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JennGM
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Posted: Feb 08 2008 at 1:14pm | IP Logged Quote JennGM

My nursing 8 week old is suddenly experiencing *lots* of spit-up/vomiting and tummy pain. This is the second day of copious amounts of spit-up and writhing and moaning like he's nauseous (stomach heaving, etc.). I'm wondering what's going on. His sleeping habits are very, very good, and despite lots of crying and writhing at various times, he still slept well. In fact, he's sleeping too much today.

No fever. We have food allergies and reflux with his older brother. GERD is definitely on both sides with adults. He's been showing signs of reflux, but nothing that keeps down weight gain or eating, just uncomfortable at times.

No big changes in food consumption except maybe beans? More fish?

What would you do? Wait it out to see if it's a passing thing?

He's not normally a spitter; he doesn't like to. He usually tries to keep it down, unlike my other one who was Mount Vesuvius ALL.THE.TIME.

Thanks for letting me bounce this around.

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Posted: Feb 08 2008 at 2:27pm | IP Logged Quote Servant2theKing

Our grandson was having very similar issues around the same age. We read that burping them more frequently during a feeding can be helpful. My daughter started interrupting his feedings to burp him more often and the episodes of spitting up lessened immediately. He was also having gas pain, and she used OTC simethicone drops (a store brand of Mylicon), which helped as well. If you try both of those things and the pain or spitting up do not improve it would be a good idea to consult your doctor.

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KC in TX
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Posted: Feb 08 2008 at 2:29pm | IP Logged Quote KC in TX

Do you think he may just be a bit sick? Does he have any nasal discharge that may make him nauseous if it drains down his throat? That's all I can think of.

I don't blame you for being concerned especially since nothing has changed much in your diet. I'm sorry I'm not much help. Hopefully, someone else will be able to help you.

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Posted: Feb 08 2008 at 2:52pm | IP Logged Quote PDyer

My daughter spit up a lot as an infant. Her problem ended up being a combination of overactive letdown on my part and dairy allergies on her part, but because she was spitting up so much and so well , our ped wanted to rule out pyloric stenosis. We just had to have an ultrasound of her stomach to rule it out. Just a thought -- hoping and praying for a simpler solution.   




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Posted: Feb 08 2008 at 3:33pm | IP Logged Quote emmsie

my dd was sick and irritable and had reflux, so i would get it checked out.
She had to be tube fed with thickened feeds in the end.
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Maryan
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Posted: Feb 08 2008 at 4:21pm | IP Logged Quote Maryan

Have had the same trouble here -- FWIW I tend to just wait it out and see what happens as their digestive system gets mature. I have to do a lot of burping with Philip and he often has a late burp and lots of spit up if I don't get it all the bubbles out.   It's the hardest at night because I get lazy about burping.

I had to do the same with Luke. The other boys didn't have the trouble.

Luke grew out of it... so I'm hoping the same will happen with Philip. And since your little guy is gaining weight, it may look more than you think, etc. etc.

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Posted: Feb 08 2008 at 4:38pm | IP Logged Quote chicken lady

No opinion Jenn, but I am praying for you. This type of thing can be so scary, when the little people cannot tell you how they feel. You are in my rosary.
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Posted: Feb 08 2008 at 9:40pm | IP Logged Quote Pamin OZ

I'd cut out the beans, too. If it keeps up it might be worth looking at what you're eating, though painful for you. Dairy is supposed to be the most common problem at this age. Though for babies with reflux it can be lots of other things.

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on a restricted diet atm that you don't want to know about!

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Posted: Feb 11 2008 at 1:09pm | IP Logged Quote Mackfam

Jenn,
You've mentioned that you are very...um...large.    I mention this because I too am quite efficient when it comes to nursing, and more than ample - ok huge - in size when my milk comes in. Like Patty mentioned, I have overactive let down as well and the poor little ones can barely keep up. I feel so bad, it makes for a lot of gulping...and air...and spit up. All 3 of mine have done it so far. I have tried to be vigilant about burping, but it seems there's always a bubble left and spit up to follow. Around 5 months, my letdown calms down, and their digestive systems mature a little and the spit up goes away. Until then, wear a lot of burpies!

I don't know what to advise about the reflux - thanks be to God we haven't experienced it...yet. Can you rule out real pain versus a little discomfort with some gas in his tummy? It's been a few days since you posted, is he still writhing? Chances are, if he's fairly content otherwise, sleeping ok, etc. then he's keeping plenty of milk down. If your mothering instinct tells you he is in real pain, perhaps for peace of mind you should take him to the pediatrician.

Praying that all is well by now, and nursing is going smoothly for both of you!

