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Infant feeding

Any advice please we are getting desperate, baby being sick after BF.

30 replies

shouldIbecrossaboutthis · 16/10/2012 10:02

My baby is 11 days old today, he is putting on weight and has 8-10 wet and dirty nappies so the midwife says there is no problem and my latch is fine.

But my baby is properly projectile sick (not a posset) we need to change his clothes, mine, his blanket the muslin etc it's a lot of milk coming back up :( this started on day 5 and happens 2/3 times a day.

It's making me really upset and worried, I'm too scared to feed him incase he is sick again. I spend my time winding him then he is frantic and gulpy hen he latches on. But if I don't wind him first he often is sick within 7/8 mins of feeding while still latched on.

He also seems full of wind and so I wind him everytime he pulls off coughing and I wind him at the end for ages but he hardly ever brings up anything, maybe one within 5 mins but then spends the next 30/45 mins moaning, grunting and wriggling before finally getting hiccups or vomiting or doing a big poo.

He goes about 3-4 hrs between feeds but yesterday went about 2-3.

Does anyon have any idea what could be causing this? He hates going on his back bless him :(

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tiktok · 16/10/2012 11:01

It sounds as if you don't need to go so strong on the winding - most babies don't actually need winding. What does 'seems full of wind' mean? Just let him come off if he coughs and let him deal with it. Stop winding him at the end of the feed - it doesn't seem to be helping :) A baby liable to throw up really doesn't need the patting and rubbing that constitutes 'winding'.

Wriggling and grunting sounds not very peaceful - you'd need to ask someone like your HV or midwife to observe (or take a little film clip on your phone and show it). It's hard to tell from your description if this is within normal or not.

Ditto with the vomiting - some babies do bring up large amounts and it can look alarming, but it's still normal! Projectile vomiting needs checking out, but in most cases the baby is fine - it's a laundry problem not a feeding problem.

The chances are pretty strong that all is well, your baby is still new and doing a lot of new baby things as he gets used to being 'outside' but you are sensible to be concerned about it just in case there is something up - maybe ask your HV if your midwife has not reassured you?

Babies who are actually ill or with pyloric stenosis (associated with projectile vom) don't gain weight well, and show other signs of being poorly.

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tiktok · 16/10/2012 11:04

Just to add: if the HV/midwife/doc confirms that all is well, then your next job is to relax about him :)

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ZuleikaD · 16/10/2012 12:01

What tiktok said. Plus, anecdotally, my DD used to throw up handsomely after every single feed, not just three times a day! Bear in mind that a little bit of milk goes a long way (pour a tablespoonful onto your kitchen floor and see how far it spreads) so although it can look like pints and pints coming up it's generally just the excess, barring any medical problems. As tiktok says, it's generally a laundry issue, not a medical one.

I wouldn't bother trying to wind him. I was told that if it's going to come up it comes up - there's not much you can do about it.

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MigGril · 16/10/2012 12:45

also try keeping him upright for 30 minutes after a feed, he may be less sick then.

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shouldIbecrossaboutthis · 16/10/2012 16:03

Are you really sure it's ok? Should I stop or continue feeding him after he is sick?

He hates being on his back anyway so we do keep him uPright after A feed I will see if keep him upright for longer helps.

Full of wind just means arguing his back when I'm feeding him, bring his legs up to his chest and although no crying just making unha

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shouldIbecrossaboutthis · 16/10/2012 16:04

*unhappy grunting noises

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tiktok · 16/10/2012 16:12

Many babies want to feed after they have been sick - they need to replace milk if more has come out than should have :) and they enjoy the soothing comfort and closeness if they have felt a tad uncomfy. So yes, offer him a feed again.

Arching back, grunting, etc etc could be anything - it could be him just wanting a break from feeding, wanting to burp, wanting to swap position. It's normal in a baby so young as this. If he was very upset or in serious pain he would cry.

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potas · 16/10/2012 16:40

Could it be that you actually have a very good supply at the moment -pulling off coughing is more likely that he is struggling with the speed of letdown rather than wind. Do you have a lot of milk, does it squirt out when he comes off? Hand expressing a wee bit first helps with that as does block feeding.

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shouldIbecrossaboutthis · 16/10/2012 21:45

yes it squirts everywhere and leaks all the time I use about 4 pairs of breast pads a day. I have been feeding him more upright today so he has only been sick 3 times all within 10-20 mins of the feed.

Tiktok, he never really cries, this is why im so worried. I'm not sure he would cry in pain. I'm probably just worried about nothing.

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mawbroon · 16/10/2012 22:06

Some tongue tied babies are sick a lot.

Does he have any of the other symptoms on the list here?

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shouldIbecrossaboutthis · 16/10/2012 22:59

He has 11 out if 35 things on that list. It is quite an exhaustive lost though? Should i go and see someone and get it checked? In 5 days he put on 7oz then day 5-10 another 3oz. Is that excessive weight gain?

It's so confusing! This evening I expressed 6oz of milk an gave it to him in a bottle as last night he took 3 hours to settle and then needed another feed within 1 hour of being asleep. He drank the 6oz an than had 13 mins on the same boob I expressed from. He didn't throw up!

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tiktok · 16/10/2012 23:28

should, you say "last night he took 3 hours to settle and then needed another feed within 1 hour of being asleep. "....this is well within normal.

Honestly, it sounds as if everything is pretty ok - without actually seeing what is happening. Babies in pain cry or else 'switch off' looking lethargic and being unresponsive... he does not sound as if he is in pain. Grunting, wriggling, snorting, squeaking, are all normal new baby sounds.

