4 day old, reflux :(

(24 Posts)
noblegiraffe Sun 27-Jan-13 08:23:49

DD was born 4 days ago by ELCS and was very mucousy and reluctant to feed for the first 2 days until she'd got rid of it all, I had to work hard to get her to bf every 6 hours. Since then feeds have increased in frequency but she still sleeps all the time and usually needs stripping and tickling to stay awake long enough to feed. She was weighed yesterday and has lost just over 10% of her weight which I was expecting, the midwife said to make sure she feeds at least every 3 hours and she'll be weighed again either today or tomorrow.

My milk came in yesterday afternoon and I have been trying to feed every 2-3 hours but she isn't taking much each time. I suspected when she was born that she had reflux as I could see her vomiting and swallowing quite regularly, but no vomit coming up. However, since my milk came in she has now started vomiting quite regularly, and this morning she has thrown up most of her feed as she came off the breast, and threw up the previous one before that.

Propping her basket up and keeping her upright is no help as she is vomiting while upright. She's also not happy and back arching and crying quite regularly.
Please help, how am I supposed to get her weight up if she's not keeping anything down? sad

JiltedJohnsJulie Sun 27-Jan-13 08:44:38

Hopefully someone like tiktok will be along soon. In the meantime call the MWs and ask them to check Lo for tongue tie and ask them to check your latch. If you want to see a video with latch advice, google youtube dr jack Newman latch. Have a read of the sleepy baby advice on kellymom too, here.

If it was me, I'd also be offering the breast every 2 hours and getting plenty of skin to skin.

AlbertaCampion Sun 27-Jan-13 08:57:46

KEEP GOING. That's all you can do at this stage. Raise your concerns with midwife on a daily basis and try to make sure it goes into your notes. My DS had terrible reflux: we had a hard time getting the medical pros to take us seriously ("oh, all babies are sick"; "oh, there must be a breastfeeding problem" - the latter because he wasn't back to his birth weight after three weeks).

A lot of babies have reflux to a certain extent, and it passes. Hopefully your baby will be one of those. But in case your baby isn't, make your concerns heard now. And feed every two hours, yes: if your baby is bringing a lot/all of it up, every little drop you can get inside counts.

noblegiraffe Sun 27-Jan-13 09:07:45

Thanks for replying. Latch etc are ok, when she's on it's definitely going in, but it takes so long to get her on - she won't open her mouth or latches on then slides straight off or is so asleep that getting her to feed even more often is a real struggle. And now when she does feed it is coming straight back up. Seeing her in pain is tough too.

Alberta, how was your DS treated?

AlbertaCampion Sun 27-Jan-13 09:12:19

We ended up back in hospital when he was a month old, after he still hadn't regained his birth weight, and prescribed medicine that did the trick. Now he's a chubby happy wee thing, and the reflux is all but gone.

Just keep feeding, and get through these first few weeks. You'll be fine. wink

tiktok Sun 27-Jan-13 09:19:09

Difficult start giraffe sad

It is difficult for HCPs to distinguish between 'normal' throwing up and the sort that indicates a problem, and the younger the baby, the more difficult it is. Have a good discussion with the midwife about this, and if poss, she should observe a whole feed, plus the aftermath. At 4 days, it could be within normal - unless there are really obvious symptoms, you may not get a definitive diagnosis yet.

Yes, skin to skin.....keep her on you, so you can respond really quickly to any sign she would accept the breast. Offer freely without fighting her smile

Hope things get better soon.

blondieminx Sun 27-Jan-13 09:39:19

What tiktok said, get the mw to observe a whole feed and aftermath.

Because baby isn't more settled in an upright position, if this vomiting goes on longer than a week I would insist on baby being given an ultrasound scan to exclude the possibility of plyloric stenosis.

Once that has been excluded, they should get on with prescribing something for the reflux.

My MW then HV kept telling me DD would grow out of her reflux but when I saw the GP she really listened and prescribed domperidone for DD which works by making the stomach process faster, pulling food downwards quicker so it can't be vommed back instantly. It's been life changing for us (over the course of the first month on it, we found we were doing two thirds less laundry!!!)

Please watch this short Red Cross video on dealing with choking in infants in case you are ever in the situation where baby is choking on vomit (happened to me when my DD was 6 days old - I'm a first aider at work and have done the baby & child first aid course too, so I knew what to do - but it was still so scary).

You will get through this and your DD is lucky to have such an on the ball mummy who is doing everything possible to get the problem with her digestive system sorted.

Let us know how you get on?

blondieminx Sun 27-Jan-13 09:47:51

Also meant to say alberta gave v good advice about making sure your concerns are recorded in your notes.

