Vomiting after every feed. 3 days old

[lamonad]

Hi not sure if anyone can help or give any advice

DS is 3 days old. EBF. 1st day in hospital only 1 episode of spit up whilst sleeping. Since Sunday night (at home by this point) he has been vomiting after every feed. Whether it’s immediately after or up to 2-3 hours after when lying down to change or when asleep on his back.
Saw a paediatrician yesterday who done bloods, checked urine infection etc. it was put down to reflux which may or may not improve. Gave me advice to go to a breastfeeding support group to see if there is anything they suggest may help which I did today. They said latch was good and the advice was to keep upright at least 30 mins after feeds before lying flat.
However he is still vomiting after every feed. We have not been able to put him down to sleep since we came home on Sunday. Sharing sleep shifts with husband who has to go back to work next week.
As I’m feeling a bit more human today I decided to swaddle and lay him down so I could monitor him asleep whilst I am awake. This was around 1 hour after feeding which he had vomited after. He seemed to have been managing ok and slept for a good hour without any problems. So thought I’ll try a nap. Then as soon as I closed my eyes I heard him vomit. I watched him for a few seconds to see how he would manage but it appeared to have caused him to choke so I immediately picked him up and turned him over to clear his airway.
I’m absolutely terrified of sleeping because I don’t want him to choke on his vomit while I’m not aware or able to help him.
what can I do? Please help a desperate Mum.

i should probably add that he is my second baby. I did not have any problems with my first so this is very much concerning me

Anyone?

Is it vomiting or what they call possetting?

One of my kids did that every feed - they were a very hungry baby and I think would take more milk than they had space for - but on obviously got enough as they grew well.

DD1 was like this. Spat up after every feed. Was also very colicky and cluster fed loads. I was advised to keep her upright for 20 minutes after every feed, if we didn't she seems to spit it all back up and would need a full feed again straight away! Sleep was very hard. She did gain weight well though and she got better after around 3 months. DD2 had no such issues.

I was going to ask this too.

Is he burping/being winded after each feed?

DS had severe reflux & I still remember how scary & awful it was before we got the right medication. Can you contact health visitor or GP?

mine is the same whats worst he does not spit up little bits he would projectile vomit .Breastfed but he got better ,gradually over the months he got less and less

he is 3 months now and just spits up little bits

my first had reflux and she would spit up little bits after every feed she had to wear a bib all the time

my little boy at the moment i often put him to sleep in his chair as its more upright so i can let his stomach settle and then move him to bed .Or thats what i did in the early days hes better now .But i would keep him upright at least 15mins before putting him down. Unfortunately its Russian roulette you dont know when they are going to throw up its just luck .

I hardly got any sleep in the beginning its been a load road

but i cant set up a bedtime routine as i cant leave him alone in case he projectile vomits alone .I can leave him alone in his chair as its upright he wont choke but at night of course hes in his Moses basket. So at first i got no sleep you get jolted awake but every slight noise as they maybe being sick .Its really hard but they get better with time

What was your delivery like OP? Just wondering if you had a c-section and he is a bit mucousy as that can lead to vomiting. In my experince it is unusual to have full blown refluxy symptoms at this stage, so I personally would be looking to other causes of the vomiting. What sort of volumes of vomit are we talking about, and is it forceful or effortless? A couple of teaspoons of milk or water intentionally spilled on a muslin can give you an idea of how big small amounts of fluid can look.

And what is happening with his poo output etc? Has your mature milk come in yet? Just wondering if you have a fast flow which might be affecting things.

As a general bit of advice, any vomit which is green tinged (bilious vomiting) needs urgent medical review, which I hope the paediatrician taking bloods yesterday spoke to you about.

@TumbledTussocksi would say a mixture of possetting and vomiting.

@MarioLinkyeah we’ve been keeping him upright from the start for at least 30 mins and has made no difference. He will still bring it up. Even like earlier after 2-3 hours ☹️

@JeSuisMe yes very good at winding. I wind between switching breasts and every time he either spits up a small amount or it’s quite a lot

They prescribed my baby Gaviscon. He was being VERY sick after every feed and wasn’t putting on weight.

I had similar to you. I found an Owlet sock invaluable for peace of mind. But I would call the midwives as there could be something more going on, I'd want him assessed again.

OP this was my DC1. Reflux until 9 months old but because of their weight gain (breastfed) doctors were not concerned. I tried everything but nothing helped. It was so depressing having to change sleepsuits constantly throughout the day and as it was my first baby I just questioned why all the other babies were “normal”.