Whatever is happening, he is not ill and it is a bit too soon to be diagnosing over-supply and block feeding. His weight gain is about average - nothing excessive about it :)

How about going with the flow a few days, mopping up the sick, and feeding him when he wants it - forget expressing, winding, and trying to work out what's happening?:)

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shouldIbecrossaboutthis · 16/10/2012 23:32

Haha ok tiktok I will do my best! I'm one of those types that likes to control everything and get myself over wrought over thinking things! Today I invested in some more muslins, bedding for all of us and a matess protector!

I will give going with the flow a good go :)

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CointreauVersial · 16/10/2012 23:38

DD1 used to do this.

She was a small baby (5lb 7oz), and, to be honest, I think she was over-feeding, taking in too much for a small tummy. The only way to minimise the vomiting was to stop regularly to wind her, but sometimes it was unavoidable. And yes, she was immediately hungry for more! After a couple of weeks it settled down, although she was possetty until she was eight months or so.

As Tiktok says, you do have to go with the flow a little; if there is weight gain and wet nappies you probably don't need to worry.

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armedtotheteeth · 16/10/2012 23:41

It sounds like you have a good supply and your baby is taking full advantage!

Congratulations on your new baby and on getting off to such a good start with the feeding (really!) Smile Thanks

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renlo · 16/10/2012 23:46

My daughter did this too from around 4 weeks. We still have milk stains on the bedroom roof, honestly her trajectory was impressive! After testing negative to pyloric stenosis(?) she was diagnosed with reflux and prescribed infant gaviscon. It was a massive pain in the bum trying to get her to take it prior to a feed as I also breastfed her but we persevered and it did make a difference. I also got a wedge cushion for her to sleep on and this helped too. Go and see your GP, my HV was clueless in this aspect but my GP was spot on (he ordered the pyloric test to rule it out, was horrible them trying to get blood from her, I actually cried and I'm not normally overly emotional. Even now it still makes me quesy, awful awful test!)

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aimingtobeaperfectionist · 16/10/2012 23:50

Like others have said, if baby was not well you would KNOW. You wouldn't be wondering. Baby would be crying hysterically all the time or not with it at all. My brother had pyloric stenosis and he literally just slept. Nothing else. My mum had to wake him to feed him an he woul bring all the milk back up but it wasn't like normal sick. Honestly, you'd know. My baby is a sicky baby (slight tongue tie/ strong letdown/just how she is) and it worries me so much but she gained weight well, was alert when awake and had plenty of wet and dirty nappies. She's 5 months now and still sick, that's just how she is. I know it's very worrying so ask your mw/hv or gp if you're not sure- thats what they're there for. Buy plenty of muslins and baby wipes Grin and be prepared for lots of washing. Congrats on baby.

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armedtotheteeth · 17/10/2012 03:36

Pyloric stenosis is not common, starts at 2-4 weeks and the baby fails to gain weight. (I only know this because I just googled!)

This baby started vomiting at 5 days and is putting on weight well. This is perfectly normal, very common, and does not suggest any problem at all.

Please don't worry op Smile

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Walkingchloe · 17/10/2012 04:12

Congrats on new baby!

My Ds was exactly as you describe and as a ftm I didn't have a clue that its all perfectly normal and just signs of being a tiny new human being getting used to being outside in the world. I was so worried by the sick and fussiness at the breast that I called the NCT breast feeding helpline on a Sunday evening. They were brilliant and reassured me that everything was well within normal limits. Ds is 3 months old next week, god how time flies!

Enjoy every possible moment as they don't stay tiny or quiet for long! I thought Ds didn't cry but he found his voice a few weeks ago and puts it to good use occasionally now!

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shouldIbecrossaboutthis · 17/10/2012 15:10

Thanks everyone! Today has been much better no sick at all! Woohoo

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senoritachiquita · 17/10/2012 15:18

thats great! Just wanted to add my voice to those who say this is normal. My DD used to projectile vomit at least once a day during or after BF - I think the milk just came out too fast for her. But as she never seemed distressed by this and was still putting on weight, /i figured she was fine. Around 3 months she grew out of it (thank god as I was getting seriously tired of changing her and my clothes constantly!)

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ZuleikaD · 17/10/2012 17:14

I remember one occasion where DD had just had a feed, and I handed her over to a friend for a cuddle. He lifted her up over his head (which she loved) but she decided to do a full-feed-upchuck and it was literally as though he'd lifted up a jug of milk and just poured it over himself.

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MainlyMaynie · 17/10/2012 17:37

My DS vomited in my sister's mouth. He vomited all the time and had green poo. At one point he was gaining a pound a week. He was and is fine, I had oversupply and he loved feeding! A vomitty combination.

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showtunesgirl · 17/10/2012 19:25

DD who is 11 months next week used to vomit up one feed a day and it was like the Exorcist but with BM. Grin She was never unhappy when it happened and afterwards just demanded more milk!

She too also came off when the flow was too fast but after a while it all calmed down and she was able to cope with it. However, I "lost" many tops due to excess milk spraying everywhere.

Might I also suggest buying two mattress protectors so you can alternate them?

What also saved my bacon was this sheet mattress protector from Ikea which I would put on the bed underneath her when feeding lying down. Many times she would have her last feed before bed and then spew everywhere and this sheet contained all or most of the feed.

And don't worry, my DD grew out of it at about 4 months.

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shouldIbecrossaboutthis · 17/10/2012 21:02

thanks for the ikea link, I'll definitely get one of them. I've mainly been feeding on an absorbent maternity sheet thingy! Good thinking about the mattress protector too!

Love all these tales of puking babies, making me feel a lot clamer Grin

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