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What is wrong with my 7 month old? Or is this normal?!

5 replies

birdybirdbird · 27/04/2019 11:04

Hi. I’m a ftm to a 7 month old. I have zero experience of babies so am just not sure if I’m just looking for a ‘problem’ so I can fix it or if this is just normal. This is so long, I’m sorry, but I feel a lot of it is relevant.
As background... He has always been combi fed due to supply issues on my part, but is now mostly breast milk, with less than 200ml of formula a day. He had a mild tongue tie snipped at around 4 weeks. He’s around 80th centile for length but has dropped from 75th to 50th for weight since January. HV didn’t seem worried, said it’s fairly normal at this age as they’re getting quite active. We’ve been weaning for 5-6 weeks and he’s really enjoying it, mixture of purées and finger foods. Still have fish and soya to introduce from an allergen perspective. Seems to be hitting his milestones - very mobile with a backwards commando shuffle, nearly crawling, but can’t roll back to front.

The main issue is that he has always been very farty, but frequently really struggles to get them out and often ends up really screaming in pain and with a very bloated belly. This is almost exclusively at nighttime. When he was younger, we would have 3-4 days with no poop and then a mega blow out. Sometimes they had a really sour, vinegar smell. They’ve been quite thick and pasty since the 3-4 month mark, which I always put down to the fact he has some formula, but I don’t think he actually has enough to be causing that. He has to to really grunt and strain to go. Now we’re weaning he generally makes little wedges with an occasional pastey one. We went through a phase at about six months of proper constipated pebbles but that seems to have gone since we changed to hydrolysed formula.

He has always thrashed his head round in his sleep and does that crazy leg slamming thing a LOT. He wakes every two hours on a good night and only wants to be breast fed back to sleep, though a lot of the time I think it’s more comfort sucking. He usually goes back down really easily but, in the last couple of weeks, we’ve really struggled, he whinges/screams/cries as soon as he’s on his back. We see lots of squirming and some arching of his back during and after feeding, but this usually goes along with farting so not sure if it’s reflux? He does sometimes do that ‘looking like I’ve got an unpleasant taste in my mouth’ thing. He’s very rarely sick or possets. He’s always been a bit hiccuppy and sneezes daily. He has always been a bit prone to dry skin and, after getting it all over in December, we now use aveeno emoliant to keep it at bay.

In the day he’s an absolute joy - really content. The trapped wind etc is only an issue over night and it’s now breaking us! I can deal with getting up every two hours for a quick feed, but not every hour with ages spent comforting the crying. I feel like he is not getting enough sleep with the constant wakings and really worry about this. I have to go back to work in two months so we were looking to try and gradually up formula/reduce breast feeding so DH can split the nights with me. It just seems impossible to get any kind of good nap/sleep routine whilst this is going on.

Things we’ve tried:
Using gripe water, dentinox, infacol etc made things better briefly.
Using Colief didn’t seem to have any effect
Tummy massage, warm baths etc haven’t helped.
Giving a probiotic - not sure if it’s helping but I guess isn’t making it worse.
Cranial osteopath - around the 3 month mark. Again seemed to help at the time but I’m not convinced by it tbh!
Gaviscon - it’s a pain to administer when breast feeding and the last time he had it before a night feed he vomited twice. Also he’s already prone to constipation so I’m not keen.
Just breast feeding - my supply isn’t good enough and he seemed to end up constipated.
Me being dairy free - for 5 weeks now with an occasional hidden ingredient slip up. We hadn’t had any extreme night time wind, so thought we were onto something, but it has come back in the last few days.
Lactose free formula (combined with me being dairy free) - seemed to help initially but then we got pebble poop!
Currently on hydrolysed formula but he refused to drink it, so are weaning him on gradually by mixing with regular formula. Although not ideal I know (I’m useless at pumping) his regular formula intake is now down to about 20-30ml a day. This seems to have helped the pooping but the screaming night wind is back with a vengeance.
Keeping a food diary for him and I can’t spot any correlations.

So, is this normal or is something up? I feel there’s elements of reflux, a dairy issue but nothing seems that consistent and it’s ONLY a problem at night. HV is useless and just surprised that ‘he hasn’t grown out of it yet’. GP suggesting CMPA, hence the hydrolysed formula, but - despite both of us being dairy free - his night wind has been almost as bad as it ever has been for the past few days.

Does this ring any bells with anyone? Could there be some other underlying cause? My gut tells me something isn’t right, but I am a clueless ftm so maybe it’s just normal!

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NoClueWithStyle · 27/04/2019 11:12

It sounds like CMPI is the right thing to be exploring given the symptoms you describe.

