Lack of vitamins. how to determine? proven facts! and you draw your own conclusions! Constipation in children: therapy with medications. What vitamin deficiency causes constipation in a child?

According to experts, constipation from vitamins is quite likely. The reason for this may be the uncontrolled use of drugs and the body’s response to what is happening. It makes sense to figure out which vitamins can aggravate the situation, and also get acquainted with those representatives that can help with constipation.

Do vitamins cause constipation or not?

Vitamin-mineral complexes are designed to restore the functioning of organs and systems of the human body, however, in some cases, taking multivitamins leads to an adverse reaction - difficulty defecating.

Most often, women carrying a child face this problem. The patient's body is weakened, it has difficulty removing waste products. For supporting immune system The expectant mother is prescribed complexes of vitamins and minerals. The already overloaded body of a pregnant woman does not have time to absorb the vitamin-mineral combination, which only aggravates the process - the patient develops constipation, which accompanies her throughout the entire special period.

Constipation when taking B vitamins - is it possible?

If B vitamins are taken by patients not in combination with mineral supplements, their effect on the gastrointestinal tract is exclusively positive. Usually the product is combined with magnesium. This tandem helps relax the muscles of the organs and stimulates intestinal motility.

Attention! To prevent the development of constipation, tablets are taken before going to bed or during a meal. It’s worth taking the medications clean water a lot. You should not take vitamins with juice, tea or compote - drinks neutralize the effect of the medications.


Folic acid – friend or foe?

The focus is on folic acid, which every pregnant woman should take, since the drug prevents the development of birth defects in the unborn child. Otherwise, the acid is called folate or vitamin B9. It not only does not contribute to constipation, but can also help solve the immediate problem, since it stimulates the process of formation of digestive acids. Folic acid should be taken in combination with iron. The same vitamin can be obtained from foods that are also rich in fiber - a basic “stimulator” of the normal functioning of the gastrointestinal tract.

The “other side of the coin” of magnesium

Magnesium is able to regulate the concentration of glucose in the blood, help with heart pathologies, and increase the level of the immune system. However, magnesium has a noticeable effect on muscle tissue body. Since the gastrointestinal tract organs mostly consist of muscles, the action of the vitamin is largely directed specifically at them.

If a person has a deficiency of magnesium in the blood, the stool becomes viscous and compacts well in the intestines - constipation develops. If characteristic symptoms appear, the remedy is quite capable of helping to get rid of the problem. The effectiveness of the drug is explained by its ability to accumulate fluid in the intestines. The volume of feces increases, peristalsis increases due to the softening of feces and relaxation of the muscles of the organ.

Important! During therapy with the drug you need to drink as much as possible clean water. If this recommendation is not followed, magnesium can have the opposite effect: B6 and other vitamins of this group will stimulate constipation.

The life-saving effect of vitamin B5

We are talking about pantothenic acid. Numerous studies of the vitamin confirm that the product can alleviate the condition of the patient with chronic constipation. B5 helps the muscles of the gastrointestinal tract contract, moving softened stool through the intestines. Daily norm of this drug for an adult is 5 mg. Pregnant women should take 7 mg of vitamin B5.

What about vitamin C?

Vitamin C is water soluble. It has an osmotic effect on the organs of the gastrointestinal tract. It follows from this that the product promotes the flow and accumulation of fluid in the intestines, which means softening feces.

However, uncontrolled intake of vitamins can have Negative influence on the body; The patient may develop diarrhea, nausea, and stomach cramps. The patient's body may experience iron deficiency and constipation.

The maximum amount of vitamin C that the human body can absorb is 2,000 mg. Children are recommended to take from 400 to 1,800 mg of the drug (depending on age group). Recommended daily dose significantly reduced.

Can iron vitamins cause constipation?

The dose of the drug containing iron is calculated taking into account the patient’s body weight (2 mg per 1 kg of weight). A therapeutic course of iron can cause side effects, one of which is constipation. The cause of the unpleasant phenomenon is the irritating effect of the product.

