Newborn feeding, projectile vomiting

[Pigsinblankets13]

Hi all,

Just wondered if anyone experienced anything similar.

I have a nearly 4 week old. He hadn't reached his birth weight by 2 weeks old and so were advised to start topping up with small amounts of formula (I have supply issues due to previous breast reduction and supplemented my DC1).

We ended up being admitted to hospital due to him projectile vomiting up his feeds and concerns with his weight - seemed to be resolved by changing bottle teats.

However I'm now at a bit of a loss as he is still seeming hungry after feeds so have tried to increase by 30mls (so 90mls in total) - and he is now projectile vomiting again.

The formula tin suggests he should now be on 120mls at 4 weeks old - he is only tolerating half of this and is being fed every 3 hrs.

He's due to be weighed again tomorrow and he's definitely not back at birth weight and I know the health visitor is going to panic again and not offer much advice.

Wondered if anyone has been through anything similar? I just want someone to tell me if it's ok for him to have smaller amounts as long as he's putting on weight...albeit slowly. Whether it's just reflux , or whether there may be something else going on with his stomach/oesophagus etc.

Will obviously be seeking advice from midwives too but interested in anecdotal experiences!

Thanks!

Not much time to reply but ignore the amounts on the formula tin - they always state more so you make and waste more! Seriously!
I would see what his weight is and calculate daily amount of 250 mls per kilo.
Are you paced feeding him?
If he is gaining weight i wouldn't worry too much. Unfortunately newborns aren't designed very well and this is why reflux is common. I would consider feeding little and often (even 1-2 hourly) to see if it makes any difference.

Are you still BFing and topping up or is that the amount he's having in total at a feed?

Yeah been through this. Three hours between feeds might be too long. Little and often night work better. See what the weighing says and go from there.

Thanks all, currently in hospital being reviewed by paediatrician as health visitor wasn't happy when she saw us Thursday! Will update when have an outcome in case helpful for anyone else x

i heard of something called Pyloric stenosis which can cause issues taking in larger amounts of milk. But encore the tin saying he should eat more each baby is different.My nearly 3 month old has reflux ,he will without warning at random projectile vomit. Over the weeks he has got better now only projectile vomiting once every few days or just bringing a little up instead.

So far what i have learnt

burping after feeds helps but he does not always burp
i tried reflux formula he still brought that up but interestingly regular formula slowly fed with him being more upright seems to keep down.
He likes one formula over another
keeping him upright after feeds helps keep it down,so i prefer to put him down in a bouncer chair to sleep.He is more settled.
I am breastfeeding but offer one bottle at night to get some sleep

it maybe because your baby cant hold down to much that he needs little and often feeds. Just feed when ever they can take it ,you could also try sma reflux with a vari flow teat. See if thats easier to hold down