good source of fiber and other nutrients.
  • Avoid large, heavy meals, and practice portion guidance.
  • Deep fried foods to be restricted. Method of cooking like baking, grilling, boiling, steaming is preferable over deep frying with excess fat/ oil.
  • Food should be eaten slowly and chewed well as fast eating provokes gastric feeding reflex.
  • Avoid lying down immediately after your meal consumption
  • Drink at least 8-10 glasses of water per day
  • Have a gap of minimum 2-3 hours between bedtime and your last meal
  • Engage in physical activity for a minimum of 30-45 minutes for at least 5 days a week.
  • Try to follow a good sleep regimen in terms of both quantity and quality.

For further diagnosis and management please do contact your gynaecologist and/or specialized healthcare professional such as a gastroenterologist.

We recommend you to connect with the paediatrician for further diagnosis and guidance on the new-born’s health.

For a customised and personalised meal plan for specific conditions, please contact your Health care professional.

Hope we have answered your query.

Wishing you a great day ahead

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