In order to reduce the likelihood of a problem occurring, it is necessary to ensure maximum absorption of the drug. If taking the drug has led to difficulty defecating, it is worth reducing the dosage of iron or including in the patient’s diet foods that reduce the level of impact of the drug on the digestive organs. For this purpose, experts recommend drinking plum juice and eating dried apricots.

Very often, iron supplements stimulate constipation when combined with antibacterial agents. The latter disrupt the process of iron absorption, leading to difficult bowel movements.

Attention! To reduce the likelihood of developing constipation when taking iron supplements, you should increase the dose of vitamin C you take.

Can vitamin D cause constipation?

Constipation from vitamin D in infants usually develops due to an overdose of the drug. However, it is quite difficult to confirm the connection between problematic bowel movements and taking the drug, since in infancy there are a number of other factors that can contribute to the development of constipation in a child (inappropriate nutrition, formation of digestive system, lack of fluid, etc.).

The cause of constipation in infant vitamin D becomes extremely rare. If such a problem really exists, then clinical picture phenomena is complemented by a number additional symptoms, among which:

  • poor sleep in the child;
  • moodiness;
  • weight loss;
  • increased sweating;
  • feeling of thirst;
  • excessive urination.

If such symptoms appear against the background of constipation in your baby, you should stop taking the vitamin and contact your pediatrician.

How to deal with constipation from vitamins?

If it is not possible to stop taking vitamins that cause constipation, it is necessary to provide the body with appropriate support. To do this, you should adhere to the following rules:

  1. Drink more fruit juices and water. The minimum amount of liquid per day is 2 liters. Water will soften the stool, which will easily leave the body.
  2. Include in the menu foods containing coarse fiber (fresh fruits and vegetables, nuts, etc.).
  3. Reduce share sausages, meat in the diet. These foods are difficult to digest - they slow down the digestion process and lead to the development of constipation.
  4. A severe attack of abdominal pain while taking vitamins can be relieved with magnesium, which is sold in pharmacies without a prescription.

Thus, the answer to the question of whether vitamins can cause constipation is yes. Usually, this problem is caused by uncontrolled use of drugs, namely, their overdose. To reduce the risk of difficult bowel movements, in some cases it is enough to simply combine drugs correctly. If the situation remains unresolved, it is recommended to seek help from a specialist.


Which adult has not suffered from constipation at least once in their life? Therefore, many mothers, knowing what it is in practice, use their life experience in a situation where constipation develops in a baby. It is not right. The body of a newborn is so different from that of an adult that it is sometimes difficult to understand what is normal and when to start worrying.

From this article you will learn:

The medical definition of constipation for any age is as follows: This is a painful condition characterized by slow and difficult bowel movements.

If in relation to an adult body everything is extremely clear: the diagnosis is made on the basis of symptoms that will be colorfully described by any patient who has had the opportunity to spend sufficient time in the restroom, then these criteria do not work for a newborn.

The baby is not able to complain, so in order to understand what condition can be considered constipation in a baby, you need to understand in detail how the digestive system works healthy child V different periods his life.

From intrauterine life to independence

From desquamated mucosal cells digestive tract and the dry residue of amniotic fluid in the fetal intestine, the first feces are formed, which are called meconium. Immediately after birth, it begins to pass, gradually being replaced by normal stool formed during the digestion of milk. Meconium has a black-brown color, elastic consistency, comes out like toothpaste from a tube, has almost no smell, and is difficult to wash off diapers.

The frequency of bowel movements in a child in the first 2 days of life usually does not exceed 3 times.

Firstly, this is due to insufficient intestinal motility, which is just learning to move food.

Secondly, with a small amount of colostrum, which serves as food for the baby these days. During this time, the original stool has time to come out completely. Subsequently, the nature and frequency of bowel movements depends on what kind of feeding the baby will be on.

Growing up together in the intestines

As colostrum is replaced by mature milk, the amount of which increases significantly, a newborn who is fully breastfeeding, begins to empty the intestines 2-6 times a day. It is considered normal, even if this happens after each breastfeeding.

