So. We may be doing an about-face on the reflux issue.
The midwife/lactation consultant came over this afternoon to talk about Rhys and get a look at him in action ? she was lovely, and spent ages with us asking me questions about his quirks and habits in general. The upshot is that she feels the problem isn?t reflux, for the following reasons:
-- The timing seems off (normally reflux episodes kick in a bit later in the nursing/post-feeding process)
-- He shows no discomfort at all when he actually regurgitates (he never vomits, but did spit up a bit after he ate when she was here)
-- His general demeanour is bright and perky
-- He?s gaining weight like a madman
-- The Gaviscon hasn?t had an impact this time round
-- He nursed while she watched and had no issue whatsoever (I had to laugh when she said that it seems babies reserve their absolute worst behaviour for the people they really trust. Can?t they just say it with flowers?). She also noted that for the five minutes he does nurse, he?s incredibly strong.
What does she think the issue might be? His personality ? i.e., his impatient, gratify-me-now approach to EVERYTHING in life at the moment. Basically, she thinks he gets pissed off when the milk supply slows down and then throws an enormous hissy fit.
(Caveat: I know midwife doesn?t = paediatrician, and she was quick to say that this was her opinion based on what she?s seen before, that she could well be wrong and that if I want to get tests, etc. to rule reflux out, I should be sure to do so. Those of you who have had babies diagnosed with reflux, would be interested in hearing your thoughts on her thoughts?)
So as an interim step, we?re going to see if we can get him away from the EBM habit and back solely on the breast for the next three days. She warned me that he will probably be seriously cranky about it. She?ll come back on Monday to weigh him and make sure he?s still gaining properly ? and of course, if I get worried or concerned in the meantime, off to the hospital we should go.
Since her visit, he?s had four feeds ? two, he nursed calmly and fell asleep at the breast; one he took from a bottle because we were out on a terrace and I didn?t want to risk a meltdown; and one he had his traditional meltdown after nursing for 5 minutes. I didn?t push it and didn?t offer him a bottle, and he was all smiles five minutes later. That was at 9.15pm, and he did wake up hungry at 10:45 ? but then had one of the calm feeds.
Grasping at straws? Maybe. But we?ll see what happens. I AM concerned that this might lead to him never getting his feeds stretched out beyond a couple of hours. But I also know I only have four more weeks of bf'ing before he's got to transition to formula.
Off to bed with me. Good night to all.