9 day old baby keeps bringing his milk up.

(56 Posts)
Writerwannabe83 Sun 30-Mar-14 16:54:15

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?

derektheladyhamster Sun 30-Mar-14 16:59:32

This happened with my first - there wasn't any problem with him. I do remember mentioning it to the midwives who didn't laugh but they probably wanted to

Lots of muslin and spare clothes needed, and I think he had reflux (which no one had heard of 14 years ago) he certainly had colic and was very uncomfortable sad

With hindsight, my breasts letdown very fast and quickly, which might have caused the problem. I leaked loads with ds1 in comparison with ds2.

Congratulations on your new baby grin

Nosleeptillbedtime Sun 30-Mar-14 17:02:08

He might have reflux or food intolerance. Why not chat to your gp if you are worried?

derektheladyhamster Sun 30-Mar-14 17:05:31

it is unlikely he's bought the whole feed up though (tip 4 oz of milk on the floor and you'll see how far it goes!)

nldm1 Sun 30-Mar-14 17:09:12

We had this with both of ours. Both exclusively BF. The MW and HV both called it posseting, which I had read was bringing up a small amount of milk. This wasn't small! It looked like the whole feed, but the MW and HV both saw the amout DS and DD brought up and assured me all was fine. Both of them kept on having plenty of wet and dirty nappies and kept putting on weight and these were the points I was told to keep an eye on rather than what they brought up.
Babies enjoy suckling in addition to their feed so it stands to reason that if they are suckling on you, they will take in more than their little tummies can handle. Keep plenty of cloths handy and keep an eye on nappies and weight gain, but try not to stress. Some babies are just messier than others :-)

Writerwannabe83 Sun 30-Mar-14 17:11:01

Thanks derek - When I'm feeding off one side the other breast leaks and when I express I'm able to get over 3oz in about 10 minutes so I do think I have quite fast flowing milk and do wonder if he's just taking too much in?

I'm just such a nervous wreck over it it, convinced there is something really wrong with him etc. Are we supposed to ring the community midwives for advice when we are worried about our babies?

I have a feeling I'm going to end up down the GP surgery tomorrow....I don't want to be seen as over-reacting but I'm just worried sad

GingerRodgers Sun 30-Mar-14 17:16:50

Congrats on your baby boy writer thanks

Dd was like this and I freaked out. Lasted until about 6 months (sorry) and basically I had a LOT of milk and she like to feed a lot.

Keep an eye on how many dirty/wet nappies there are. Also, how much he is sleeping. If you have to wake him all the time or if he seems drowsy all day and night.
If the sick starts to smell or look curdled also.
How's his weight?

If you simply don't feel this is right go and get him checked, better safe than sorry.
My brother had pyloric stenosis and needed an op but was fine after.

NorthEasterlyGale Sun 30-Mar-14 17:16:51

My DS2 (5 weeks old tomorrow) suffers badly from trapped wind and has a tendency to bring up milk after a feed too. It got worse over weeks two and three and then I decided to block feed as I have oversupply and an over-active let down (had same problems with DS1 but didn't know how to solve it), and that seems to have helped a little over the last couple of weeks.

I worried myself daft with DS1 but this time I'm more concerned about the number of muslins I'm getting through and the fact that I constantly smell of second hand milk grin

We're taking the view that he's a guzzler - eats what he needs then takes 5% more just for the fun of it!

As long as he's gaining weight, having a good nappy output and his mouth is moist and his skin returns flat when gently pinched, you know he's getting enough to eat and his hydration is good. If you're worried thought, have a chat with your GP.

Writerwannabe83 Sun 30-Mar-14 17:34:36

He was weighed last Thursday by the midwives and he'd put on a good amount - but he wasn't having vomiting issues then. He is being seen by them again on Tuesday so his weight will no doubt be checked again but it feels like a lifetime away.

He is always sleepier in the day as opposed to night - he makes up for all the lost sleep that he doesn't get when he's wide awake for 3 hours every night. I woke him at 15.45pm for a feed and he's still awake now....gurgling away in his Moses basket.

He's having wet and dirty nappies. I think he had some diarrhoea overnight but his stools seem back to normal today. He cluster feeds a lot overnight and I do wonder if this is reflected in his runny nappies because he can be feeding off me for hours constantly.

Most of the milk he brings up is clearly the fresh milk he has just taken from me but there is also some bits of much thicker and whiter milk too as though it's been semi-digested.

GingerRodgers Sun 30-Mar-14 17:37:33

That does sound like dd as opposed to what my mum said about my db.