The consistency of the stool should be liquid, it resembles mustard, it smells sour milk, easily washes out of diapers. A small presence of foam, greens and undigested lumps is acceptable, which is not due to illness, but to the immaturity of digestive enzymes.

Some babies digest it so well mother's milk that they may not poop for 2-3 days. This is considered normal at the age of 2 to 6 months, if the child feels well, sucks with appetite and sleeps peacefully. In this case, fecal masses should be separated without tension, in large quantities and not have unpleasant odor.

Infants receiving formula milk must have a bowel movement at least once a day. Unlike breastfed babies, they do not soil their diapers after each use of formula. The characteristics of their feces are also different; they are more reminiscent of the stool of an adult than of an infant: denser, Brown, with a characteristic odor.

With a gradual transition to adult food, the frequency of bowel movements decreases, settling at 1–2 times a day. This is typical for babies from 6 to 12 months.

Thus, mothers and fathers must clearly understand the basic rule of how the infant’s digestive system works from birth to one year:

  • If the baby is breastfed, then what is important is not the number of bowel movements per day or the absence of stool, but general state child (mood, appetite, sleep, anxiety during feeding) and monthly weight gain .
  • For babies on artificial and mixed feeding, the rules of an adult apply - there must be a bowel movement every day.

Doctor Komarovsky. Constipation in infants during breastfeeding (video)

The line between normal and disease

Based on the above conclusions, you can accurately determine whether the baby actually has constipation or whether everything is within normal limits.

Constipation can only be suspected if stool retention in a newborn is accompanied by the following symptoms:

  • bad mood, moodiness, tearfulness, breast or bottle refusal;
  • severe straining and screaming while trying to “go big”;
  • crying, pressing the legs towards the stomach, sudden cessation of sucking during feeding;
  • gases with an unpleasant odor, hard stools passed in small quantities;
  • weight loss or underweight based on the results of monthly weighing of the child.

Understanding the cause is half the cure

The reasons that can lead to the development of constipation in a baby can be divided into 2 categories:

  • General, which are typical for both breastfed and artificially fed babies;
  • Particulars that differ in these two groups of newborns.

Common reasons include:

  • congenital anomalies of the digestive system;
  • diseases of the endocrine glands, nervous system, lack of vitamins and minerals;
  • immaturity motor function intestines;
  • accumulation of gases in the intestinal lumen.

Congenital anomalies of the digestive system

They occur during the formation of the digestive tract in the prenatal period. May result negative impact for the benefit of ecology and bad habits. The colon is most often affected with the development of Hirschsprung's disease, sigmoid colon with the formation of its additional loops and the rectum, when an overgrown anus is observed.

Disease of the endocrine glands, nervous system, lack of vitamins and minerals

Common causes of constipation in infants are organ diseases endocrine system. For example, this is observed when the function is insufficient thyroid glandhypothyroidism. In children with damage to the central nervous system, including cerebral palsy, there may be a violation of intestinal motor function with the development of constipation. Vitamin D deficiency and related diseases rickets are also accompanied by impaired bowel movement.

Immaturity of intestinal motor function

The movements of the intestinal wall, which push its contents towards the rectum, are ensured by complex nervous regulation. In babies under 2 months of age, especially premature babies, there may be insufficient development of nerve endings in the wall of the digestive tract. As a result, the intestine does not respond to the filling of its lumen with food gruel and does not move it forward. This is a physiological phenomenon that goes away as the child grows up and does not require special treatment.

Accumulation of gases in the intestinal lumen

Gas bubbles can interfere with the movement of food gruel through the intestines. This may occur if:

  • a nursing mother eats foods that cause intestinal fermentation (carbonated drinks, cucumbers, chocolate, raw onions, cabbage, legumes, grapes, bananas);
  • there is intestinal dysbiosis;

Particular reasons for babies who are fully breastfed include the mother's diet and the medications she takes.

