L.R. asks from Idaho Falls, ID on February 16, 2008
Difficulty with Bottle Feeding
I have a 5 week old infant who has gone through a number of formula changes over his short life, is on reflux meds and gas drops w/gripe water (all suggestions from my ped). I do not believe this is colic as my 3 year old had definate colic symptoms. My biggest concern is approximately 2-3 bottles of his 8-9 feedings in a 24 hour period, he fights the entire bottle. During those feedings, his body makes such large gross motor movements from his head to his toes-he seems so uncomfortable and this continues for hours after those bottles. This morning's bottle, he drank approximately 2 oz. He will normally eat 3 1/2-4 oz every 3-4 hours. This is concerning to me and is difficult-especially if he choses to do this at night. He also had a cold at 10 days and continues to have a stuffy nose after 3 weeks which gets worse in the morning. I am not sure if he is having a hard time with the formula changes, his nose, is allergic to something, or if this is a normal thing. HELP-any suggestions?
So What Happened?™
Thank you all mothers and grandmothers for your advice and support. I do LOVE my ped and do not plan on switching to another one-he has been very proactive in my baby's care and in fact saved my 3 year old shortly after birth while he was in the NICU. I do trust him and in fact, he did say that if things didn't change by tomorrow, he would refer me to a GI.
So over the course of this weekend-and with some long needed attention from someone with experience to watch him and listen to me-we may have found a reason for this-his bottle! He was on the "drop-in" Playtex bottles and at times was gulping the milk from them no matter what I did. All the nipples were slow drip and I double checked them to make sure. I am wondering if-once he started sucking that he was creating a vacuum in the bottle causing the milk to run out like steady stream-when he started to fight them. So we played around with that for a number of feedings that he was fighting. He wasn't doing the "suck-suck-swallow" technique and more so was "suck-swallow-gulp-dribble out his mouth." I have tried 2 other type bottle about 2 weeks ago but didn't help. I went last night and got the new Playtex Ventaire-advanced and so far today-what a difference. He is back to the normal swallow pattern and hasn't been as squirmy-fussy during the bottles and thereafter. I do believe this could be causing the belly aches and bowel problems with all the air he has been swallowing-so we will continue to see how he does with this tonight and tomorrow. I have decided to keep him on the Enfamil as he is not spitting up and his bowels are starting to "look normal!" Not sure if this is all the problem but maybe will help some.
As far as the reflux-I am going to continue to give him this as I see a difference in him shortly after I give it to him. I have been using saline drops/suction, and a humidifier in his room as well. So-we will continue on this as well.
I will keep you posted and if anybody has any more comments after this posting-let me know! Again, thank you!
Featured Answers
J.O. answers from Denver on February 17, 2008
This sounds similar to my friends situation. Her daughter had such bad reflux since birth and had to have a nissen fundoplication. She is now 6 mos old and they are still tube feeding her since the bottle makes her gag the pediatrician is hoping she will go straight from the tube feeding to the sippy cup. He may have some issues with gagging from the bottle.
Hope that helps,
J. (mother of 3 month old)
S.H. answers from Boise on February 17, 2008
Everyone before me I agree with. However, I would also possibly try another type of bottle to go along with them. Dr. Brown are suppost to be great for kids with reflux. I have also had great luck with Platex's AirVents. Hope that helps.
More Answers
J.N. answers from Denver on February 17, 2008
Remember that babies are ONLY nose breathers, so if his head is stuffy, he can't drink and breathe at the same time. Also, there's no prescribed formula for how much he has to eat, and if he fights the feedings, he's probably not really hungry enough. I wish you the best of luck with your beautiful baby!
S.H. answers from Boise on February 17, 2008
Everyone before me I agree with. However, I would also possibly try another type of bottle to go along with them. Dr. Brown are suppost to be great for kids with reflux. I have also had great luck with Platex's AirVents. Hope that helps.