If you are worried, take him to see someone, even a&e. They will have seen people for less than this and they'd rather see a worried mum and baby and put your mind at rest.

Are you getting lots of wet nappies? Has his soft spot sunk?

Sorry you have answered the nappy one. blush

RegainingUnconsciousness Sun 30-Mar-14 17:45:17

DS was like this. We were told many thrones that babies posset, and it's probably normal.

When he was 4 months he was diagnosed with reflux. He'd been fractious, screamy, angry and generally hard work. The gaviscon turned him into a different baby almost overnight.

If you think it's reflux, trying gaviscon won't cause harm if it's not. And won't disguise pyloric stenosis. Do insist on help sooner rather than later. We had a tiny baby in pain for 4 months. sad

DS2 had Pyeloric Stenosis at 4 weeks. the vomiting got progressively worse and more projectile, then had specks of blood in. His soft spot sank and the nappies dried up.

If in any doubt I would ring for advice Writer.

Writerwannabe83 Sun 30-Mar-14 17:58:12

Who are we supposed to ring on a Sunday night though? sad

I've felt his soft spot - doesn't it have a natural dip in it anyway?? How do you know what's sunken and what isn't?

I've just put him back on the breast and he's suckling but not taking a full on feed - but it's only been 90 minutes since he finished his last one. I kind of thought he might be hungry again due to vomiting quite a bit up from his last feed.

I just wish they came with a manual sad

GingerRodgers Sun 30-Mar-14 17:59:34

Are you still able to ring labour ward with him being so new?

I would ring 111 and discuss it with them.

Paloma12 Sun 30-Mar-14 18:01:23

You can ring out of hours - just ring your surgery and there'll be a message with a number to ring, or ring paediatric a&e at your local hospital.

NorthEasterlyGale Sun 30-Mar-14 18:03:52

It is nerve-racking, I know. DS2 lost a lot of weight after birth and they were talking about a feeding plan if he didn't gain enough, which he fortunately did, but I was on edge for the first couple of weeks; totally obsessed with feeding and weight gain!

I think newborns do sleep more in the day and will therefore feed more at night - think I read it was 'cause they're used to mum's motion lulling them to sleep during the day before they're born. He'll change it round eventually. Think there's also a growth spurt around 7 - 10 days so he might be cluster feeding for that.

Definitely worth checking out reflux if you think his symptoms fit it - in retrospect I believe DS1 had silent reflux and he was very miserable; really wish I'd checked with a GP just in case.

NorthEasterlyGale Sun 30-Mar-14 18:07:30

You might find this worth a read...

LINKY

Writerwannabe83 Sun 30-Mar-14 18:30:02

Thank you for that link, it was interesting to read.

Baby has just fed for 20 minutes and fell asleep at the breast. No vomiting as yet whereas normally he does it either whilst feeding or straight after. I haven't moved him off me yet though, too scared to change his position in case the movement makes him be sick. I really want to check his nappy though...

I will see how things go following this feed and will ring for advice if he is sick again. Are out of hours doctors on call 24 hours?

If you ring the Doctors out of hours they tend to have a recorded message saying to ring 111 Writer.

Round here you either then get a home visit or more often than not asked to go to the OOH place (attached to the hospital) or A&E depending. With your baby being so young they may suggest A&E as a precaution.

Please don't sit there worrying, just ring. x

NorthEasterlyGale Sun 30-Mar-14 18:56:11

Don't be nervous about calling 111 if you need to - we did one evening when DS1 was a similar age (he wouldn't take his bottle and was hard to wake - think it was a case of us not realising how deeply babies sleep rather than an actual problem grin) and they advised us to go to A & E (think they always do when young babies are involved) which we did. The staff were lovely and put our minds at ease. We've also been to a walk in centre with him at a weekend about something else - they were lovely too.

Hope you feel more at ease soon.

Writerwannabe83 Sun 30-Mar-14 21:17:21

There seems to be some improvement in that he didn't vomit following the feed I mentioned earlier and he fed an hour ago and has kept that down too. He's also had a wet nappy and two dirty ones. He's currently wide awake in his Moses basket and probably will be for the next 7 hours if his usual behaviour is anything to go by.....

GingerRodgers Sun 30-Mar-14 21:48:07

That's good writer. Just remember, if at any point thought you feel really worried, take him up to a&e. Don't wait for the morning. Hope you manage some sleep!

wheresthelight Sun 30-Mar-14 22:26:46

Definitely sounds like your milk flow is too fast for him to deal with, try expressing a little before you feed him to let down the pressure a little bit and see if that helps.

