Search Results for 'breast feeding'

[hellbennt]

I bet it couldn’t hurt w/ the breastfeeding? not sure if I recall that it might help? but there is a post under ‘developmental ped’ if you do a search & thre’s info about fish oils and giving them to kiddos…

and you’re not hijacking!

you’re adding to the topic

[Anonymous]

I have not posted in a while because I thought we had things relatively under control. We happen to have an appt w/ the pedi GI at 10:20 EST so any quick advice would be GREATLY appreciated. My DD2, 5 months and about 15 pounds, is on Prevacid 7.5 mg 3x/day. During the last month, her night time sleeping has gone from 2-3x feedings/wakings a night to 5+/night. At first I thought it may be a growth spurt or teething, but things have gotten progressively worse both day/night. Yesterday was a particularly bad day, and she screamed terribly in the car on the way to pick up my older DC. At 2 AM, she had a large volume of spit up tinged with blood. At 4 days old, she had an incident of projectile spit up with bright red blood. Upper GI was negative. No obvious blood in stool but I am bringing in this morning’s BM diaper for a check. She is normally a silent refluxer, but she has had more actual spit up lately. She has been gulping alot, which indicates to me that her reflux is acting up. She is solely breast fed. I have eliminated nuts/shellfish from my diet. Previously, I had eliminated dairy as well, but it did not seem to have any impact. Although I am normally pretty tolerate of sleep deprivation, it has been getting completely out of control as of late, and I am getting dizzy and blurred vision.

TIA for anything that may be helpful in discussing situation with dr. You guys are great!

[Anonymous]

thanks, guys. I read on the MARCI kids website that giving zantac one hour before feeding is the way to do it, so I tried that this weekend and that’s helping a lot. The ped had said to give it 20 mins before feeding if i could but that it really didn’t matter, so i was giving it right when she woke up crying before eating. Also a friend with OAL suggested taking the baby off the breast and hand expressing right when i feel my letdown for 15-30 seconds and that also seems to have helped. When i thought the zantac was needing a higher dose I called the ped on Friday who immediately suggested Reglan (which we refused to give Lucas the first time around) and an upper GI. DH and I discussed and we are going to make an appt with Lcuas’ ped gi to see what he thinks. I would rather start a ppi than have an upper gi– right now. At this point, it seems obvious she has reflux and the acid reducer is helping as long as it’s in her system correctly and dosed correctly. I’m going to email dr. phillips, thanks for the suggestion, Laura, I had forgotten that route!

[Anonymous]

Are you taking fish oil by chance? I just read that taking fish oil while breastfeeding can help the reflux. Not that that helps your pharm. question, but just a thought.

[Anonymous]

I’m sorry. I hope the meds help, but I found the compounds after 3 weeks only helped occasionally. Our pulmonolgist does not recommend compounds because she said you are at the mercy of whoever is making it. She told our ENT doctor to stop prescribing it for that reason.

We were switched to the solutabs and he now sleeps longer than 20 minutes at a time. And he rarely pukes (I know the medication is not suppose to make any difference, but they did for him). He is now starting to feed more at a time as well, before I would be feeding him for 5 mins off of one breast every 1-2 hours. Now he is almost at a normal feeding every 4-6 hours. That is just what it has done for him in 3 weeks.

[Anonymous]

Yes, crying and poor latch due to reflux causes them to swallow more air – more gas contributes to more reflux – more reflux to more esophageal irritation – more esophageal irritation to more poor latch and crying.

(You can see the vicious circle here)

Most of us first try to deal with the stomach acid and esophageal burning issue first in the hopes that the meds will allow enough of a break from stomach acid to allow the esophagus to heal and help to break that vicious cycle.

The primary cause of reflux is an immature LES but when you combine that with any of the following reflux can become much worse and progress to GERD.

Allergies (Cows milk is a big offender)
In tolerances
Digestive Flora imbalance (Yeast)
Medications
NG tubes
Immature LES.

In our case our aggravating factors could well have been Medications, Yeast, NG tube and an immature LES. The jury is still out on whether we also have allergies or intolerance issues but because of our hospital stay and institutional bottle feeding we never got the chance to sucessfully breastfeed and I’ve had to pump and supplement with formula so cow’s milk could very well be a factor.

