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My baby grunts while feeding


Newborn Grunting: Why Is This Happening?

Is it normal?

It may sound strange to you, but the occasional grunts coming from your newborn are perfectly normal.

As a new parent, you listen to every little sound and movement your baby makes. Most of the time, your newborn’s gurgling noises and squirms seem so sweet and helpless. But when they grunt, you may begin to worry that they’re in pain or need help.

Newborn grunting is usually related to digestion. Your baby is simply getting used to mother’s milk or formula. They may have gas or pressure in their stomach that makes them feel uncomfortable, and they haven’t learned yet how to move things through.

While most grunting is normal, if your baby is grunting with every breath, has a fever, or appears to be in distress, see your doctor.

This grunting may be a sign of a more serious respiratory problem and needs immediate attention.

The cause of newborn grunting

When your baby grunts, it usually means they’re learning how to have a bowel movement. They haven’t yet figured out how to relax the pelvic floor while also using abdominal pressure to move stool and gas through their system. Their abdominal muscles are weak, and they must bear down with their diaphragm against their closed voice box (glottis). This leads to a grunting noise.

They will grunt until they can figure it out, so it may take a few months for your newborn to produce a bowel movement or pass gas without grunting. Some people call this grunting baby syndrome (GBS). Rest assured, it’s fairly common and rarely a sign of something serious.

Babies may also look like they’re straining, and a newborn’s head may turn purple or red in color. This may last for several minutes, according to an article in the Journal of Pediatric Gastroenterology and Nutrition (JPGN).

This shouldn’t be confused with constipation. Your newborn’s system is working correctly to produce excrement. Your baby just hasn’t figured out how to move it through. While the grunting is unpleasant, your newborn simply needs to get used to its new world.

The remedies

You should confirm with your doctor that your baby’s grunting is normal.

If your grunting baby is simply learning how to have a bowel movement, the only true cure is for your newborn to learn how to relax their anus while pushing with their abdomen. This is something your baby will learn with time through trial and error.

Some doctors recommend that parents help their newborn by providing anal stimulation. This involves use of an anal thermometer or a piece of cotton to help stimulate the bowel. While this method usually works to help your baby have a bowel movement, it may have negative side effects in the long run. Your baby may eventually become dependent on this method to have a bowel movement. According to JPGN, repeated use of this method will delay your infant’s ability to learn the correct process for passing stool.

In most cases, the grunting starts in the first months of life and resolves on its own after a few weeks. Every baby is different. It all depends on how long it takes for your newborn to master the coordination of its bowel movements.

When to be concerned

The grunting of a healthy child learning how to deal with digestion is different from the grunting of a sick baby.

Grunting with every breath is never normal. Grunting at the end of every breath could be a sign of respiratory distress.

If your baby is grunting often and also has other signs of illness, such as a fever, or appears to be in distress, see your doctor. This could be a sign of a serious medical condition and requires immediate attention.

Grunting with breathing could be a sign of:

  • asthma
  • pneumonia
  • sepsis
  • meningitis
  • heart failure (which causes fluid to build up in the lungs and a shortness of breath)

Check for other signs of respiratory distress or illness to determine if your baby’s grunts are normal or a sign of another problem. Other signs of respiratory problems include:

  • blue tongue or skin
  • weight loss
  • fever
  • lethargy
  • nasal flaring
  • pauses in breathing

The takeaway

Watching and hearing your baby struggle may be difficult, but in the end, it’s important to let them figure it out on their own.

Grunting may seem a little scary, but it usually serves a very useful and healthy purpose for your baby. If your baby is healthy, active, appears happy, and is eating well, grunting is rarely a sign of illness.

See your doctor for a checkup if you have questions or concerns about your grunting baby.

And treat grunting with every breath as a medical emergency.

Newborn grunting: Causes and home remedies

Usually, newborns grunt when they learn how to pass stool. However, this grunting can occasionally indicate a health issue, such as trapped mucus, gastroesophageal reflux or irregular breathing.

In this article, we explore the reasons that newborns grunt. We also discuss accompanying symptoms, home remedies, and when to see a doctor.

