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Q. My baby is 5 weeks. old and has had some problems with his formula. ( we guess, there seems to be no other explanation for his fussiness and crying.) The doctor had us switch to Isomil. At first he experienced some constipation and then on the doctor's advice, we began 3 or 4 oz. of water with 1/2 oz. of white grape juice. This seemed to soften his stool, but now he screams and cries with every bowel movement. ( it is no longer hard stool, but soft consistency.) Is there any reason you can think of that he would do this? He acts as if he is in pain...grunts and strains a lot with each one. Any ideas?

A. There may be a couple of things that you can try:

• You might consider relactating (reestablishing breast feeding). This might reduce the fussiness, particularly if it is caused by digestive problems.
• Switch formulas. Some babies aren't ready for the complex proteins in formula. You may have to go to the very expensive formulas made for babies with digestive problems.
• Since his stools are currently soft, he may be screaming because of damage done to his rectum during his days of constipation. Ask your pediatrician to check him out for anal fissures, hemorrhoids.
• If your pediatrician isn't listening to you or helping you find a solution, find a new pediatrician.

Cyndi Klausing, RN, ACCE, has been a childbirth educator and breastfeeding counselor for over 18 years. She currently works as a newborn nursery nurse and is the mother of four sons.

Cyndi will answer your questions on fertility, pregnancy, birth, breastfeeding and babies. Her advice does not take the place of your practitioner. Personal answers will not always be possible.