baby pukes entire feed

[PukeCatcher]

Just waiting for the docs to open so I can ring for an appt but don't know if I'm being PFB or if it does warrant a visit.
My 8 week old pukes her entire feed once a day. Which feed she pukes varies, can be any. She is breastfed btw
I can't decide if she's just stuffing herself too much or if there could be a problem, but it does seem to happen when she is tired and using the boob to settle.
Anybody had this sort of thing?

Sounds a bit like Reflux. Is she quite sicky with her other feeds?

Yes, quite common, very messy! Hope you've got lots of muslins.

If she's a happy chucker, and is putting on weight, they probably won't be too bothered.

If not, then they will look into possible reflux. Does it help keeping her upright for half an hour or so after feeds?

It could also just be over feeding. I had a very fast letdown and oversupply, so the extra used to come straight back up and over me/the carpet/the chair/visiting guests etc. But dd1 also, I think had a touch of reflux, and is allergic to dairy, so that probably didn't help. I cut dairy out of my diet for dd2 and had fewer problems (well, different problems anyway!).

Try the kellymom website for loads of good info on oversupply and/or reflux tips.

Hi LST, no it just seems to be one random feed, yesterday it was a mid afternoon one, today it was the first of the day, one day last week she had a day off from the puke, which was nice.

Rationalbrain, she is putting on weight but only 2 oz this last week and has dropped below her line ever so slightly. She doesn't usually get upset but she did this morning because she was asleep on my chest at the time.

Just time to strip the bed for the 2nd time in as many days before I can ring the docs, ah well there's nothing like freshly washed sheets.

I feel sick myself now after typing this on a slightly sticky smart phone...

Yes over here! DD would become a milk fountain once a day. The doc said it wasn't reflux as it wasn't often enough and she was quite cheerful after throwing up.

I feed a lot lying down so lost my sheets a lot. What helped was putting down a waterproof sheet under her when feeding so all I had to do was wash the sheet instead of ALL the bedsheets. You can get them for a few quid from Ikea and the top of them is cotton so still comfy for baby.

If it's any comfort, DD suddenly stopped doing it at about 16 weeks when I think her gut matured a bit.

Plastic sheet, thankyou ii hadn't thought of that, I have one that mum gave me for using outside. We've recently got a new bed and mattress and pukey pukerson regularly soaks it, brill idea, can't believe I didn't think of it.

I have a particular top that she seems to have taken a great dislike to, got it on today, I'm feeling confident todays vom is out of the way!

Docs at 10.30, I fully expect to be sent away with a 'this is your first child no?' But I'm going anyway

Also you could try putting a bath towel under baby - DD1 had bad reflux so slept on a bath sheet doubled over (the extra huge bath towels!) for months and she had one in her cot and one on our bed so we were covered

That way I just stripped the towel off if she was sick (or turned it upside down to the vomit was below her feet if it had been a 3 or 4 towel night) and didn't have to wash our bedding.

I got a lot of 'Mrs TruthSweet, you know babies posset after a feed' when I tried to explain it was forceful and very copious (like pouring milk out of the carton at times) and she would scream while doing it (and scream if laid down and not in the pram, scream if a breast wasn't in her mouth, scream if she wasn't being held, scream well you get the idea!). She also used to sneeze a lot which apparently is also a sign of reflux (the acid irritates their throat and nose so they sneeze to clear it out). Our sofa looked like it had been on the top of Nelson's Column and had to take spare clothes out for DD1, me and sheets for the pram.....

We got a diagnosis/treatment when she stopped gaining the tiny amounts she had been and started to lose weight but I really don't think they should have let it get that far tbh. We also used to call DD1 Pukey McPukerson!

Is she unhappy at all during the day/night? Not just while being sick. If she is a 'happy spitter' and gaining weight the Drs (almost certainly in my experience) will do nothing as the various reflux medication can have some nasty side effects that can seriously outweigh the extra washing IYSWIM.