When newborns grunt, it can sound like they are in pain, but this is not usually true. Most often, it means that they are learning how to pass stool.

In other cases, the grunting can point to an underlying problem, and it is important to be aware of any other symptoms. The presence of these can help to determine whether the grunting is a cause for concern.

Share on PinterestCauses of newborn grunting may include having a bowel movement, irregular breathing patterns, and dreaming.

Newborns tend to grunt as they get used to having bowel movements. Doctors sometimes refer to this as grunting baby syndrome.

To pass stool, an adult often relaxes their pelvic floor and uses the stomach muscles to apply pressure which helps to move the stool through the gut.

At first, a newborn’s stomach muscles are not strong enough to do this, so they use the diaphragm muscle to move their bowel. As they exercise the diaphragm, it can put pressure on the voice box, resulting in grunting.

Other causes of newborn grunting include:

  • Irregular breathing patterns. Newborns may grunt as they develop control over their breathing patterns.
  • Trapped mucus. Mucus can collect in a newborn’s narrow nasal passages.
  • Dreaming. Grunting during sleep can indicate dreaming or a bowel movement.
  • Gastroesophageal reflux (GER). Also known as acid reflux, this occurs when stomach contents rise into the food pipe. It can cause discomfort, and the baby may grunt.

When a newborn grunts because they are passing stool, they may also:

  • strain for several minutes
  • cry
  • turn red or purple in the face

Share on PinterestA reduced appetite can be a symptom of constipation in a newborn.

Grunting baby syndrome is not the same as constipation. A newborn who grunts usually passes soft stools.

Symptoms of constipation in a newborn can include:

  • small, dry, pellet-like stools
  • fewer than three bowel movements per week
  • reduced appetite
  • a hard stomach
  • crying, discomfort, pain, or irritability before passing stool
  • foul-smelling gas and stools

The following strategies can help:

  • changing formula
  • changing the diet of the adult, if breast-feeding
  • feeding more often, to increase hydration
  • massaging the baby’s stomach

A number of home remedies can help with newborn grunting. Depending on the cause, they include:

Learning to pass stools

When a newborn is learning to pass stools, grunting is usually normal and does not require treatment.

The grunting often stops when the newborn learns to relax their pelvic floor and the stomach muscles strengthen. This usually happens at a few months of age.

If the baby seems to have trouble passing stool, rubbing petroleum jelly on their anus can help. However, doing so too often can prevent the baby from learning to pass stool on their own.

Irregular breathing

Irregular breathing patterns are not usually a cause for concern, unless the newborn shows signs of breathing difficulties.

A baby monitor can help a caregiver to check for indications of abnormal breathing when the newborn is asleep. Some people also use movement monitors, which sound an alarm if the baby stops moving for longer than usual.

Trapped mucus

A nasal aspirator can help, if a newborn is grunting because mucus is trapped in their airways.

GER

The following home remedies can help to address GER in newborns:

  • feeding the baby little and often
  • feeding the baby more slowly
  • avoiding bottle nipples with large holes, which can cause too fast a flow
  • adding a little oatmeal to thicken milk or formula, but check with a doctor first
  • burping the baby more often

If these home remedies do not help, the newborn may have a condition called gastroesophageal reflux disease (GERD).

Doctors tend to test for GERD if the newborn’s digestive symptoms show no improvement, if they are not gaining weight, or if they have symptoms that can indicate lung problems. Some of these symptoms are listed below.

Share on PinterestIt is essential to seek urgent medical attention if the newborn seems distressed, has a fever, or pauses between breaths.

Grunting may indicate a problem if the newborn:

  • seems distressed
  • regularly grunts at the end of a breath
  • has a fever
  • has a blue tinge in the lips or tongue
  • pauses between breaths
  • flares their nostrils
  • draws in their chest as they breath

These symptoms can indicate difficulty breathing. If the newborn has any of these symptoms, seek urgent medical attention.

The doctor will most likely use an X-ray when making a diagnosis. In 2016, researchers reported that chest radiography is essential in determining the cause of respiratory distress in newborns.

Below, we describe other severe issues that can cause newborns to grunt. If a newborn has any of the following symptoms, seek medical attention right away. They may require emergency treatment.

