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Mumsnetters aren't necessarily qualified to help if your child is unwell. If you have any serious medical concerns, we would urge you to consult your GP.

Is this worth phoning NHS 24 for?

(31 Posts)
stargirl1701 Sat 02-Feb-13 12:26:20

DD (21 weeks) has silent reflux. It's gotten a lot worse this week. Saw GP on Wed and he upped the dose of Ranitidine. Phoned surgery on Fri in tears and GP suggested SMA Staydown formula.

She took 4oz at 8pm and 6oz at 11pm last night. At 3am, 7am and 11am she has refused to take more than 1oz - 3oz total in 12 hours. Her last nappy was dry. Her Fontanelle is sunken.

What do we do?

AnyFucker Sat 02-Feb-13 12:27:41

Make the call.

Charmingbaker Sat 02-Feb-13 12:27:59

Phone them if you are worried.

aimingtobeaperfectionist Sat 02-Feb-13 12:28:44

Definately worth phoning. How is she in herself? Is she still alert? To be honest, if there was any change in her (floppy, unreactive, hard to wake) I'd be taking her to a&e

ilovepowerhoop Sat 02-Feb-13 12:33:26

Maybe the thickener is making her feel fuller. Did she wake for the 3am feed? I wouldn't be that worried yet as she had taken 10oz between 8pm and 11pm last night. Is she acting hungry? Some babies sleep 12 hours between feeds at this age (mine didn't! )

AnyFucker Sat 02-Feb-13 12:35:09

have you tried her with water in the meantime, OP ?

Sirzy Sat 02-Feb-13 12:38:55

I would take her to A and E where they can monitor her fluid intake/output

Hope she is better soon

stargirl1701 Sat 02-Feb-13 13:27:37

I phoned. We have an appt at 2.30pm with OOH. I just managed to get 3oz into her as she fell asleep. She always eats more if asleep.

stargirl1701 Sat 02-Feb-13 15:35:13

Doc has given us syringes and we've to syringe her feeds in when she refuses the bottles.

Apparently, it's just a stage.

AnyFucker Sat 02-Feb-13 17:50:14


Not too sure about "a stage" but anyway. Keep your eye on baby, and don't hesitate to go back to the doc if you are worried.

fledtoscotland Sat 02-Feb-13 17:53:58

Hope you have phoned. Otherwise I would take her to yorkhill or sick kids (depending on where you are)

ilovepowerhoop Sat 02-Feb-13 18:06:21

You could also try using a beaker for the milk rather than a bottle - either with the lid on or off.

stargirl1701 Sat 02-Feb-13 18:08:44

We're not happy. We plan to return to GP on Mon and push for a referral to a consultant paediatric gastroenterologist.

The OOH doc said if she smiles at stages during the day then she's fine - she's not in pain. The 6 hours of screaming clearly just for fun then

ilovepowerhoop Sat 02-Feb-13 18:15:45

have you tried with the old milk again as it could be a taste/texture issue with the new milk

fledtoscotland Sat 02-Feb-13 18:28:19

If you aren't happy take her to yorkhill

stargirl1701 Sat 02-Feb-13 18:41:23

The problem with the old milk was the vomit - 25-30 times in 24 hours.

Is Yorkhill in Glasgow? Ninewells would be closer.

fledtoscotland Sat 02-Feb-13 18:42:46

Where are you?

ilovepowerhoop Sat 02-Feb-13 18:46:18

have you tried cup feeding?

stargirl1701 Sat 02-Feb-13 18:50:54

We're near Perth. Not tried cup feeding since the days of bf. We have managed to get her to take 3oz 3 times - at 1pm, 3pm and 5pm. She will eat when asleep so using the car to put her to sleep then dream feeding. She also took 3oz at OOH when I walked up & down the corridor and fed her at the same time.

dorapeppageorgenoddy Sat 02-Feb-13 18:55:45

Could be cows milk allergy/intolerance as strong links to reflux - will try and find a link -

But worth taking in if having less than half of normal intake - GPs who say how smiling means fine are crazy - paediatrician don't list smiling as a criteria for ill health -

Hope you are ok -

dorapeppageorgenoddy Sat 02-Feb-13 19:02:33

Just for you to have a look at re symptoms;

Lots on google re; links -

My oldest had silent reflux and all the meds but slowly looked more like cows milk intolerance/allergy and once on nutrimegen was so much better -

Number 2 - very sicky after stopping BF got worse and worse over a week and at a and e they put him on Nutrimegen still was poorly so next day put him on neocate and fine since -

fledtoscotland Sat 02-Feb-13 19:07:35

I would take her to A&E at PRI initially and they can assess her /transfer her to Ninewells if needed x

redwellybluewelly Sat 02-Feb-13 19:11:38

Another with a dc with silent reflux and CMPI, also no soya.

Id start jumping up and down for urgent referral. A friend whose dd had severe relfux found weaning solved issues however I do know that goes against current guidelines. Can take 10-14days to see improvements if you do start hypoallergenic formula.

Balls of steel are whats required here

stargirl1701 Sat 02-Feb-13 21:10:13

Hi everyone. Thank you for your messages. A family friend, who's a paediatric nurse, came round. She doesn't feel the situation is urgent at the moment but that we have to really push for an urgent referral come Monday. She didn't think A&E would do anything we're not doing.

Is it a separate referral for intolerance than reflux or would a gastroenterologist look at both? We have videoed a feed to show the GP on Monday so she can see how distressed DD is.

DH and I are coping - just! We got in a take away because we couldn't face cooking dinner. We'll take the night in shifts in case she's up all night again.

Many thanks for all your ideas and support. It has really helped.

AnyFucker Sat 02-Feb-13 21:13:20

you sound like great parents

I hope you get it sorted, soon

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