Home › Forums › Feeding Issues › General Feeding Issues › 4 month old breastfeeding problems
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hellbennt.
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July 9, 2007 at 5:41 pm #38905
Anonymous
InactiveHi everyone. I am so glad I found this site! I am sorry this post will be so long, but I have quite a few issues. I have been to 2 Dr.’s and 3 lactation consultants (not very much help).
Anyway, I have a 4 1/2 month old who is exclusively bf. We’ve sort of struggled from the begining. I used a nipple shield the first 4 months. I was finally able to get him to nurse without it just a few weeks ago. I have had mastitis 4 times. He was diagnosed w/ reflux at 5 weeks mainly because he has so many Sandifer’s syndrome symptoms (neck twisting/arching, back arching, kicking one leg out, etc.) He would grunt so loud all night long as he arched. He swallows most of his spit up and has gained weight pretty well. He was 9 lbs 5 oz. at birth and was over 16 lbs. at 4 months. We started him on Prevacid at 5 weeks, which eventually helped. However, the past few weeks something has drastically changed.Here is what he does when he nurses: he’ll initally latch on and suck, choke on my let down (I try to recline back though), pull off, sometimes suck again for a few short minutes, other times he will refuse to nurse again for 10 minutes or so. He will look at me like I have Tabasco sauce instead of milk! He will sometimes just turn his head away and bring his lips together really tight. Other times he will push away so hard I can barely keep him in my arms. He will sometimes fight me so hard he will actually hit me. Sometimes he’ll start to cry and push away if I even start to sit down in my glider(where I usually nurse him). I always stop and let him rest, but a few minutes later he is STARVING! We repeat the same pattern pretty much all day long. He does the same thing with a bottle of pumped milk. To me it seems like he is in a lot of pain when he eats. He curls up into a little ball and his Sandifer’s syndrome symptoms come out really strong. He used to eat every 3 hours or so during the day, and would only get up around 5 am to nurse. Now, he’s up every 1-3 hours all night long. To me it seems like he’s actually getting more milk in the middle of the night (a habit I desparately want to break). He nurses SO much better in his sleep. I should also mention that when he’s not nursing or hungry he is a super happy baby that laughs and smiles all the time! He’s not particularly gassy either.About the time he started struggling with nursing more he also started choking on his spit up more frequently ( a few times each day and lot’s of time at night).Has anyone else experienced a similar thing? I sought out help from quite a few people and no one seems to have any ideas on how to help. Does this even sound like a reflux issue? I would appreciate any suggestions! Again, so for such a long post!July 9, 2007 at 7:22 pm #38907hellbennt
Keymasterdon’t appologize about long posts
you haven’t seen one of mine, lol, or maybe you have- have you taken a peek at Groupie Intro, lol! and watch out! this one is long, too
ok some thoughts: my guess is that you’re using prevacid compound and that the medicine has lost it’s stability (if you go to the top of the screen/page & click on ‘Settings’ & then ‘from there ‘Edit Profile’ & then ‘Signature’ you can put baby’s name, age, meds, form of meds, breastfeeding, etc)my next guess is that if you’re using another form of prevacid, such as the solutabs, & perhaps you’re not giving them on an empty stomach (hard to do w/ a breastfed baby)next guess is regardless of the form of prevacid your baby is taking, the dose is not high enoughalso in the ‘Medicines’ Forum’ there’s top post called ‘Ttreating GERD w/ PPIs’ that’s really helpful with all of thisnext guess: you have OALD (overactive letdown)- there are links about this from Groupie Intro which is the top post in the Introduce Yourself ForumWhat I would do: 1) address OALD 2) get baby on stable form & proper dose of PPI 3) in the meantime, if you have any zantac (or axid or tagament or pepsid) give this also, making sure to give it 4hrs seperate from the PPI, until you get the PPI ‘straightened out.’ 4) check out the Babywearing link in Groupie Intro, as there are ways to hold your baby in a ring sling, wrap and Mei Tai carrier (all explained in babywearing, lol) upright and you can wear baby in burp position in ring sling & wrap… 5) once everything is settled medication wise and nursing wise, then if there are still issues, you can address your diet if you so choose (more about that from Groupie Intro in the ‘breastfeeding a refluxer’ sectionwhew!!!hope I haven’t scared you off
~lauraJuly 9, 2007 at 8:55 pm #38911Anonymous
InactiveI agree with all that Laura posted. It does sound like a combination of things.
I did want to mention though, that my son started doing all the same things you are describing at about the same age as your son. It was so bad that the only way he would nurse would be me hanging over him while he was sitting in his bouncy seat. He too would start to cry as soon as I sat down with him and pulled up my shirt.
Benjamin was on a good dose of Zegerid at the time, but his reflux just really peaked at that age, and we had to up his dose. Once we did, he settled back down and things got better. He’s been on that dose ever since.I would definitely look into the links that Laura mentioned, and I hope that you find some answers soon.July 9, 2007 at 10:02 pm #38922Anonymous
InactiveWow, can I relate. Kate also showed Sandifer symptoms and her only REAL problem was feeding. It was like a switch went off when she was done like ” Whew, it’s over. Now I can be happy!” It was awful. There’s nothing harder then trying to nurse a struggling gerdling
I also have OALD and what helped me SO much is nursing lying down and letting her off when my milk let down to avoid all the choking and air gulping. Oh! I also nurse her on one side per feed which helped SO much right away. In terms of meds, once you get the right dose and med, things will improve. It’s so hard. I would have panic attacks before every feed with Kate. I almost stopped a couple of times but thank good ness I stuck it out. When it does get better and he finds relief, what an amazing experience it is to nurse a happy, comfortable baby! Good luck with babywearing too. Kate never was too fond of it, I think she felt too constricted but it has been a lifesaver for a lot of moms who find that they have their hands again!!! Yay! Good luck and I hope things get under control soon. Oh! Try not to change everything at once too b/c then you have no idea what was the reason for the improvment. Just speaking from experience. It’s hard not to desperately try everything at once though!
