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Baby not feeding well or not gaining weight

Also called: Baby not feeding well, not gaining weight, failure to thrive, poor feeding

A baby who feeds poorly, falls asleep at feeds, or isn't gaining weight as expected. Most causes, like latch problems or reflux, are fixable with support.

WatchWet diapers and weight
Newborns6+ wet diapers a day after day 5
HelpFeeding support, lactation consultant

Overview

Babies usually regain birth weight by 2 weeks.

Sleepiness at feeds can be from jaundice.

Symptoms

Common signs:

  • Baby not feeding well

Less common

  • Fewer wet diapers
  • Sleepy baby
  • Fussy at feeds

When to get medical care

Call 911A baby who is limp, hard to wake, struggling to breathe, or has blue or gray lips: call 911.
Get care todayFew wet diapers, very sleepy, or yellow skin.
See a doctor soonSlow weight gain.

Causes

Latch, reflux, illness.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Premature babies

Possible complications

Diagnosis

Weight and feeding checks.

Questions you may be asked

  • Feeds, diapers

The exam

Full exam.

Tests

Tests, if needed:

  • Blood or urine tests: Sometimes.

Treatment

Track and get help.

Self-care

  • Count wet and dirty diapers
  • Feed 8 to 12 times a day
  • Wake a sleepy newborn to feed

Prevention

To lower your risk or prevent problems:

  • Early feeding support

Which doctor treats this

  • Start with your child's pediatrician.

Children, pregnancy, and older adults

  • Breastfed babies: Watch latch and diapers.

For caregivers

  • Learn the warning signs and when to call the doctor or 911.
  • Keep a list of your child's medicines, doses, and doctors on your phone.
  • Tell teachers, coaches, and sitters what to watch for and what to do.
  • Take breaks and ask for help. Caregivers need care too.

Outlook

Fixable.

Most babies catch up quickly.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Do we need a lactation consultant?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Baby not feeding well or not gaining weight

Sources

Last updated 2026-11-12.