Also meant to say that I was told by my mw that newborn tummies are only the size of a blackberry (the fruit not phone, obv) so they only need a small amount of milk to fill them up.

noblegiraffe Sun 27-Jan-13 13:07:40

Argh, after spending an hour trying to latch on a baby who wanted to feed but every time I tried to latch her on would push away arching, screaming and writhing and then vomit a little bit, the midwife turned up. She saw nothing of this and observed a baby who latched on perfectly and had a decent feed. After the feed she was weighed and was now within the ten percent. She then fed from the other side and without any hint of vomiting drifted off to sleep like an angel, and has slept since.

So she saw a baby who had weed and pooed ok, fed nicely and put on weight, nothing to indicate a problem. The scores of vomit soaked muslins look like they belong to a different baby. She didn't dismiss my concerns, wrote it all down and will phone back tomorrow to see how it's going. Immensely frustrating as I've been up all night and morning with an unhappy baby. Obviously I'm pleased that she's fed and settled and apparently doing well, but worried about the next time.

Do these things come and go? I don't really understand. My DS vomited copiously for months when he was a baby but was never bothered by it and this has seemed very different.

Thanks for all your replies by the way, it's good to hear other people's take.

noblegiraffe Sun 27-Jan-13 15:42:49

Well it's been more than 4 hours since that last feed and she hasn't had another one. She has slept and slept and we've had skin to skin for ages and I've offered her the breast and tried to latch her on and this has just ended up with screaming again. She then promptly went back to sleep. I don't know what to do if she won't feed.

JiltedJohnsJulie Sun 27-Jan-13 16:42:19

Can understand how upsetting his can be for you. Did you read the info on sleepy babies?

noblegiraffe Sun 27-Jan-13 17:05:12

Yes, thanks. Have gone through most of the list! However, even when she is awake and alert and looking around she won't latch on.
I've managed to get her to take one side in the last six hours and she flat out refused to have anything to do with the other side, even after being given a bath, nappy change etc. She has also sicked some of it up.
This lack of feeding will affect my supply, won't it?

JiltedJohnsJulie Sun 27-Jan-13 17:07:01

I'd give the MWs another call.

JiltedJohnsJulie Sun 27-Jan-13 17:07:36

Oh and did the mw check for tt today?

noblegiraffe Sun 27-Jan-13 19:39:09

She had another small feed, I tried the switch feeding thing so she had a bit from both sides, she threw up twice. It looked like a lot but it's hard to know how much went in in the first place. She hasn't done the awful screaming thing again which is good. I think I will get her weighed again tomorrow, if I knew her weight was ok I might fret less.

The midwife didn't check for tt, because she fed fine. Could tt be a possibility if she latches on ok and my nipples don't hurt?

stargirl1701 Sun 27-Jan-13 22:16:34

Record a feed on your phone to show MW. We did this with dd for silent reflux o show the GP.

blondieminx Mon 28-Jan-13 08:03:56

Just thinking of you this morning noblegiraffe, how's things?

JiltedJohnsJulie Mon 28-Jan-13 12:58:53

Yes, my DS latched fine, gained weight and my nipples were fine. Turned out he had tt and upper lip tie. Has the mw been out yet? How was last night?

noblegiraffe Mon 28-Jan-13 17:49:55

Honestly, what difference a day makes. Since yesterday DD has fed nicely with none of the awful screaming and hours long refusal of yesterday morning, just the odd bit of messing around which is fine. She has also been keeping more of it down, still a bit sicky but not in huge amounts. She slept better at night too, less uncomfortable.

So, I've no idea what was going on yesterday morning but I'm hoping it was a blip. Yesterday was also milk coming in major hormone surge weepy day, so not the best time for it to happen!

Thanks for your support. smile

blondieminx Mon 28-Jan-13 23:05:00

Awh, really glad things are much better today smile Fingers crossed for you that things carry on improving!

JiltedJohnsJulie Tue 29-Jan-13 13:54:35

Fingers crossed here too smile

noblegiraffe Tue 29-Jan-13 16:50:38

Well, I saw the midwife today and DD has lost 15g since her last weigh in, although she is still within 10%. I am confused as she has been feeding every hour since about 6am and had been feeding quite regularly before that. Plenty of wet and dirty nappies, which are now yellow, so milk is definitely going in.

Anyway, have an appointment booked at the docs later to check her over because as well as the weight loss she is doing this weird shivering thing every so often (has done since birth) that they want checking out.

So I went to the appointment feeling all positive and now I'm not so sure.

JiltedJohnsJulie Tue 29-Jan-13 18:56:35

Was it the same scales?

noblegiraffe Tue 29-Jan-13 20:45:39

No, they weren't, and I did wonder a bit about how accurate they could be with a difference of 15g. She did a poo just before going on the scales, I wonder how much that weighed!

The doc mentioned formula top ups as a possible solution, but I know I've got loads of milk, it drips out at every feed and I'm soaked. Just need to get more of it into her, but she doesn't seem that interested in massive feeds.

Another weigh in on Thursday. Fingers crossed it goes ok.

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