If your baby is fed, diaper changed, and not ill, there should not be a reason for her to stay awake for this long stretch of time. Have you noticed that she gets fussy, cries in pain, and pulls her legs towards her abdomen shortly after a feed (20-20 min)? If yes, then this is most likely due to colics, and we have already discussed how to manage colics. Another possibility is reflux, whereby the milk goes back up from her stomach to her esophagus and she spits or some of it comes out through her nose. Reflux is considered physiologic in infants as long as it does not affect normal growth, because babies are born with an immature lower esophageal sphincter (the ring-like muscle that separates the esophagus from the stomach and prevents food from going back up into the esophagus when it contracts) and this requires some time before it improves. If reflux however interferes with proper feeding and growth, then it needs medical treatment. If your baby does have symptoms of mild reflux, try positioning her crib with in a slanted fashion (an angle of about 45 degrees) to help alleviate the reflux.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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