[Anonymous]

my daughter puke on good start! the only formula she tolerate is soy formula.
minimal spit up, but i breastfeeding too, it helps with her bm.

[Anonymous]

Hi there,

I’m so sorry to hear about your situation! I also did a very limited diet in order to continue breastfeeding and although it was extremely difficult at first, it was well worth it. My cousin has a baby who is 9 mos old and she’s been on a dairy/soy/peanut/fish/gluten/egg and i can’t remember what else free diet because of blood in the stools. It took a loooong time for the blood to completely disappear for her son (I think maybe 3-5 months on the diet?– I’ll find out). Strangely, he wasn’t a spitter upper, wasn’t fussy, but the blood in the stools was a HUGE concern, obviously. I will call her and get the details but it sounds familiar. I think it might take a while for the internal bleeding to stop even once the offending foods are out..? For us, when I took out the final offending food– gluten– (we didn’t have blood but he couldn’t sleep and would wake up ever hour and half for 18 mos straight)– when we took that out, although there was an immediate change within a week or so, it really was about six months of consistently doing the new diet — over that time I saw a true turn around. I know that sounds terrible, but sometimes it’s more of a long term thing. Granted, we didnt’ have blood like you, so it’s different in a lot of ways. I just think it’s good to hear about all these other stories to know what might be possible in a situation. I’ll try to get back with my cousins’ timeline for blood/diet changes. She has not tried formula so I don’t know about that angle.

[Anonymous]

Hello

My baby Alice is 6 months, weighs 14lbs and has silent reflux

She got a prescription for Prilosec for 6.5mg once a day

We started Prilosec last Wednesday and I noticed after taking Thursday’s dose at 10am, her second day on it, she was remarkably different, until 5:30pm, then it all went downhill and she was screaming, crying, needing to held and rocked

It was like the tablet last 7 1/2 hours

The night-time was awful, and the usual waking every 45 to 90 minutes through the night to feed to soothe her throat and get back to sleep

So I split the dose and raised it to 10mg, giving 5mg (half a tablet) at 10am and then 5mg at 8pm (we have 10 mg tablets that need to be dissolved)

We’ve been doing this since Friday, so 4 days on a split dose

I notice she’s fine till about 3pm after her 10am dose and likewise, she sleeps now for 4 hours solid (incredible!!!!!!) from 8pm till 12 to 1am

Then she wakes and is breast-feeding on and off every 40 minutes till 6:30am when we just get up, she is even worse than before

So can anyone help – we are only 6 days into this medicine and I know it’s early days, but she is different already – do we need

1) to give it more time

2) to give a higher dose

3) to give a higher dose and split more, like 3 times a day

Thanks to anyone who can help and share their experiences, really grateful

Best wishes

Sarah & Alice

[hellbennt]

michelle,

I have an ari, too! (& I love the name evan!)

anyway I don’t mean to hijack, but if you want to continue breastfeeding, switching to neocate for 1 week won’t necessarily do anything-sorry if I’ve missed your other posts! edited to add- ok read your other post and sent out an S.O.S to some more experienced TED mamas!

you can do TED and make your milk like neocate- check out the TED forum

https://www.infantreflux.org/forum/forum_topics.asp?FID=43

also please read Misconceptions about how Neocate & Elecare work: https://www.infantreflux.org/forum/forum_posts.asp?TID=6013-very informative!

Autumn: there have been moms who used something to flavor neocate- I’ll have to do a search for you if you haven’t already figured it out

hellbennt2008-10-26 20:37:32

[Anonymous]

Yes, reflux could be genetic.
Our pediatrician asked me, if me or my brother used to vomit when we were little.
I didn’t refluxing when I was little but my brother used to have projectile vomit when he was a baby, so our ped writing down all our family history, and said its run in the family.

If your baby has MSPI, Neocate or Elecare is your best bet.
Alimentum/Nutramigen still has trace of milk on it (eventhough already broken down).
You could try thicken the formula (to help keep the formula down) using the simply thick.

