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

I also had an oversupply with my first, milk came quick, I leaked everywhere and as well as the reflux she had frothy green poos! I went to a breastfeeding support group and they recommend block feeding on one boob for time periods (only do this under advice from a lactation consultant or breastfeeding counsellor). My supply settled after around 12 weeks. Again no such issues when I had my second. For nice thick muslins I recommend MuslinZ brand. I used to have them everywhere round the house and car and at least three in the nappy bag!

I was going to mention pyloric stenosis too, I had it as a baby and had surgery at 3 weeks old.
Obviously it’s the worst case scenario but worth mentioning.

That is a good point about pyloric stenosis, and definitely worth bearing it in mind as a potential cause. The vomiting isn’t always projectile at first, but will almost always progress to this. It is more common in male babies and tends to be diagnosed at 3-6 weeks of age onwards, but as we see in the example of a previous poster, it can on occasion present younger than that.

My advice would be to continue as you are doing over the next few hours (unless he deteriorates in any way or you become concerned about dehydration) and try to feed in a reclined or laid back position to minimise the impact of a forceful let-down being a factor. Keep a close eye on urine and poo output, and tomorrow I would contact the midwife and request he is weighed and examined and has a feeding assessment to look at the whole picture of what is going on.

Best of luck and if anything sets off your spidey senses overnight, do get him seen. UTI and other infections can also cause vomiting, so keep a close eye on his temp (both too high or too low) rousability and how he seems generally. Fingers crossed this is just a case of forceful letdown / mucous / abundant milk supply etc but make sure his weight etc is closely monitored and any concerns acted upon.

Thank you so much for everyone’s advice. I really appreciate it. This stage is definitely the hardest (mentally) for me and I’ve found myself feeling quite low the past couple of days but I just keep telling myself that it’s temporary and it will pass.

I’ve just done a second feed session after a 2 hour interval. The first one he vomited quite a bit but after the second one, he has winded well with no spit up! Maybe it is fast flow. Will keep an eye on things and see how they go. Midwife coming again for day 5 visit on Thursday but will contact her if things don’t improve tomorrow.

A question I’ve got right now is, my breasts are very engorged. Is it worth me getting a manual breast pump to use to relieve engorgement and hopefully help with the fast milk flow? Or should I leave well alone and hand express instead? I don’t want it to mess with milk supply and cause further problems

yeah when my breasts were super full i would pump off the excess ,use a electric pump its a lot easier.I stored some milk in freezer for later.I would pump as fast flow can make the reflux worst .I also still pump in morning now, at a month old my other half would give mine a bottle of expressed milk in morning so i could sleep.I breastfeed all day but one bottle in morning no issues

You can also feed from less engorged side and use this on other side to drain the excess

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My daughter has reflux and food allergies, I also had a fast letdown.
I was advised to hand express a little before feeding to help her manage the letdown better.
I was also advised to use leaned back feeding position so baby had more control over the flow of milk.
I had to keep her in the position she fed in as moving to the upright position to stop her being sick made her sick.
Ultimately it only improved when I started removing foods from my diet. It's probably a bit early to do that right now but I'd monitor the situation and maybe look into going dairy and soya free if it continues over the coming weeks especially if there's weight gain issues

How are you getting on OP?

Well we have been in hospital 3 times. Keep saying it’s reflux and been started on omeprazole. I’m thinking it’s CMPI but will give the omeprazole a month first. He has just been weighed and is back up above birth weight (gained 2oz compared to birth) so they are not too concerned right now. Will see how he goes with omeprazole