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Posted: Feb 11 2008 at 3:36pm | IP Logged Quote Kathryn UK

Jenn, Jennifer may have hit on something. What you have described could well be symptomatic of overactive letdown and / or oversupply. I had this problem with my little one - no colicky symptoms, but she choked, spluttered and almost drowned in milk, and had stools that suggested all was not right.

Two things worked for me ...

(1) Feeding from the same side for consecutive feeds, to make sure that she got plenty of hindmilk and not just a flood of foremilk. I only ever gave her one side during a feed, never both.

(2) Using a scissors hold on the areola as she nursed to slow the flow.

This La Leche League article might be useful.

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Posted: Feb 11 2008 at 7:20pm | IP Logged Quote hylabrook1

Another suggestion for coping with overactive letdown that worked for me is to nurse with Mom lying flat on her back. This minimizes the added effect of gravity forcing the milk toward baby.

It's been a few days since you posted, Jenn. Are things getting any better?

Peace,
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Posted: Feb 12 2008 at 6:50am | IP Logged Quote Maryan

As a pertinent aside -- I got to see Jenn's baby yesterday and he is gorgeously huge and looked so happy. So whatever this problem Jenn... it definitely isn't affecting his overall health. He looks like the epitome of a baby well tended to by his mama.

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Posted: Feb 12 2008 at 7:37am | IP Logged Quote Mackfam

Maryan wrote:
he is gorgeously huge and looked so happy.


Yay!

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Posted: Feb 12 2008 at 7:32pm | IP Logged Quote JennGM

Thanks everyone. I haven't had much time online, mostly tending to my chubby baby.

I definitely have overactive letdown and overproduction. I have been doing for a while things recommended to help overcome, like nursing on one side only.

I do think reflux is the issue. The spitting up isn't only right after feedings, but can go into hours later. He's only repeated a few more times the episodes of very large amounts of spitting up. He's uncomfortable, and sometimes it's worse on some days than others, but he's still eating fine and he sleeps very well. I'm discussing with dh about the chiropractor, but he really is happy most of the time.

I think he'd sleep through the night if I let him. That's probably another issue, but he has such a strange pattern of eating during 24 hours that it makes it hard for my body to "regulate" production. So I'm hurting in the morning hours until the afternoon until he starts an eating rampage that runs me on empty until late evening and then he sleeps it all off.

I'm disappointed that he has to go through the spitting and pain like his brother, but it's not as extreme and we'll probably be able to ride it out. I'll start playing detective to see if the actions correspond to foods I eat. I eat very little dairy, so I'd have to dig a little deeper.

Thanks again letting me bounce this off. You did help!

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Posted: Feb 12 2008 at 8:01pm | IP Logged Quote JennGM

Maryan wrote:
As a pertinent aside -- I got to see Jenn's baby yesterday and he is gorgeously huge and looked so happy. So whatever this problem Jenn... it definitely isn't affecting his overall health. He looks like the epitome of a baby well tended to by his mama.


And 1 month old Philip looks so wide-eyed and beautiful!! And Mommy looks fabulous!!!

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Posted: Feb 13 2008 at 7:33am | IP Logged Quote Maryan

Oh thanks Jenn... and truly, just you wait.... the longer I nurse, the fatter I get!    Lent may stave that off... a little. I'm the reverse of every book!

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Posted: Feb 19 2008 at 10:35am | IP Logged Quote JennGM

Well, update again. I should say that what Nicholas is doing is definitely vomiting, somewhat forceful, large amounts, through his nose and everything. It doesn't happen all the time. Every time I think we're in the clear copious amounts come flooding out with no warning. Ugh. This is definitely not spit-up. Anyway, thanks for all the help. I'm trying to see a pattern in my food or something and just not finding it!

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Posted: Feb 19 2008 at 10:58am | IP Logged Quote Cay Gibson

Jenn,
Both my boys had this and I heard it was common in little boys for the flap to not be completely developed until they are 6-8 months old...which it did correct itself by the time my boys reached this age.

Corey's was the worse. He didn't spit-up, he up-chucked almost everytime. But the doctor said as long as he was gaining weight we needn't worry until after the first 6 months.

Corey was 8 lbs and Garrett was 9 lb 11 oz at birth so it had nothing to do with them being undersized infants. I think larger babies might be more prone to this.

Thanks for the update and I'll pray the situation improves. It's a messy business.

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Posted: Feb 19 2008 at 11:29am | IP Logged Quote Lisbet

Jenn, MB would spew out of his nose after every feed until about a month ago. Lare amounts even
He was gaining very well (He's a serious tub of lucious baby butter! :) He has recently stopped doing this. I wonder if it's what Cay just described?

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