But I wouldn't worry too much about his weight, they tend to keep more down than you think! Dd had a really nasty virus which caused lactose intolerance for about 3 weeks and caused her to vommit a massive amount! iI was convinced that she must be like the magic porridge pot there was that much but she maintained her weight so she must have kept some down!

Hope you get some sleep!! If you are really worried ring uour out of hours service they will always see such a young baby!

VioLetsMum1 Mon 31-Mar-14 00:47:42

I had this with my baby. I think it was reflux. In the end health visitor wouldn't do anything about it and told us not to worry just keep upping her milk. We did that she struggled to put on weight loads and even though healthy was still below average on the centile chart. I chose to wean her at 4 months because she just couldn't take the milk. Best decision I ever made to go with what my gut told me and not what the health visitor said (really made her angry, threatened us with ss over it, as said we were neglecting her by weaning her so early. But I only stuck to baby rice and mushed up rusks in milk.) Soon as we weaned her the vomiting stopped and she put on loads of weight. My tip for you if you can't get anyone to do anything about it and have to live with it for a while, don't bother with baby bibs anymore. Get some tea towels on the floor and next to you where ever your sat for any splashes, then use one instead of a bib on baby. I found it alot easier to maintain then. Best of luck x

Writerwannabe83 Mon 31-Mar-14 09:33:46

Morning everyone,

We actually had a really good night : he fed well and woke himself for feeds in appropriate time frames. He had a few little possety moments but no vomits. Also had more wet and dirty nappies.

I'm feeling much calmer now - thanks for all being there to offer reassurance and advice thanks

NorthEasterlyGale Mon 31-Mar-14 09:55:23

Glad you had a good night smile

Dannygirl Mon 31-Mar-14 10:05:22

DS2 is 7 weeks old today and we had exactly the same thing as you describe at around 3/4 weeks. I did take him to be checked out for my own peace of mind (we are lucky to have an NHS walk in paediatric service near us, or you could go to paediatric a&e) but they said as long as he is doing plenty of wet and dirty nappies, gaining weight and doesn't seem in lots of discomfort, he is probably just taking too much milk (I have a fast let down too). It lasted only about a week in total, and although he still brings milk up after every feed it's much more like possetting than vomiting now. Hopefully it will sort itself out soon and congratulations on your baby.

wheresthelight Mon 31-Mar-14 10:27:40

Glad you had a good night hun!! Hopefully the worst is over but make sure you get him checked over just in case xxx

Writerwannabe83 Mon 31-Mar-14 12:31:04

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.

MigGril Mon 31-Mar-14 14:14:22

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.

Writerwannabe83 Mon 31-Mar-14 14:36:06

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.

matana Mon 31-Mar-14 15:48:26

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.

ApricotExpat Mon 31-Mar-14 15:55:00

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.

Good luck!

Writerwannabe83 Mon 31-Mar-14 16:37:34

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.

MigGril Mon 31-Mar-14 16:51:47

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.

MigGril Mon 31-Mar-14 17:03:00

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.

GingerRodgers Mon 31-Mar-14 17:08:27

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?

Writerwannabe83 Mon 31-Mar-14 17:14:33

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 sad

dannydyerismydad Mon 31-Mar-14 17:26:42

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.

Writerwannabe83 Mon 31-Mar-14 17:33:51

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 sad

GingerRodgers Mon 31-Mar-14 19:46:58

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 wink

Writerwannabe83 Mon 31-Mar-14 20:29:59

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.

wheresthelight Mon 31-Mar-14 21:55:01

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

Writerwannabe83 Mon 31-Mar-14 23:04:51

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 smile So at least I know he isn't particularly lethargic or dehydrated....

wheresthelight Mon 31-Mar-14 23:10:11

Haha bless him!!! My dd did that to my mum atvthe weekend!

Writerwannabe83 Tue 01-Apr-14 13:13:09

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 smile

He's only 2oz away from getting back up to his birth weight now smile

NorthEasterlyGale Tue 01-Apr-14 13:39:50

Great news!

Writerwannabe83 Wed 02-Apr-14 21:03:27

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 sad

NorthEasterlyGale Thu 03-Apr-14 07:14:39

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 smile

oscarwilde Thu 03-Apr-14 12:58:45

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.

Writerwannabe83 Thu 03-Apr-14 13:00:39

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.

NorthEasterlyGale Thu 03-Apr-14 13:19:46

Thanks - that's a brilliant description and I'll give it a go!

Writerwannabe83 Thu 03-Apr-14 13:23:00

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 smile

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