Meningitis

In addition to grunting, symptoms of meningitis in a newborn can include:

  • fever
  • vomiting
  • floppiness of the body
  • skin blotches or a rash
  • an unusual cry

Sepsis

Sepsis is commonly described as blood poisoning. In addition to grunting, symptoms in a newborn can include:

  • fever
  • irritability
  • breathing problems
  • confusion
  • floppiness of the body
  • pauses of more than 10 seconds between breaths
  • reduced urination
  • jaundice

Heart failure

In addition to grunting, symptoms of heart failure in a newborn can include:

  • inability to gain weight
  • shortness of breath
  • falling asleep during feedings or being too tired to feed
  • coughing and lung congestion
  • sweating

Newborns tend to grunt when they are developing the muscle strength needed to pass stool.

The grunting is usually not a cause for concern. However, if it accompanies certain symptoms, the grunting can indicate an underlying condition.

If a newborn is grunting and has any of the more severe symptoms listed above, seek urgent medical care.

why this happens and what parents should do

For people who do not have parental experience or education in pediatrics, babies are like space aliens. They look like adults, but they are different. And they make strange sounds. Some may be surprised even when the baby groans.

This is actually one of his ways of communicating. Up to two months, the child adapts to a new world for himself. And what he is not yet able to express in words, he demonstrates by behavior: groans, twitches his arms and legs, pushes, frowns. Grunting can be a sign of character building or active development in a child. nine0003

An infant can make such sounds out of pleasure (for example, during feeding), or when something is given to him with effort (for example, raise his head while lying on his stomach, go big). If the baby grunts a lot and often, and his facial expressions indicate that these sounds are not caused by the most pleasant emotions, you should consult a pediatrician (1).

Foreign doctors have a term grunting baby syndrome - "grunting baby syndrome". We call it infantile dyschezia, and it is associated with difficulty in emptying the intestines (2). This is just one of the reasons why a child may grunt. And he may have different reasons to communicate something to the world of adults in this way. nine0003

Why does a newborn baby grunt

— If the baby only grunts, breathes normally, eats and sleeps, gains weight and height, then this is normal. So he can simply communicate with his parents or, for example, tell them that he wants to go to the toilet or that a small fold on his clothes interferes with him, - explains pediatrician, neonatologist, anesthetist-resuscitator, blogger, author and expert of the first aid course children Aelita Biryukova . - If parents have good contact with the child, they will always understand exactly how he groans when he wants to eat, and how he groans when, for example, he peed. nine0003

If crying is added to grunting, this may indicate that the child is hungry or needs attention, that he has a full diaper, or, for example, that he is hot. That is, in this case, it is not necessary that there is cause for alarm.

But often the baby groans, and even cries when he suffers from colic.

So, the most common causes of grunting in newborns are:

  • he communicates like this;
  • he has colic;
  • child has difficulty breathing due to stuffy nose; nine0024
  • he has a dream;
  • the baby is uncomfortable in his clothes - they are too warm or tight;
  • have problems with bowel movements;
  • the child is hungry or thirsty.

What to do if a newborn baby grunts

If the baby grunts and strains, but there are no other reasons for concern (constipation or frequent loose stools, constant crying, high fever), it will most likely go away with time. But if the condition of the groaning child is alarming, you should see a doctor. nine0003

Colic is a common problem in infants during the first months of life (3). And what to do if this is the reason for the groaning?

- Starting from 2-3 weeks and ending at the age of 3 months, children are actively maturing the gastrointestinal tract. The immaturity of the gastrointestinal tract provokes a slight dysfunction, which may be accompanied by pain in the child's abdomen, explains Aelita Biryukova. Colic is always due to two causes. The first is distension of the intestines with gases. In this case, we see the inflated belly of the baby, he groans and strains under the influence of these gases. The second is spasms: when there is a peristaltic wave through the intestines. This happens often when there are long periods between feedings or when the baby is formula-fed. Therefore, on-demand breastfeeding is the best prevention option (4). nine0003

It is not difficult to help a child in both cases, especially since you will certainly find at least one suitable drug in any pharmacy. But remember that the use of any medication should be discussed with the pediatrician beforehand.