If you get told though that you will have to stop bfing to give Gaviscon (usual first line treatment) so it can be added to bottles, your GP really should read the instructions (bfing babies can have Gaviscon added to cool boiled water and spooned/syringed in). Though Gaviscon can cause constipation and doesn't necessarily work on all babies.

Just got back, she said I need to wind her more and if the health visitor gets worried to come back to her. She said to try infacol, which we already have and it just seems to make it worse tbh.

She's generally a happy baby unless she's overtired, she does hiccup and sneeze all the time though but doctor said it is unlikely to be reflux because It's not after every feed.

Dr did say she should be gaining 1lb a week, so her 2oz is a bit rubbish really.

Glad you got there in the end truthsweet, I'm off to arm myself with towels and tarpaulin!

1lb a week is double what the max expected weight gain is (6-8oz a week) though a 1lb in a MONTH would be considered on the low side of average it wouldn't necessarily be a cause for concern.

Technically what your baby is experiencing is reflux (reflux being the upward movement of food out of the stomach) but it's not gastro-oesophageal reflux disease just gastro-oesophageal reflux (that is me being pedantic though!).

This article explains the difference between the two.

You may find too frequent weighing leads to a week(s) of panic then a week(s) of relief then more panic as baby doesn't gain much and then gains loads at the next weigh-in then might not gain much the next - weight gain in bf babies is not linear (i.e. they don't all put on 1oz a day) but is in fits and starts.

If baby is over their birth weight then weighing is recommended monthly not weekly (unless otherwise indicated by HCP) and you can see the HV without weighing the baby - it's not the entry fee

Perhaps also get a rain mac for feed times?

Thanks for all that, will you come to the doctors with me and tell her :o

I thought 1lb a week was a bit much but she repeated it and looked in my red book. I was told to get her weighed every week by the doc today, but the HV said to leave it 2 weeks so I'm going to do that.

I try not to Google too much any more, could have found all that out for myself instead of bothering you, thanks!

I crumble when it comes to HCP for me/my children but have plenty of backbone for other people via mumsnet (a real keyboard warrior me!).

It's strange how sitting on a little plastic chair and having someone in a white coat stare at you turns quite a few people to jelly. Nothing wrong with that and a good HCP will recognise it and not take advantage of the fact you suddenly have an empty head where as in the waiting room you had at least 10 questions that needed answering. Writing it down before hand helps me with that .

It's nice to hear from other mothers though and to know you aren't alone - kind of what mumsnet was set up for really!

"It's nice to hear from other mothers though and to know you aren't alone - kind of what mumsnet was set up or really!"

Hear hear truthsweet! Should be quote of the week!

Right I am armed with my supplies (vast swathes of towels / plastic sheet / infacol just in case), my winding arm is aching and I have passed her off to the DH in order to have a sneaky G&T and a go on here.

But yes TruthSweet, that's exactly what happens to me at the doctors, I get distracted and forget all the questions I had. On the couple of occassions I have gone in mega determined and all guns blazing I have ended up in tears and still not got what I went for, hence the no googling rule - I end up with too much knowledge and I get frustrated when they wont listen, oh erm and husband has banned me because I end up panicking and down the emergency doctors, like when she got a cold . I don't like to be in there too long either, she coughs on me little britain style EVERY time I go, although she was mighty pleased that I was breastfeeding which made me feel like a big chufty pants :o

Thanks to everyone for taking the time to help, I feel miles better, have had a bath so don't smell of sick (for now) and a zonked out baby - happy days!

I cry too esp. if they make out I am a neurotic mother. I am not, I am a mother with OCD (mainly directed at research and the children - not a good mix) so don't treat me as an idiot because I am not (plus I know things you don't).

Google can get dangerous though because you can put any symptom in and get the bubonic plague as the result.....

Enjoy the G&T and the fresh non-sicked on smell. Long may it last

1lb a week?! I was told that my DD was packing on a lot of weight in the first few weeks and it was half a pound a week!

And as for the puking, my friend said you're not a real mum until you've had your baby puke all over your tits.