Diet of the mother of a newborn

There are known foods and medicines, the active substances of which, passing into milk, cause the development of constipation in infants. Among them:

  • whole dairy products, cheeses;
  • fat meat;
  • rich meat broths;
  • baking;
  • medications (antispasmodics - noshpa, diuretics, drugs for the treatment of anemia, aluminum-based heartburn medications - almagel).

Common causes of constipation in formula-fed and mixed-fed babies are:

  • unsuitable formula;
  • sudden change of mixture;
  • under-soldering.

If everything is more or less clear with the choice of formula, under-supply still raises many questions among parents.

According to WHO recommendations, exclusively breastfed newborns should not receive additional water until 6 months of age. Except in special cases: fever, increased body temperature, vomiting, diarrhea.

Supplementation of infants receiving formula milk is mandatory. This is due to the fact that no matter how adapted the formula is, it cannot compare in quality with breast milk, and the baby’s body needs additional liquid to digest it. With a lack of water, severe constipation develops.

How to help your baby

It is understandable that parents want to alleviate the condition of their baby when he develops constipation, but the first and best thing they can do for him is to seek advice from a pediatrician. Among the states causing disruption motor function of the intestines, there are those that threaten not only the health, but also the life of the newborn.

Trying to start treatment without knowing the real reason constipation is a big mistake. Only a doctor, based on an examination and additional examination methods that he will prescribe if necessary, will be able to accurately establish a diagnosis and recommend effective and safe treatment.

But what to do if the test results and examination did not reveal any violations, and the baby continues to suffer from the inability to empty the intestines. In this case, constipation is most likely associated with immaturity of the peristalsis, the mother’s dietary habits, or the quality of the formula. There are several ways to help gently and safely help a baby in this situation:

  • Massage and special exercises for newborns, including fitball exercises;
  • Changing the diet of a nursing mother or more carefully selecting formula;
  • Laxative drugs approved for use in infants;
  • Mechanical methods of intestinal stimulation (enema, vent pipe, glycerin suppositories).

Massage and special exercises

They are the safest and accessible method, stimulating intestinal motility if constipation is caused by underdevelopment of the motor function of the digestive tract and enzymes. The massage is performed an hour after feeding, while the baby is awake and when good mood. It is unacceptable to perform massages and exercises with a crying baby, during illness, or in sleep.

Changing the diet of a nursing mother and selecting formula

A nursing mother should carefully approach the preparation of the daily menu. It is necessary to exclude from it products that contribute to the development of constipation in infants and cause increased gas formation. In addition, it is recommended to consume foods that have a natural laxative effect:

  • dried apricots;
  • boiled beets, pumpkin;
  • vegetable oil;
  • porridge;
  • unsweetened fermented milk products;
  • prunes;
  • vegetable soups;
  • chicken breast.

If constipation occurs in a baby who is on artificial feeding, the reason most often lies in an incorrectly selected mixture. It must be strictly age appropriate and adapted. Attention should be paid to the daily volume of the mixture. For an artificial baby, feeding on demand is unacceptable; the bottle must be given strictly on an hourly basis. The recommended norms cannot be exceeded.

All babies receiving formula must be fed boiled water at the rate of 10 ml (2 tsp) per 1 month of life per day.

Laxative drugs approved for newborns

In some cases, after consultation with a doctor, it is possible to use medications that help intestinal motility. These include:

  • Duphalac - acts as a laxative and as a medium for the growth of beneficial microflora;
  • espumisan (subsimplex, bobotik) is a carminative that destroys accumulations of gas bubbles in the intestines;
  • Plantex is a herbal carminative.

When using any medicine it is necessary to strictly follow the instructions and not exceed the recommended doses even if the effect of treatment is not visible. If the medicine does not help, you need to contact your pediatrician to select a replacement, and not listen to the advice of friends and “forums for young mothers.”

Mechanical methods

Unfortunately, they are still the most popular methods among inexperienced mothers. They are simple and give quick results. BUT, beneath the apparent harmlessness, their destructive effect on the fragile digestive system of a newborn is hidden:

  • Injuries to the intestinal mucosa;
  • Washing out beneficial bacteria, microelements and vitamins;
  • Overextension of the walls;
  • loss of ability to empty yourself.