– If we are dealing with a spasm, dill water or some herbal preparations will come to the rescue. And excess gas formation is removed with simethicone preparations, says pediatrician Aelita Biryukova. - The mechanism of action is important: the first are given before feeding, and the second during or after. nine0003

Popular Questions and Answers

Although babies grunting is nothing new to doctors, for parents most expecting to hear grunts, these sounds may seem strange. Therefore, a lot of clarifying questions arise. Aelita Biryukova answers them.

Do “grandmother's” remedies help with colic: a warm heating pad on the stomach, stroking, herbal supplements?

Herbal supplements - yes. The main thing is to understand the cause of the pain and choose the right remedy at the right time. And a heating pad, a warm diaper, mother's breasts are, of course, one of the most ancient means of combating colic in a baby. nine0003

When is groaning a sign of danger to life and health?

If groaning or other sounds are accompanied by a change in the color of the skin: when the child turns pale or blue. And this is not about the nasolabial triangle - such a phenomenon can be in children with an immature nervous system. If we see a pronounced pallor or cyanosis, most likely, a critical situation is already taking place, it is urgent to call an ambulance.

There is also such a thing as "groaning breath" - when the child, on exhalation, seems to moan or howl or breathe with a whistle. In this case, there may be retraction of the intercostal spaces, jugular notch, hypochondrium or xiphoid process. Or flaring of the wings of the nose. This situation indicates respiratory failure, and in this case, you need to urgently call an ambulance. nine0003

In general, if parents have internal anxiety in the absence of obvious reasons for anxiety, this is a reason to consult a doctor. Most often, some little things that disturb adults can prompt an experienced doctor to seriously think about conducting some examinations in order to identify diseases.

And if a newborn baby not only groans, but makes some unusual sounds, should he run to the doctor?

Parents are often frightened by such sounds. For example, when a child loudly draws in air. In fact, this is not always a reason to see a doctor. When the baby accidentally makes some new sound that he remembers, he begins to repeat it. This is a training of the articulatory apparatus, sound production, and there is nothing wrong with that. nine0003

Sources

  1. Neonatal reflexes and examination of newborns by a pediatric neurologist. V. M. Studenikin // Medical scientific and practical portal "Attending Doctor". URL: https://www.lvrach.ru/2020/01/15437473
  2. Constant grunting breathing after birth. G. M. Rocha et al. // National Center for Biotechnology Information. 2018. URL: https://pubmed.ncbi.nlm.nih.gov/27607482/
  3. Cry and restlessness of the child in the first months of life. Intestinal colic in infants - approaches to therapy. E.S. Keshishyan // Pediatric practice. 2014. URL: https://medi.ru/info/8589in Personal journal

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    November 16, 2018 08:47 am at Personal Journal

    We are 10 weeks old. So far, the following routine has been formed: at 21:30-22:00 we fall asleep for the night, sleep until 4-5 in the morning, eat and fall asleep again until the morning. At night, I swaddle my son's hands, otherwise he starts waving them. I don’t change the diaper at night, I don’t turn on the light, I try to do everything very quickly, silently - they drank drops, ate, a pacifier in my mouth and in the crib, my son falls asleep almost immediately. groan. It looks like it's pushing, but it's not. At the same time, he sleeps first, then you can open your eyes. It takes an hour to make such sounds, then it starts to whimper. I take him, but I already feed him “in the morning”: I free my hands, change diapers, before feeding on my stomach, I can talk ...

    0 10482

    Watery chair for a monthly child

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    April 1, 2012 20:02 In Personal Journal

    GV HB ... The child is very restless during feeding ... it grows up ... it is bored with legs and handles. .what it is?? I didn’t notice this before ... at the same time, watery stools have been around for 3-4 days ... and only 2 times a day! What is it? it didn't happen before either... there were no changes in my diet...

    0 5995

    Baby gassies0003

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    April 23, 2020 10:49 am at Personal Journal Is it really that during breastfeeding she swallows so much air (although there are no sounds of clattering. She can’t sleep, she raises her legs, grunts and starts crying after a while, sometimes she cries when she farts, although the stool is daily and liquid (I do massages, and I tighten my legs, and we drink dill, and the child and I, espumizan and bobotik do not help (((really nothing will help(

    0 7224

    What about the baby??

