Update on Hunger Strike/New Ped

So we saw the new Ped yesterday (my SIL’s Ped whom she really loves).
He really was very good. Quite traditional/old school yet really up on
new technologies/medicines, etc and has a gastro sub-specialty
(although still would refer out anything serious to a GI).

He really thinks Marisa has my stomach virus – for a week now I’ve been
queasy and bloated/gassy and not had an appetite (no vomiting, no
fever) as her main symptoms are not eating, tired, glazed eyes, cranky,
etc. The virus went around my in-laws a few weeks ago – MIL had it for
2.5 weeks. He also thinks she may be working on eye teeth (!) as her
saw her repeating bite hard right there.

He also thinks she is much too constipated and doesn’t like that she
mostly has hard pebble stools and only occasional mushy poos. He really
wants her fiber increased and more fruits and vegetables offered (we
are to add in third meal) and also wants her to have 4 ounces or so a
day of fiber juice (www.fiberjuice.com) which is juice with a lot of
extra fiber that he uses to treat constipation, IBD, etc.

He’s holding off on her 9-month shots until she’s better – so maybe in
a few weeks we’ll go back for a follow-up visit and discuss more and
get that done then. He agreed that it doesn’t seem to be a reflux issue
right now – that it’s a virus plus teething. He’s going to keep her
Pepcid where it is and not increase it as her weight goes up unless the
reflux worsens and hopefully wean her off of it around a year or so. He
may also try a dairy formula (gradual transition) once the constipation
is better resolved.

For now he wants her to get as much rest and fluids as she can until
this passes – and it seems it is starting to. She was much more herself
last night – playing for the first time in days, laughing and babbling.
Only a few bites of solids yesterday but 16.5 ounces of her bottle so
that was quite good. Today she seems a little better still so I’m
hoping we’re on the mend.