9 day old baby keeps bringing his milk up.(56 Posts)
Hi everyone, my 9 day old baby is exclusively breast fed and throughout the day he has continually been bringing up his milk. The worst though has been just now when after his feed he had 4 episodes of vomiting and bringing up large volumes of his feed. I know people say it always looks more than it is, but I'm pretty sure the whole feed has come back up. Whenever he is sat up after a feed he brings some up and whenever he is winded he brings some up. He also brings milk up when he's asleep. It isn't a projectile form of vomiting but his whole mouth will fill with milk and it will just pour out.
I'm trying not to panic but it's my first and I have no idea what I'm doing really.
I'm going to wake him two hourly for feeds to ensure he's getting something in him but I don't even know if uh is is the right thing to do. At what point do I need to start worrying that something is wrong?
No problem - it took me and DH a while. To perfect the technique but it has worked so well. The last 2 nights DS has been like a different baby, so much more settled at night and he continues to keep his feeds down
Thanks - that's a brilliant description and I'll give it a go!
The winding technique she showed was to sit him sideways across her lap and really lean him forwards and support his airway by holding his chin. She then put the palm of her hand at the very, very base of his back, literally where his buttocks start and rubbed really hard and slowly for about 10 times. Then she sat him up so he was still sideways on her lap but now upright and then she kept swaying him from side to side, kind of like rocking him...I.e bringing him towards her chest and then rocking him back away from her. She did this about 10 times too. Afterwards he returned him to an upright position and just left him sitting there and he would always do a big burp. If he hadn't burped within the minute she would repeat the cycle.
She also lay him on his back and rubbed the sole of his feet - again he gave a massive burp. Apparently there is a pressure point in their feet that triggers this response.
Hi Writer - it all sounds much improved. It might be worth slowing down on the expressing for a bit (unless you are in a lot of discomfort) so your body doesn't overproduce.
Congrats on your new baby - I hope the delivery all went well, I seem to remember that you were very nervous about it.
Glad it's going so well - if you get a moment, could you share the winding techniques please? DS2 is making trapped wind (and the resulting chucking - I was thrown up on 4 times before breakfast yesterday!) his specialty at the moment and is reluctant to part with the precious wind!
Sorry to hear about the antibiotics - I had to have them about a week after my CS with DS1 as I had a wound infection and obviously DS1 got a little bit through my milk. Other than upsetting his tummy a little, it just gave him a bit of thrushy nappy rash that we got some canesten cream for; took a wee while but cleared up and didn't really seem to distress him. No idea if giving them direct might have the same effect but just thought I'd mention it so that if it does you know it's not unusual and can be easily remedied.
Hope he feels better soon
We've had 24 hours now of him keeping all his feeds down. The Midwife thought his vomiting was because of trapped wind and she showed me and DH some really good techniques to get rid of the wind and it has made a huge difference!!
However, he's been put on antibiotics today by the GP as he has an infection under one of his thumb nails I'm gutted at the thought of him being on antibiotics at only 12 days old
The Midwife and HV have just left and they were both very reassuring. His weight gain is going well and he has put on another 5oz in 5 days. That's a total of 10oz in 10 days
He's only 2oz away from getting back up to his birth weight now
Haha bless him!!! My dd did that to my mum atvthe weekend!
Well he woke himself up for his 11pm feed, which I'm just about to give, and he has just done a massive wee on my DH So at least I know he isn't particularly lethargic or dehydrated....
Good luck hun and please try not to worry (as first timer. I worry about everything!)
Let us know what the mw and hv say xx
Thanks Ginger, I have just fed him again but I had to wake him for it. He only fed for 15 minutes again, though. I know that's a perfectly acceptable time. I think I'm driving myself mad with worry. He's dribbled up a little bit again but it was when he was pushing/straining. Normally I leave him to sleep overnight and just wait for his cries to wake me for feeds but I'm thinking that tonight I'll wake him 3 hourly for feeds so I can monitor things.
My dd was exactly the same and I worried so much. She was like a milk fountain and cluster fed for a good 4 hours each night
then brought half of it back up again
She never lost any weight, was born on the 98th centile and stayed there for a good 4-5 months.
They can overeat very easily as they comfort at the breast too. They just let the excess come back up.
You'll be here in a couple of months advising another new mum on the best clothes to wear to camouflage milk stains
We'll I've just sat him up, he burped, and although he didn't vomit, milk started dribbling out of his mouth. His dad isn't worried but he's a very laid back guy, me on the other hand am spending my time thinking off all the worst case scenarios
Don't worry about the winding - the best way to wind a baby is to keep them straight and upright to allow the air to surface - rubbing backs isn't the most effective way. This is why colicy babies are often calmer with their dads - dads have naturally straighter bodies so can hold them in a more natural position.
DS used to vomit torrents of milk. I was convinced he would waste away, but he piled the weight on. He was just battling against my oversupply and fast let down.
Biological nurturing or laid back breastfeeding worked well for us, as he could control the flow better.