For all their speed, they should remain the last resort of choice for constipation in infants when other methods do not help.

Mechanical methods include:

  • enema with water-oil solution;
  • microenemas microlax;
  • gas outlet pipe;
  • glycerin suppositories.

Important point!

For an enema in newborns, syringe No. 1 with a soft tip is used. The syringe and gas outlet tube must be boiled and cooled before use. The temperature of the enema water should be at least 30 C⁰.

Constipation in a baby is a serious condition that should not be ignored by the mother’s parents. Timely treatment will allow the baby to develop healthy and cheerful.

We all know that a lack of vitamins has a detrimental effect on our health and leads to serious illnesses. However, how do you know which vitamins your body is lacking? How do you know which vitamins you need to take? After all, as you know, not only a lack of vitamins is terrible, but also their excess, therefore, it is very important for us to achieve a natural balance and harmonious ratio.

Oh, little clues from the human body that will help you recognize which vitamins you really need - today's publication. Let's listen to the voice of our body together...

Vitamins for fatigue

You complain of a constant state of fatigue. It is noteworthy that in order to feel tired, you do not have to spend the whole day in physical activity or under severe mental stress. Fatigue haunts you in the morning, as soon as you open your eyes and have not even gotten out of your bed. And when this repeats constantly, you understand that it’s not just an uncomfortable mattress or pillow (although this is also possible), your fatigue signals you that something in your body is out of order. Just what?

Typically, fatigue indicates a deficiency of zinc, carbohydrates, protein, vitamin A, B vitamins, iron, iodine, vitamin C and vitamin D. Make sure to enrich your diet with foods that contain these vitamins - and... your fatigue will disappear on its own...

Vitamins and eyes

Have you started to notice that you can't see well? In order to read the text of a document, you have to strain your eyes, and by the end of the working day there is simply no talk of any TV series - after all, your eyes want peace?

Vitamin A and vitamin B2 are responsible for the condition of our eyes and for ensuring that our vision is sharp. Take a closer look at your diet - how often do you eat fish, egg yolk, liver, butter, dairy products and green leafy vegetables? Oh, you should eat more often if you want to restore your eyes to health...

Tinnitus, dizziness and vitamins

Do you know the feeling when your ears are ringing? And the point here is not the sound of the surf, the sounds of which you enjoy on the seashore. The problem here is different - a lack of manganese and potassium. Pay attention to your diet - are you eating enough nuts, peas, beets, egg yolks, green leafy vegetables, bananas...

If you have frequent attacks of dizziness, you lack manganese. Foods that contain it in excess will help your body replenish it...

Diarrhea and vitamins

Yes, yes, diarrhea does not always indicate gastrointestinal disorder. This unpleasant condition may be a cry for help from your body, that it lacks vitamin K, vitamin F, B2, niacin. In your diet, to change the situation and get rid of diarrhea, you should include yogurt, soybean oil, fish, liver, vegetable oils and alfalfa...

Constipation and vitamins

The problem is exactly the opposite - constipation can not only be a signal from your body that your diet is unbalanced and unhealthy, but also tell you that you are not getting enough B vitamins. Make sure that your diet includes liver, beef, pork, kidneys, cheese - and the functioning of the gastrointestinal tract is normalized by itself.

High cholesterol

It can also be affected by a deficiency of B vitamins and inositol. Pay attention to yeast, brewer's yeast, melon, and legumes and cholesterol levels will normalize.

Bruises and vitamins

Do bruises appear on your body if you carelessly touch it? Such increased sensitivity skin To mechanical injuries and damage indicates that you lack vitamin C and bioflavonoids. Eat more citrus fruits, tomatoes, cabbage, potatoes, green peppers and bruises that cause you pain and cause aesthetic and psychological discomfort will soon stop appearing.

Body odor and vitamins

Each person has his own special, specific body odor, and as a rule we do not feel it. But when your body lacks vitamin B12, your body begins to signal you about this with its unpleasant odor, which neither eau de toilette nor deodorant can overcome. You should eat more liver, beef, kidneys, eggs and yeast, then your body will not make you worry about the unpleasant odor.

