National Institute for Health and Care Excellence (NICE). Constipation in children and young people: diagnosis and management [CG99]. [Internet]. 2017. [Accessed November 30, 2021]. Available from: https://www.nice.org.uk/guidance/cg99/chapter/1-Guidance#diet-and-lifestyle

Comfort formula is made from partly broken down (partially hydrolysed) proteins. It's not suitable for babies with cows' milk allergy. Follow-on formula There are some concerns about the fact that soya contains phytoestrogens. These are found naturally in some plants. Drug and Therapeutics Bulletin. Management of Infantile Colic [Online]. 2013. Available at: http://dtb.bmj.com/content/51/1/6.full.pdf+html (Accessed June 2021)Pärtty A, Kalliomäki M, Salminen S, et al. : Infantile Colic Is Associated With Low-grade Systemic Inflammation. J Pediatr Gastroenterol Nutr. 2017;64(5):691–5. Lactose (milk), vegetable oils (soya, sunflower, rapeseed), potato starch, partially hydrolysed whey protein (milk), galacto-oligosaccharides (GOS), calcium phosphate, long chain polyunsaturated fatty acids (DHA (fish oil), AA), potassium citrate, magnesium chloride, choline bitartrate, choline chloride, fructo-oligosaccharides (FOS), L-arginine, sodium chloride, vitamin C, L-histidine, L-tyrosine, taurine, inositol, ferrous sulphate, nucleotides (cytidine-, disodium uridine-, adenosine-, disodium guanosine-5’- monophosphate), L-carnitine, zinc sulphate, antioxidants (tocopherol-rich extract, ascorbyl palmitate), vitamin E, niacin, pantothenic acid, copper sulphate, vitamin A, thiamin, riboflavin, vitamin B6, manganese sulphate, potassium iodide, folic acid, sodium selenite, vitamin K, vitamin D, biotin, vitamin B12. Lactose intolerance is rare in babies. Symptoms include diarrhoea, abdominal pain, wind and bloating.

This table is a guide only; your baby may need more or less than the volumes stated. If you require more advice, consult your healthcare professional. Remember to feed your baby on demand. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water. There's no evidence that switching to a different formula does any good or harm. However, if you think a particular brand of formula disagrees with your baby, talk to a midwife or health visitor. They can help you decide whether to try a different type.

Introduction to Baby Poo

Do not add extra powder or water to make the feeds stronger or weaker and do not press powder into scoop. Using too much or too little powder can make your baby ill. We recommend preparing each feed in individual bottles when required. For hygienic reasons, discard unfinished feed in the bottle as soon as possible. For older babies, made-up formulae can be added to food. Kendamil Anti Colic soon to be Kendamil Comfort. Available at https://hcp.kendamil.com/product/anti-colic-infant-milk-800g/#. (Accessed May 2023) Babies' low body weight means they take in much higher amounts of phytoestrogens than older children or adults who eat soya products as part of a varied and balanced diet. Approx. Age of Baby: 2 - 4 weeks, Approx. Weight of Baby: 3.7 kg, 8 lb, Preparation for Single Feeds: 4 Level scoops, Cooled, Freshly Boiled Water: 120 ml, 4 fl. oz. (approx.), Feeds in 24 Hours: 6

The National Health Service (NHS). How to change your baby’s nappy. [Internet]. 2018. [Accessed November 30, 2021]. Available from: https://www.nhs.uk/conditions/baby/caring-for-a-newborn/how-to-change-your-babys-nappy/ The British Medical Journal (BMJ). Best Practice: Constipation in children. [Internet]. 2020. [Accessed November 30, 2021]. Available from: https://bestpractice.bmj.com/topics/en-gb/784/diagnosis-approach

General

SMA® Comfort is a nutritionally complete formula for the dietary management of colic and constipation. It can be used as the sole source of nutrition from birth in place of your usual formula feed, and can be mixed with foods once weaning has begun. Kanabar D et al. Improvement of symptoms in infant colic following reduction of lactose load with lactase. J Hum Nutr Dietet 2001; 14: 359-363. We are pleased to introduce new SMA ® Comfort formula in the UK and Ireland. NEW SMA ® Comfort is a nutritionally complete formula specifically designed for the dietary management of colic and constipation. Moro G, et al. Dosage-related bifidogenic effects of galacto- and fructooligosaccharides in formula-fed term infants. J Pediatr Gastroenterol Nutr. 2002 Mar;34(3):291-5 Boil 1 litre of fresh tap water. Allow boiled water to cool for no more than 30 minutes. Measure the required amount of water (see feeding guide) into a sterilised bottle, carefully the water is hot. Do not use artificially softened or repeatedly boiled water.

Do not alter or add to formulae unless medically directed. Do not warm feeds in the microwave, hot spots may occur and cause scalding. Approx. Age of Baby: 2 months, Approx. Weight of Baby: 5.3 kg, 11 3/4 lb, Preparation for Single Feeds: 5 Level scoops, Cooled, Freshly Boiled Water: 150 ml, 5 fl. oz. (approx.), Feeds in 24 Hours: 5

Preparation, usage and feeding queries

The choice is yours, as any of them will be good for your baby experiencing colic. Remember to discuss with your health care professional before taking any decision.