July 10, 2007 at 9:21 am #38935Anonymous
InactiveFirst of all, I’m sorry that you’re going through this. I have to say that I agree with Laura- it really sounds like pain from the reflux, like his acid isn’t being controlled.
I’m sorry to say this, but that is exactly what trying to feed Hailey was like in the early months while she would still eat. She would cry like she was hungry, frantically latch on, gulp, choke, gag, pull off, arch, scream, cry, kick, hit, then sometimes come back frantically for more b/c she was starving, and as the feeding problems got worse, she’d pull off and refuse altogether. Eventually she refused to eat flat out. She’d cry whenever we approached a feeding situation, or even when she saw I was about to BF. She’d scream when she saw a bottle as well.In our situation, people blamed it on OAL as well. They said that my let down was so forceful that she was being choked by it, and then that my flow was so quick that she was filled up after just a minute or so. I didn’t believe it then, and after what we’ve been through, I know that it was reflux. OAL doesn’t cause babies to go bezerk like that when you try to feed them. I would bet that your situation is due to reflux pain. I would also guess that it’s related to one of the medication problems that Laura talked about.If you’re not seeing a ped GI then that might be something to consider. If you tell us where you are, we might be able to recommend someone who believes in more aggressive PPI dosing to help your little one’s pain.Good luck.July 11, 2007 at 12:14 pm #39006Anonymous
InactiveThank you all so much! I feel bad that some of you have had to go through similar things, but it helps me to know that I’m not the crazy mom the Ped. probably thinks I am! He just thinks I’m trying to feed him when he’s not hungry.
Laura- your post makes so much sense. I can’t believe Dr.’s and lactation consultants haven’t been able to put things as straight forward and as well as you have. I’ve tried to nurse Connor while reclining, which seems to help, but I wonder if that puts too much pressure on his tummy. It’s hard to tell b/c he fusses no matter what his position. A sling is a good idea – I think I’ll order one today. Thank goodness for online shopping, huh? How did mom’s w/ newborns get shopping done before the internet???Connor’s nursing issues do sound just like Kate’s and Hailey’s. Kate’s mommy- how long did it last for you? Sometimes I just cry along with Connor b/c I feel like I am causing him this pain, even though I know it’s not my fault.S&H’s mum- I live in Utah. I haven’t found many ped GI’s here. We saw one about 6 weeks ago, but it was the worst appt. ever. He didn’t listen to anything we had to say. He pulled out a piece of paper and started writing out why babies are colicky (even though Connor was never colicky at all). He did up his dose of Prevacid, but then in the letter to our Ped wrote that Connor doesn’t have reflux, just gas. Huh?? He’s not even gassy. I’ve done online searches for other ped GI’s but haven’t had much luck. If you know of how to find some, please let me know!!Thanks again so much for your responses. It’s so helpful to hear your experiences. It gives me a little hope for the future. . .HeatherJuly 11, 2007 at 2:04 pm #39010Anonymous
InactiveHeather,
It’s still like that sometimes unfortunately. It rips your heart out and you are NOT alone when it comes to feeling guilty about your baby being in pain while feeding him. Of course you know deep down it’s not your fault but when they’re attached to you, eating like bf, it’s hard not to feel partly reponsible.
With Kate what helped tremendously is nursing lying down(major OALD), and the right dose and med. It took us a couple tries and a couple months unfortunately but I think we’re on the road to happy babyhood finally
The bummer about these med trials is they take awhile to see if they’re actually working so if it turns out they don’t work, you’re going througha rough time for a couple of weeks with no relief. That’s how it was with us anyway. There’s hope though. Just remember, Connor knows how much you love him and you are not alone. We’ve all been there and we’re here for you!
Kate’s Mommy2007-07-11 14:40:50
July 11, 2007 at 2:31 pm #39011Anonymous
InactiveHeather, it will get better! It’s really a matter of finding the right meds and eliminating offending foods for the most part, and it seems like things fall into place for most babies.
If you check out this link, it will give you all the registered ped GIs in Utah. Unfortunately, I don’t know anything about them, but the one you saw before sounds like a real piece of work.Hang in there.July 11, 2007 at 7:32 pm #39026hellbennt
Keymasterheather,
I used to cry along w/ Jonah too! I would hold him leaning up on my bent knees/thighs, facing me, & I would hold his little hands/fists & just cry & talk to him & list to him all the things I/we were doing to help him! I think it made ME feel better to know that I was doing my absolute best to figure out how to help him…I think this was the start of a tradition/ritual, lol, because now, 3 years later, he makes me tell him ‘all the things’ after we do something…no joke! like if we go to a birthday party (or anywhere really), as soon as we get in the car he says, “Mama, tell me all the things! All the things, mama!” too cute…(a little weird I think, but cute)Anyway, as far as what sling to buy- check out my babywearing post and links
And, as far as a ped GI in Utah, I do believe our very own christine/kevieb travels from idaho to Utah to see her ped GI! check out the Looking for a GI specialist link from Groupie Intro (I could be wrong about where she travels to to see the ped GI) -
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