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    February 16, 2011 10:28 pm at Baby health and nutrition

    For the third week I'm going crazy. In the morning we wake up cheerful, cheerful, laughing, laughing. We eat well all day. But closer to dinner, tantrums, yells and squeals begin. He wants to hang only on his mother and constantly walk, only then he is silent. She doesn't lie alone for a minute. We were 3 months old yesterday, 2 weeks old, since she started trying to roll over from her back to her stomach and trying to crawl. Actively trains and screams constantly. Whether from zeal, or something hurts, I don’t understand. Almost flipped over today. During feeding (not every time, but often) she starts to cry and writhe, pull her legs up to her stomach. The chair is not every day, I have already started to give dufalac, but today I put a gas outlet tube, the gas came out, went ...

    0 18700

    Baby wriggling at the breast

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    July 29, 2015 10:36 pm at Personal log

    Daughter wriggles around while suckling. Sometimes he crawls / scratches me with his feet. Sometimes grunts/is indignant. I see that there is something unsatisfactory. He sucks, gets nervous, lets go of the nipple, starts to cry, and grabs his breasts again. I have thoughts about milk all the time. It seems that I read that there is always milk in the breast and I really want to be sure that she has enough of it. When she acts like that, I just go crazy. She literally hangs on her chest. I don't know about weight gain. Weighed after discharge from the hospital. Now to the pediatrician only at the end of August. In general, I do not know what to think. I dream of breastfeeding for a long time. How to feed so that milk is well produced? Ran…

    1 345945

    First baby problems - regurgitation, hiccups, colic

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    11 September 2010 15:06 at First difficulties, joys

    The most common problems in babies: regurgitation, vomiting, hiccups, colic (abdominal pain), food allergies, violation of the nature and frequency of stools, constipation, diarrhea (diarrhea). Regurgitation is a type of vomiting, but it occurs easily, without effort. At the same time, a small amount (5 - 30 ml) of milk is released after a short period of time after feeding in the form of runoff or a weak eruption of semi-digested milk. Don't worry, in most cases this is a natural process. The baby may burp when being changed, turned over, and even during feeding: he sucks, turns away, spit up and takes the breast again. All this is the result…

    6 44428

    First infant problems - regurgitation, hiccups, colic

    Complain

    11 September 2010 15:06 at Personal journal

    First infant problems are related to digestion. The most common problems in babies: regurgitation, vomiting, hiccups, colic (abdominal pain), food allergies, violation of the nature and frequency of stools, constipation, diarrhea (diarrhea). Regurgitation is a type of vomiting, but it occurs easily, without effort. At the same time, a small amount (5 - 30 ml) of milk is released after a short period of time after feeding in the form of runoff or a weak eruption of semi-digested milk. Don't worry, in most cases this is a natural process. The baby may burp when being changed, turned over, and even during feeding: he sucks, turns away, spit up and takes the breast again. All this is the result…

    0 35060

    First baby problems - regurgitation, hiccups, colic

    Complain

    September 11, 2010 3:10 pm at Baby's health and nutrition

    Baby's first problems with digestion. The most common problems in babies: regurgitation, vomiting, hiccups, colic (abdominal pain), food allergies, violation of the nature and frequency of stools, constipation, diarrhea (diarrhea). Regurgitation is a type of vomiting, but it occurs easily, without effort. At the same time, a small amount (5 - 30 ml) of milk is released after a short period of time after feeding in the form of runoff or a weak eruption of semi-digested milk. Don't worry, in most cases this is a natural process. The baby may burp when being changed, turned over, and even during feeding: he sucks, turns away, spit up and takes the breast again. All this is the result…

    27 0187793

    Can the stomach hurt due to mixed feeding??

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    September 1, 2010 17:52 at Personal journal In my opinion, the baby’s tummy has become stronger and more often, he cannot poop normally, he constantly groans during feeding and after. A friend said that the doctor advised her not to torment the child with ST and switch to a completely artificial one .

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