How strict are you at being dairy free? I'd double and triple check the ingredients on everything you both consume. I was asked to learn there is milk on some ketchups!

Has he been referred to a dietician? He should be and they may help you figure out the best way to (continue to) introduce solids. Gp or HV can refer you.

Also be aware that it can take up to six weeks for all the dairy to leave his system, so even if no dairy is been unknowingly consumed, you are not yet at the stage where he has passed that time.
It's so hard, esp when so sleep deprived....wishing you strength and plenty of power naps to keep going.

birdybirdbird · 27/04/2019 11:29

Thanks @NoClueWithStyle I’m trying very hard to be strict. I’ve had no milk, cream, cheese or anything obvious for a month but have had a couple of hidden ingredient slip ups in things I never even thought to check. I’m now checking religiously!
No referral yet. We’re hoping to make use of our private health insurance but GP said we had to try the formula and come back in a month before he’d do a referral. Weaning has got me a bit stumped now to be honest - he’s so over veg purée and my next port of call would’ve been things like cheese sauce etc etc but that’s off the cards now. I’m finding eating really hard too, like you said, milk is in bloody everything! I’m a good keen cook but trying to do things that are quick and convenient and dairy free is a pain. It’s making me really resent breast feeding to be honest but he won’t drink the bloody formula so I guess I’m stuck.

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DoraNora · 27/04/2019 11:29

Sounds like dairy to me too!

As @NoClueWithStyle says, I was advised it takes 6 weeks of being completely dairy-free with no slip-ups to see a difference - 3 weeks to leave your system, then 3 weeks to leave theirs.

My DD (4 months) suffered terribly as you describe above and I quit dairy on the advice of the paediatrician (also gave her ranitidine). At about 4 weeks of seeing no difference (other than ranitidine effects) we had a week of DD being so much worse again, as you describe above. Then suddenly after a week when I thought everything had stopped working, DD got 'better', at night and in the day. It's been nearly 2 weeks now and no return of symptoms Smile. It didn't happen until I'd been completely dairy-free for almost 6 weeks to the day.

Good luck! Hope you crack it soon, it's so distressing for you and them x

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NoClueWithStyle · 27/04/2019 12:01

Oh birdy, I did think after I'd posted I should have said how amazing it is that you are still breastfeeding after all the difficulties you've had. It is amazing! So many people (including me) give up long before your stage.

It's also great that you're a good cook so you can optimise your diet. The easiest rule of thumb is to eat foods as close to their natural state as possible. Eg from scratch, less packets, jars etc. Then you're less likely to be caught out by hidden ingredients.
There are many dairy free recipe books available and loads of recipies available online too.
In terms of introducing solids, offer little man everything and anything that doesn't contain dairy. The only thing he shouldn't have until 1yr old is honey.
I'd forget the purees at this stage, he can finger feed now.
So if you're having meatballs for dinner, put a few cut up on his plate with some of the sauce, and some pasta, peas carrots etc. Same for roast dinner, fish and roast veg, chicken pasta pesto etc etc etc. For lunchtime meals, lots of cut up things, cherry tom's, cucumber, ham, apple, hard boiled eggs, left over dinner from night before etc.
When you're cooking can you do double batches so you don't have to cook everynight-so if you regularly have takeaways you have an alternative that you know is dairy free. Don't be afraid to offer him foods with lots of flavour eg mild curries etc.
Really at this stage it's worth remembering that "food until one is just for fun". His calories and nutrition will be coming from his milk, you are aiming to gradually (between now and 12months) increase his food intake and reduce milk intake. Just focus on offering lots of tastes and textures and actually enjoying food with him.
You've got this Birdy!

birdybirdbird · 28/04/2019 14:53

Thanks @DoraNora it’s reassuring (after another horrendous night 😬) that it will get better. I’ve been fully, no slip up dairy free for three weeks now. Still not having much luck getting him to drink the formula but we’ve decided to just go cold turkey on mixing it and I’ll just have to breast feed a lot to make up for my poor supply. Thanks for the weaning suggestions @NoClueWithStyle He’s getting more interested in finger foods and had a good go at a home made burger last night 😂
I think I’m mostly just frustrated that’s it’s taken til him being seven months to get the GP to suggest a dairy issue. We queried it at three months when we took him with rash/dry skin as I’d eaten my body weight in birthday present cheese the week before. And again at 4.5 months when we took him to discuss the severe trapped wind. Just seems like we’d been much further along the journey if they’d listened to us and joined the dots. Took an OOH GP who by his own admission ‘knows very little about infants’ to suggest it and a trainee GP to prescribe anything.

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