B.L. answers from Boise on February 19, 2008
Hi there, I have two sons, one 6 years old and one 16 months old. I wanted to let you know that I've been using Dr. B.'s bottles with my second son and they are wonderful - they are engineered so that there is no vacuum. I believe my 2nd son has less ear infections because of this. Also, I breastfed both boys until about 11 months. I noticed there were times when they didn't seem to want to eat much at all and it concerned me but as long as your baby is gaining weight - then you are probably okay. Try not to worry (I know easier said than done). Hang in there! I know how stressful feeding an infant can be when things don't seem to be going as expected. ~L.
K.G. answers from Pocatello on February 16, 2008
My nephew that I watch fought the bottle. To get him to take it at first I would sit on one of those big excersize balls and bounce while trying to feed him. It seemed to calm and distract him enough that eventually he would take it. It was pretty tiring but now he takes the bottle with no problem (and no bouncing!). Oh, and maybe swaddling him would help with the moving so much?
M.S. answers from Sioux Falls on February 17, 2008
One suggestion that may or may not help, is to have your infants hearing checked. My oldest when he was very young acted very strangly and we could not figure out what was wrong. Through the advice from a family friend, I had his hearing checked. Not just his ears, as the doctor said there was nothing wrong with his eardrums. It turned out that my son has so much fluid behind his eardrums that he was actually deaf in one ear! It was a case of chronic ear infections, but didn't show up on his eardrum... very strange. But if I hadn't checked his hearing with a tympanogram (sends a sound wave to the ear drum and reads what bouces back), we would have NEVER known. Sucking can make his ears feel much worse. Also look into a sinus infection... all of these can be EASILY missed by any doctor. Mine all missed them!
C.W. answers from Billings on February 20, 2008
Have you tried different types of nipples? My son is five weeks old also and he has a hard time with the bottle if too much comes out of the nipple at once. He does best with ones that you have to squeeze the nipple when the bottles upside down to get anything out. The soothie and the avent bottles have worked best for us. You have to check the nipples often because sometimes washing will distort them and make the holes larger. Good luck.
J.S. answers from Salt Lake City on February 17, 2008
your little one sounds like mine at two weeks aside from the switching formula part since i nursed her. She has severe reflux. my suggestion is to get a referal and get into a ped. Gi as soon as possible. YOu may need to up or switch her meds. Many are safe for little ones. my daughter started at two weeks. My daughter is now almost two and is on an adult dose of prevacid to keep her comfortable. she also has milk issues so we have to do soy, which she is ok with. there is a condition called(cant think of what it is called....ill think on it a bit)that is spacific body movemets babies due that is kind of caused from the pain associated with GERD. Reflux babies are typically cranky from the discomfort, sleep little and eat even less. small freqent meals are much better then larger less often meals. Also keeping them as upright as possible will help.
But my main suggestion to you is stop all the switching and see a ped. GI
good luck
J.
-And to those of you who say it is bad for a baby this young to have meds or surgery....you do not know what it is like to have a baby like this. meds make a world of differnce to them and without stoping the acid it will destroy their esophagus(sp) and stomach not to mention the many other possible bad things that may result.. Please dont say things when you dont know!(oh and my nephew had to have surgery because he had refux so had they had no other option. he had it at about 1.5m and it has been a life changing surgery for him!)
E.L. answers from Denver on February 17, 2008
Hi~ Infants can be so hard to understand. My son (second child) was very challanging... it sounds similar. I would suggest you go to a pediatric allergist. We saw a local allergy center with several office but ultimately decided to go to National Jewish. NJ has so many more resources and the cutting edge information. They did a couple of simple skin tests on my son and immediately determined that be may be allergic then they took a little blood(it was amazing how they made sure to apply a topical numbing lotion so that the needle didn't hurt). They blood helped them determine just how allergic he was. It is only a prick on the skin and certianly more difficult for Mom than child. If he doesn't react, then at least you know it isn't allergies and pursue other options.
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