Bringing up food constantly!(16 Posts)
I hope someone can reassure me or give me some insight into my ds's eating habits.
He is a great eater and will try anything, is really enthusiastic and has refused very little. He has had reflux from the beginning which did improve slightly when we weaned him at 6 months. He is now 10 months, just over 16lb (8lb2oz at birth) and at least 5 days out of 7 he is sick. Food just goes in and a few minutes to up to half an hour later it just pours out. He doesn't retch, it literally silently pours out. He doesn't seem unwell and is generally quite happy once he has been sick. His sick is also very mucous like. He isn't listless and is very active.
His weight gain has been slow from the beginning. Prior to weaning he would gain approx 4oz per week, my hv said he should have been gaining 8oz per week. Once on solids he didn't gain anymore, for a while he stayed at gaining 4oz per week, then at around 8 months he had a wee jump which equated to gaining 8 oz per week over a 4 week period. After this he took the first of many colds and lost a bit of weight approx 10oz over 4 weeks. He is only oz's heavier now than he was in November.
I have spoken to hv's and doctors and they are unconcerned. My worry is not the actual figures that he weighs but that he is getting enough nutrition. He is breastfed morning and evening and is offered a bottle during the day which he mostly refuses. The most he will take in formula is 4oz on a good day and sometimes sicks it back up again.
I do give him a multivitamin. Yesterday for example he had porridge for breakfast which he kept down, lunch he brought up, he had a little fruit puree in the afternoon and he refused to eat dinner. I later tried a yoghurt (soya as he doesn't seem ready for dairy yoghurts as always sick with them) which he kept most down and offered more porridge which he refused.
I'm sorry this has turned into an essay! Does this seem normal? Should I be worried about his nutritional needs so much? Is there any other approach I can take to this?
Haven't got any experience but have seen threads on here before where refluxy babies vomit when weaning.
Just try to remember that food is for fun for most babies at this age. If you are concerned about his weight or nutrition, could you up the number of bfs?
Thanks for your reply.
He would happily be bf all day! I'm back at work now so I bf mornings and evenings and for the past few months he feeds a few times during the night but it seems more for comfort then.
I spoke to my hv today and she is seeing him on Fri so hopefully will get some advice there.
Don't think it is for comfort, he could just be hungry. You might want to ring one of the bfing helplines too before seeing your HV
Sounds like it could be a problem with dairy and soya. Quite common with reflux children. Why don't you try to use Oatly Milk in the porridge for a week to see if any improvement. Rice milk isn't recommended in children under 2. My boys both had reflux and were under the care of a hospital dietitian. Your GP or Heath visitor can refer you. Did it get worse when you introduced the bottle or dairy/soya in diet? The dietitian can give you a special formula if you want to reduce breastfeeding. We used Nuramigen. Some sympathetic GPs will prescribe also (My sisters GP gave her it)
If you are worried about vitamins continue with the multivit. Also why don't you swap porridge for ready brek as it if fortified with loads of Calcium(recommended by my dietitan)
The reason I don't think he is hungry during the night is that he feeds for a few mins at a time to fall asleep and will sleep on or next to me but will wake if he is in his cot or possibly cold as he does kick the covers off!
I give him Aptamil porridge and it's made with water. So far I haven't used full fat cows milk in anything for him yet...I'm a bit apprehensive doing that even though the guidelines suggest it's ok to cook with as long as it's not given as a main milk. I will look into the Oatly milk thanks and try ready brek. I did think about rice milk but didn't realise it wasn't suitable for under 2's! I also tried him on weetabix with some formula which he liked but quite often he couldn't keep it down.
Don't think that feeding for just a few minutes each time means he's not hungry, especially as he's having 2 bfs a day. You might want to discuss this with a BFC though, try the national bfing helpline.
Why are you apprehensive about using cows milk in cereal or cooking? Is it because he is sick with the yogurts? Has he been checked for a dairy intolerance?
Yes basically because lots of things make him sick but especially yoghurts. He hasn't been checked, I'm hoping my hv on Friday will give me some contructive advice other than oh it's a lot to clean up!
Maybe he is hungry during the night but he settles and sleeps fine for dh and he doesn't feed him. Ds is very clingy with me so that's why I'm thinking it's more comfort than hunger. I may be wrong though.
Yeah you could be right on both counts. I'd try to push for a referral on Friday. Sounds like he could do with some allergy testing.
Sometimes they just associate mum with milk and comfort too, so you could be right on that one too
Thanks for all the advice...it has certainly given me some things to think about and questions to ask on Friday.
Also think your HV is really wrong with the weight gain. 8oz a week below 6 months is way above average. 5 to 7 is tge average, so he was just under the average at this age. Have a look here.
I'd also get her to do his height and weight and plot them in your red book. It should give you sone idea of whether he is keeping to his centile, whether he is in proportion and if his weight gain is average or just normal for him
Thanks for that link, that's interesting and does contradict my previous hv. If he was to gain 8oz per week he would be massive and whilst he is a bit small at least he is active and mobile.
We have, yesterday and today, tried to feed him more but smaller portions and so far has been quite good....I'm not sure if this is coincidence or not but anything is worth a try!
My hv did say she would plot his weight/height and take it from there. My concern too is that he is following his line but continues to be sick...they may not see it as a concern if on paper he looks ok. I will push for more support and a bit of direction though.
Forgot to say that you can order Nutramagin from boots without a presciption. Think it's £14 for a 400g tin half the size of normal. Or online Nutramigen 2 for ages 6 months over online chemistIt also smells like Smash potatoes and certainly doesn't taste like normal formula.
Just thought I'd say encase you have an unsympathetic HV.
The Oatly milk isn't recommended as a main source of milk until a baby is 2, just for use in breakfast or as a supplementary drink to breast or bottle.
We have a puker here also. Also thinking it may be a cows milk intolerance.
I have been avoiding dairy as bf and it seems to be getting a lot better. However we have started weaning and was going fine until we introduced porridge this week. The aptamil porridge we have is a make with water also but when I looked at the ingredients top of the list is skimmed milk... Puke everywhere again so I am off to speak to hv/doc and take it from there.
I hope you get somewhere with your hv. It is frustrating.
My ds isn't consistent with a dairy intolerance, he is mostly ok with the porridge it's yoghurt that seems to be the worst offender.
We are trying smaller meals now and more of them to see if it makes a difference. Today has went quite well so fingers crossed!
My DD has had reflux since she was a baby. She used to vomit exactly the way you describe, but with breastmilk. Once she was weaning it was nowhere near as bad. Now she is 5 and she still has reflux, but it's silent reflux, where it comes up into her mouth and she swallows it back down again. She has tried Gaviscon and similar medications but they didn't work. The current one, which is working, is DOMPERIDONE. As far as I know, this tells the digestive muscles to move the food down quicker. Her reflux is worse as the day goes on - we were told this is because she's eating more food but the food in her stomach from previous meals still hasn't been digested. Also, she gets it worse when drinking milk or eating yogurt in the evenings, but fine first in the morning with cereal.
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