Bad breath and vitamins

Bad breath may indicate that your body is lacking a substance called niacin. And, until you make up for its deficiency, all your attempts to get rid of such an unpleasant odor with the help of special liquids, breath freshening lozenges, chewing gum- all this will be just a waste of time and money...

Nowadays, many young parents often abandon previously accepted standards for the prevention of a number of diseases in children in the first years of life. This applies not only to vaccination, but also to the administration of vitamin D to infants. Such an approach to a child’s health is not acceptable, since the consequences of cholecalciferol deficiency in the body can be the most severe.

Vitamin D is prescribed to children for the following purposes:

  • Warnings for improper muscle development and bone tissue.
  • Strengthening the immune system.
  • Strengthening connective tissue.

Cholecalcefirol has a positive effect on the functioning of the nervous system and heart, reduces the risk of developing malignant tumors, participates in hematopoiesis. Biologically deficient active substance leads to the development of quite serious pathologies and parents, before refusing the drug prescribed for their baby, must assess all subsequent risks.

Often cholecalciferol intake is stopped due to the fact that mothers associate its use with the fact that the baby begins to have problems with stool. Yes, indeed, constipation is possible, but only if an overdose of vitamin D occurs. This side effect is also indicated in the annotations for any of the drugs containing cholecalciferol.

It is quite difficult to determine that constipation is caused by taking the prescribed drug, since dozens of other provoking factors can negatively affect the functioning of the infant’s intestines. Do not forget that from approximately two weeks of a newborn’s life until three to four months, the active formation and development of the digestive system occurs. That is why during this period, babies most often experience severe colic, problems with bowel movements and regurgitation. Vitamin D is prescribed for use most often at this age, due to which the appearance of constipation is attributed to the use of the drug.

If constipation occurs, it is necessary to reconsider the child’s diet, determine whether he receives enough water for his age, and the child’s physical activity is of no small importance. If the baby feeds exclusively on mother’s milk, then it should be determined whether foods with intestinal strengthening properties predominate in the woman’s diet.

Vitamin D does not often lead to constipation. If such an adverse reaction to the drug occurs, it is accompanied by other symptoms of overdose, these are:

  • Sleep disturbance in a baby.
  • Moodiness.
  • Insufficient weight gain.
  • Sweating.
  • Intense thirst and discharge large quantity urine.

If such changes occur in the baby’s well-being, cholecalciferol should be stopped and consulted with a pediatrician.

Constipation when using vitamin preparations may appear as a consequence allergic reaction for these drugs. Allergies are often accompanied by the appearance of a rash on the body, redness of the cheeks, dryness of certain areas of the body, and severe diaper rash. Such reactions are also not normal and require establishing the cause of their occurrence.

The likelihood of constipation when using vitamin D increases many times if the baby additionally takes other vitamin and mineral complexes and a number of medicines. It is impossible to accurately understand the causes of long-term problems with bowel movements on your own; the child must be examined, which can only be done under the supervision of a pediatrician.

How to avoid constipation while preventing rickets

Vitamin D and constipation are not mutually exclusive concepts if an overdose of cholecalciferol occurs. That is, it is possible to avoid problems with stool in children if it is necessary to prevent rickets only if vitamin D is in the body in the required amount, no more and no less. You can prevent the development of hypervitaminosis and, accordingly, constipation by following the following recommendations:

  • The drug must be prescribed to the child by a doctor. Not all children need medication; some children receive vitamin D with other medications, or they only need this substance in the form of separate courses with a certain duration.
  • The dosage of cholecalciferol must be observed. Most often, for prevention, it is enough to give the baby 1-2 drops every day or every other day, but some children need a larger dose of the drug.
  • If the doctor prescribes others vitamin complexes, then it is necessary to take into account how much vitamin D they contain. Most often, in such cases, the separate use of cholecalciferol is canceled.
  • During the summer months of the year, you need to walk in the sun as much as possible with your baby. Hit sun rays on open areas of the skin stimulates its own production of the vitamin, which means that in the summer the baby does not need artificial supplements.