Are you breastfeeding too? If you are, try to avoid the food that triggers the reflux.
And is she tested for delayed gastric emptying/DGE? if so, she may need reglan/domperidone or any motility drugs, to helps the stomach empty faster so helps with the reflux episode.

Good luck!

[Anonymous]

Thank you, I think slowly adding Neocate is the way to go. The GI’s plan was to put him on Neocate for just 1 week to let his system recover, then go back to breastmilk only, so I need to keep up my milk supply. The slow introduction will means more than one week of pumping so I’d rather do bottles during the day with Neocate mixed in and nurse at night to keep up my supply until he can handle a full bottle of Neocate. Is there any reason he should have the Neocate at every feeding during the transition?

Jill, did you ever try to go back to nursing after he was on the Neocate? Does one week seem realistic to get rid of the blood in his poop? The GI says 97% of babies will get better with just 1 week (if they are formula fed it takes 2 weeks). If there is still occult blood after 1 week, he will assume the problem is not a protein allergy/intolerance.

[Anonymous]

hi again

when i last posted i was headed to the ped GI. she & nutritionist urged me to try elecare for a week to see if ben’s sleep improved. prior to that i was 100% breastfeeding and had eliminated dairy, soy, citrus, nuts and a few other things but hadn’t tried TED. I figured – sure – this is a short cut to determine if food sensitivites are causing his pain and the typical green/ muscousy diapers. So over a week later – he still sleeps terribly (waking every 2 hours) and can’t really nap.

I know he is teething too…has his fist in his mouth. After the week on Elecare i can say i miss BFing…hate mixing bottles and pumping and have started a premature TED to get him back on the boob soon. we simply can’t afford the Elecare (insurance said NO) and i don’t see much improvement BUT – his green mucousy stools are gone. Otherwise it is the same program.

i have scoured these boards tonight even though i need to be sleeping!!! seems to me like both TED and Elecare will take much longer than the week or 2 the Dr. said to work… Elecare for months? TED for weeks or more? i am willing to do TED but after day 2 i am starving and need some veggies in my life…

today the Ped GI called to check in. she suggested if there was NO change on Elecare after about 9 days that food sensitivites are not Ben’s problem and the TED is unnecessary. she thinks we should do an endoscopy to see if there are other issues…

???????

oh boy. another whole thing to worry about. the procedure sounds very invasive and could be troubling. or might it take us right ot the root of the problem? she said you can see allergies in the procedure…and other issues that might exist….

do I try to stick it out on Elecare for longer or try TED and hope I see some improvement? she said TED cannot be more elemental than the Elecare…but did we try it long enough?

also heading to the Hasbro Children’s Hospital Sleep Clinic after we document how LITTLE sleep we all get after a full week….what can we learn there????

we are co sleeping and cuddling and i make about 4 oz. and give Ben about an ounce at each waking to settle him b/c as with the breast, it seems to be all that will settle him down. he does seem to wake in pain.

advice please! TED until further notice. i just can’t give up the breastfeeding yet but have a ticking clock as i have to go back to work in a month and need to sort out daycare, etc. it’s all “starting” to stress this tired momma out!!!!!

thanks!

kristin

[Anonymous]

I posted a while ago, my daughter Chloe will be 6 month this Monday.
She used to take Zantac and on Reglan for 3 days, on so many feeding strike.
We take her off from her med 3 weeks ago, she’s been doing great, drinking 25-32oz of breastmilk and formula plus 2 solid a day.
We just so happy! Med free!
But she still spit up occasionally (now I’m waiting the day she stop spitting up, I hope it won’t be long!
Thank you for your helps guys! You’re a lifesafer!
She’s a whooping 19lbs!

Special thanks for Jessica! thank you for all the info!

ChloeMommy2008-10-19 14:31:09

[Anonymous]

I’ve been giving Clare Genestra HMF probiotic (hypoallergenic). I actually just give it to her on a little spoon in the middle of her feed and then continue to bf to help her wash it down. She takes it great this way (it is kind of sweet tasting)! I have noticed quite the improvement since she started it.