I also had an incident when at about 4 months I thought baby had chocked and it frightened me. I was told by a doctor that apparently they cannot choke as milk is a liquid (another reason I didn’t give gaviscon because it thickens up the milk and I worried that was a chocking hazard!).

I found that the baby bouncer helped keep baby elevated after feeds as opposed to lying flat.

I went for breastfeeding support but just like you latch was not the issue. Elevating baby for 30 minutes didn’t work. Even breastfeeding upright position didn’t work (I gave this a good attempt).

It does get better as you just get used to the situation , but I remember always worrying even when they were in their own cot and sleeping through the night.

Also I did notice as baby fed more as they grew over weeks/ months, the vomiting got worse. So just be prepared!

1st was like this but it was very short lived (a week to 10 days) and was due to delivery and taking in mucus/fluid. We did have to go back to the hospital (on midwife’s advice) because he wasn’t gaining weight and we had a feeding plan with top ups. It was so unbelievably hard as we were getting no sleep at all so you have every ounce of my sympathy but it didn’t last long. So this could possibly resolve fairly quickly if it is that.

Ds had pyloric stenosis. Vomiting started from day two and increased until he had surgery at 7 weeks. Probably not the case but be aware of it just in case. It’s not something I would have known anything about but a friend of a friends son had it and they told us about it.

Hope you find help with this OP. I found early pregnancy very stressful and this sounds incredibly hard.

I'd go back to the hospital with your baby they can get easily dehydrated at this age

Definitely push for more support from midwives, health visitor and GP. What are his poos like? This sounds almost identical to DS, who it turned out had CMPA - we tried a whole variety of formulas, infant gaviscon and omeprazole before being prescribed an amino acid formula which eventually settled things, but in the meantime, DS went from 60th centile at birth to below the 1st, so definitely keep an eye on his weight. Might also be useful to video some of the vomits; we didn’t get taken seriously (dismissed as ‘oh every baby has a bit of sick) until we managed to get one of DS’s epic projectile ones on camera.

Welcome to the wonderful world of reflux. It's hideous and you have my sympathy. Ds was prescribed Gaviscon, Infacol and another drug which I now can't remember, but think they've stopped prescribing. He spent two years with a bib on every outfit (and I spent two years with a muslin over my shoulder.) We did all the things you mentioned, but it didn't matter how long we left him, he was always sick. Eventually, we gave up even trying to put him down until he had been sick.

It did slowly get better. And as he is now 11 I'm glad to say no longer a problem at all!

Good luck. It's a tough time. But you (and your washing machine) have got this.

Could it be that baby has a dietary intolerance for something you are eating? I know a mum that had to cut out dairy, soy and wheat from her own diet while EBF.

@Puddlelane123 it was vaginal delivery. Labour was 3.5 hours but he was delivered in 9 minutes so very fast. He was mucousy afterwards. He needed support with his breathing immediately after I delivered him.

the volume can vary. It can be a teaspoon up to I’d say a heaped tablespoon. Sometimes it’s one of each a few minutes apart.

it was mainly effortless at first but there has been a couple of times when he has heaved and looked upset. It’s not projectile though and is yellow in colour although today has been white. Yesterday it was mucousy but today been more watery other than the episode I described in my OP

Sounds like my DS who was also born very fast - he still possets and vomits (thicker stuff) a lot at 4 months but it mainly doesn't bother him so I think he's just a bit of a sicky baby. Unless your baby is very distressed or not putting on weight I'd probably just see how it goes - ds used to make the weirdest gurgling noises at night and occasionally wake up but normally he was just sick off to the side and then went to sleep again. It's just starting to calm down at night now. Holding upright, burping etc never made any difference here either.

He is having 2-3 poos a day. They have just today started to turn more of an orangey colour. He is also having wet nappies.

i do wonder whether it’s because my milk has come in (it definitely has as I hand expressed some before) and with me being so engorged. Fed him at 6pm. He was on the breast for 5 mins, took himself off and threw it all up. Then wanted more. He fed for around 15 mins and spit up around a tablespoon. Do you think this is because my milk flow could be a bit too quick and too much for his tiny tummy? What do you think?

I can’t even put him in an upright bouncer/chair thing because I did that around 30 mins ago and he still threw up

oh bless - reflux by sounds of it. it's relentless - hang in there and get help from midwive and hv