It also usually gets better over the course of a day as your milk gets fattier and thicker as the day goes on and seems to stay down better.
From a practical point of view, I used to do nappy changes before feeds - lifting a bum in the air would tip milk back out, and wear only underwear at home - skin is easier to clean than clothes.
If it gets bad or you're worried, always seek medical advice though.
I'm not too bad - just quietly fretting about him.
I just put him to the breast but he didn't feed for very long, maybe just under 15 minutes. He is now asleep at the breast and I'm so reluctant to move him in case it triggers a vomit.....but at the same time I know babies have to be winded. I just hate this constant feeling of not knowing what to do for the best. Part of me wants to wake him and encourage him to feed again so he doesn't get dehydrated (based on the quantity of milk he bought up following all his earlier vomits) but then the other part of my brain tells me to stop trying to get him to drink because he'll just be sick again.
Being a parent is too hard - there's so much self doubt
Pyloric stenosis does tend to be proper projectile vomiting and the milk is different too, sour (not just bits in) and sometimes a funny colour.
He's probably just wolfing down your lovely milk and the feed often at this point to increase your supply (!!).
Just keep an eye on him, keep towels around you and lots of muslins/wet wipes.
Are you feeling ok?
If he does have a touch of reflux he will want to feed more often though.
The reason being is that the acid is uncomfortable, breastmilk is an anitacid so it's soothing.
If he's very upset with it they may offer something like infant gaviscon, which is tricky to give a breastfed baby. It can cause constipation and it generally isn't any more effective then keeping them upright for 30 minutes after each feed.
There are more effective medications that can be given if he's more upset with it and causing more problems.
Try not to count to much how many feeds he's having. You would expect at this age at lest 10-12 feeds in 24 hours some will have less some will have more. And as they regulate the flow at the breast themselfs the amount taken at each feed tends to vary quite a lot to even if the time spent there is the same.
Trust him to take the amount he needs when he needs is, timings and patterns are going to change from one day to the next at this age.
Which is why feeding on cue is so important to start with too, establish your supply.
It isn't projectile in that it shoots out a distance - it just pours out his mouth and en down the front of his face and clothes. We bathed him afterwards and then he was screaming as though he wanted more milk and I just didn't know what to do....what was the point if he is just going to bring it back up because he's full? I managed to rock him off to sleep and I'm going to wake him at 5 for a feed and see how he goes - if he starts being sick again then I will ring the GP.
Congratulations on your baby!
How projectile is the vomit? It probably is reflux etc, but ds1 had pyloric stenosis and all the HV/drs said it was reflux until they actually saw him vomit. It's a distinctive distance if it's PS. More common in boys and first borns I believe...
Even if it was, (which it probably isn't) it's a v v small op.
Hopefully you're reading this when he's kept a big feed down and there's no problem anymore.
Ds was like this until he went onto solids. Completely normal and happy in every other way, put on weight etc. Is your ds putting on weight? It seems odd to say but in some weird way it seems to have strengthened his stomach. He's now 3.4 and has never vomited (or even had diarrhoea) since I weaned him! Does your ds sound uncomfortable when he's asleep at night? Could be just that he's a bit refluxy. Please try not to worry too much.
I think I spoke too soon.
He just had another feed and then the vomiting started again - he has bought up lots of fresh milk!!
I think he's just over feeding!!
It was his fourth feed in 4 hours and each time he has a feed he is at my breast for 15-25 minutes and sucks continually.
The feed I have just given (13.30pm) was his 8th feed since midnight and when I compare that to yesterday his 8th feed was at 20.15pm!! So he's 7 hours ahead because he's been feeding every 2 hours today.
If I can express 70mls in 10 minutes then I dread to think how much milk he is downing in his 25 minute feeds?? Let alone doing it two hourly.
He's really happy in himself, his nappies are normal.....it's just so worrying though.
Bring up small amounts of milk can be quit normal in babies. I think what you've got to remember is that it's not the same as being sick as an adult which is wholly unpleasant and as long as he's not unhappy with it and its only small amount of mainly fresh milk. he's still giving lots of wet and pooy nappies. stools should be yellow and runny at this age. Then it's probably within in normal.
Only if it's large amounts of milk needing you both to change cloths, he's really upset with it and his nappies are not nice and wet then you should worry. This may also effect weight gain.
It can be a worry too start with but babies guts often aren't fully mature and bring up milk when little until they mature fully is normal. keeping him upright for 20-30minutes after a feed should help. It may also be a slight over supply in you to start with which should settle down in time.
He's continued to do well this morning and I'm feeling much happier.
I've got the midwife and the Health visitor coming tomorrow so I will discuss it with them. I'm looking forward to getting him weighed as in hospital he lost just under 9% of his birth weight in 48 hours. He was weighed again when he was 6 days old and had gained 5oz which was brilliant so I can't wait to see how much more he has put on. I'd love it if he was back up to his birth weight - hopeful I know.
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