The use of vitamin D in infants can cause constipation even if the child is fed formula. Modern baby food contains many additional vitamins, including those needed for the normal formation of muscles, bones and the skeleton as a whole. That is, an artificial baby needs much less additional vitamin D compared to babies receiving breast milk. In this regard, when artificial feeding, the dosage of the drug with cholecalciferol should be recalculated taking into account how much vitamin D the baby receives from formulas. Only a qualified pediatrician can do this correctly.

Often, constipation when taking vitamin D is caused only by the form of the medication; in most cases, children are prescribed water solution cholecalciferol – Aquadetrim. If a child experiences stool retention when using it, you can try to prevent rickets using an oil solution of vitamin D or a medicine such as Vigantol. In some children, these analogues do not cause any adverse reactions.

Vitamin D plays a very important role in the development of all body systems of a small child. Both deficiency and deficiency of this substance can negatively affect the health of the baby. To prevent this from happening, it is necessary that a preventive course of taking cholecalciferol be prescribed by a doctor. You cannot give the vitamin on your own, especially since in some cases its use can harm the baby.

Much depends on what mixture you use. Firstly, the composition of adapted milk formulas usually includes D. The daily prophylactic dose is usually contained in approximately 1 liter of the mixture. Even if the baby does not eat as much formula yet, you still need to give less vitamin D supplements (you need to calculate how much vitamin D the baby receives per day. To prevent rickets, 400-500 IU is required. If you live in the Far North or if the baby is premature, they may advise take 1000 IU every day). The district police officer can help you calculate the dose - or, if necessary, me. In general, from about May to October (again, it depends on where you live), they stop taking vitamin D for prevention - they just take more walks with the baby. Vitamin D is produced in the skin under the influence of sunlight. It is enough for the child’s hands and face to be open during a walk. in principle it could be side effect when taking vitamin D supplements, especially in irrational doses (however, in case of obvious poisoning there will be more like diarrhea). Probably, in your situation, I would at least reduce the dose to 1 drop - and when warmer weather sets in, I would generally switch to walks with prevention using natural ultraviolet rays. By the end of summer the baby will be 7 months old; You can limit yourself to vitamin D from the mixture, egg yolk and/or. Secondly, after 2 weeks of age, babies quite often experience stool disorders. The reason for this is age-related functional insufficiency of the gastrointestinal tract. It usually lasts for up to 3 months. If the baby receives hypoallergenic formulas with partially digested protein, a change in the color of the stool is natural. When using hydrolyzate mixtures, the stool becomes dark green or swampy and smells unpleasant. Maybe you need to use fermented milk instead regular mixture. For constipation in a child, it is recommended to use fermented milk mixtures with probiotics - “NAN fermented milk”, “Nutrilon Omneo 1”, “Samper Bifidus”, “Lactofidus”, “Mamex plus”. Sometimes children tolerate Nutrilon Comfort well (it contains partially hydrolyzed protein). If your baby has a tendency to regurgitate, which also often happens at this age, you can “kill 2 birds with one stone” (regurgitation and constipation) by using anti-reflux mixtures with locust bean gum (guar gum) 1-2 times a day or at the beginning of feeding: They help keep the mixture in the stomach and relax. Check with your pediatrician to see if it makes sense for you to change the formula. If constipation has already developed, suppositories (from glycerin to), a gas outlet tube, and even a cleansing enema can provide a quick effect. (The main thing is not to use enemas too often, so that the baby does not lose the habit of “working” on his own). The drugs “Normaze” and “Duphalac” are usually used as laxatives in pediatrics. The dose is selected individually (from 1/2 to 1 spoon per day). For herbal remedies, you can use an infusion of chamomile flowers and. To prevent constipation, I would also add a tummy massage, gymnastics (bicycle-type leg movements); I would begin to place the baby on his stomach more often and stimulate lifting of the upper body, and after 3 months - turning on his side, so that the abdominal muscles become stronger. Good luck!