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Doctor says no more than every 2 hours? (update)

Posted by on Oct. 16, 2013 at 5:51 PM
  • 36 Replies

So he's really seemed in pain with his cries and we've tried simethicone, lots and lots of holding him upright for possible reflux and just that he seems to prefer to be upright.  I've also started eliminating dairy and block feeding for possible oversupply/too much formilk.  He turns 7 weeks tomorrow and he's gone from a birth weight of 7 lbs to 11 lbs 10 oz.  That does seem like a lot to me and he does seem like he's grown a ton (not just with fat rolls though but way too long for his old clothes)

I really hate the idea of not letting him nurse whenever wherever, but she said its giving him the stomach pains.  I've been watching for it and he finally had green poo yesterday and a tiny amount of blood (and this is after I started eliminating dairy, but I know that can take awhile.)

She gave him acid reflux medicine and I just hope that that helps.  I can see how that would make him want to drink milk all the time if that's what's going on.  Thoughts?

----

update oct 31

Well when I went to the lactation consultant she said just to feed on one side per session and that his fussy behaviours at the breast really weren't a sign of a problem.  (She didn't see him full on screaming but she did see him whining and tugging and crying some).   I don't know.  She also said not to worry about the diet restrictions that doctors always say that but I didn't want to risk it.  I want to see him doing a lot better for a long enough stretch so that I can test having dairy or soy and see if it makes a difference.  She also said he was getting plenty of fatty hindmilk or he wouldn't be gaining so much.  

Again I'm not sure.  I think my possible oversupply may be getting better.  The past couple of days he's been crying less and he even went back to better smelling yellow poo today.  But I don't know if that's because of my diet changes too!  Or that I started trying the Gerber Soothe probiotic drops.  

The doctor gave me a stronger reflux medication and referred us to a gastroenterologist which is supposed to have a dietician for me too.  I know a lot of people said not to take reflux meds but it really seems like he has it.  

Today he's been miserable but he also had his vaccines.  But ugg I'm actually feeling a little guilty and doubting myself off and on if I should have taken the sample the doctor offered of some kind of soy/dairy free formula.  Because as hard as I'm trying sometimes it sneaks into things I would never imagine (I just found out its pretty much impossible to get canned tuna without soy.) When he's miserable I wonder if I'm just letting him suffer out of my own stubborness.  But seriously in order to try it wouldn't I have to go for a long stretch and probably lose my milk in the process?  And if reflux is the main culprit, not allergies, then breastmilk is supposed to be much better for that right?  And it feels like it's often the only thing that comforts him so I really don't want to lose it.

by on Oct. 16, 2013 at 5:51 PM
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Replies (1-10):
Babyhouston2B
by on Oct. 16, 2013 at 6:17 PM
That's sounds ok if you concern ask his doctor ,
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mostlymaydays
by Group Mod-Stacy on Oct. 16, 2013 at 6:25 PM
3 moms liked this
For me, the reflux meds would be a last resort after definitive diagnosis by a specialist, for concern over the side effects from the drugs. With that impressive gain and the gassy fussiness, I'd try to manage the oversupply first. I don't imagine he's going to be any happier if you start denying him feeds! Quite simply, he's probably in a great big growth spurt. He's not going to eat and gain like this for very much longer.

Is he spitting up? Projectile? In pain while spitting up?
mostlymaydays
by Group Mod-Stacy on Oct. 16, 2013 at 6:30 PM
You are right, it takes weeks to get the dairy out of your system. Make sure you're eliminating all the hidden dairy, too. My second ds was diagnosed with cow protein intolerance after blood in the diaper. I tried the elimination for a few weeks. My supply regulated around 12 weeks, the blood went away and the cow protein issue ended up not being the issue anyway. He was totally tortured by my oversupply.
Cleo07
by Bronze Member on Oct. 16, 2013 at 6:39 PM
1 mom liked this
I agree with getting the oversupply under control before worrying about feeding schedules. He has put on almost five pounds in 7 weeks so I would agree you have major oversupply and a symptomatic baby.

I had oversupply with all my kids. They all doubled birth weight in 2-3 months. I had to block feed my last one because his reflux was terrible. Within a few weeks, I had a different baby and his weight gain became normal too. I never limited breast feeding frequency as the breastmilk is soothing to their throat pain from the reflux even though the oversupply was the reason for the reflux. It's kind of a catch 22.

How long have you been block feeding? I noticed a difference in a few days just by doing four hour blocks.
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maggiemom2000
by Ruby Member on Oct. 16, 2013 at 6:56 PM

It sounds like oversupply is the most likely suspect. Ditch the simethicone and reflux meds. Try this method of block feeding (it does involve some pumping). You basically pump both breasts completely first thing in the morning, then nurse on the right side until the left side feels uncomfortably full, then nurse on the left side until the right side feels too full etc.

Many moms will notice a difference right away with baby nursing on drained breasts in the morning.

http://attachmentparenting.org/blog/2012/06/12/fighting-the-battle-against-oversupply/

lello
by Member on Oct. 16, 2013 at 10:33 PM



Quoting mostlymaydays:

For me, the reflux meds would be a last resort after definitive diagnosis by a specialist, for concern over the side effects from the drugs. With that impressive gain and the gassy fussiness, I'd try to manage the oversupply first. I don't imagine he's going to be any happier if you start denying him feeds! Quite simply, he's probably in a great big growth spurt. He's not going to eat and gain like this for very much longer.

Is he spitting up? Projectile? In pain while spitting up?


He does spit up a lot but its been rare that it was actually projectile.  Sometimes a lot just kind of pours out his mouth though.  He doesn't neccessarily seem in more pain while is happening.  And yeah I just don't have the heart to deny him feeds but I wonder if I offer the breast too much sometimes at any sign of fussing or pain.   

lello
by Member on Oct. 16, 2013 at 10:33 PM


Hidden how?  The doc said if it was in something like bread it was ok.  But I don't know if that's true.

Quoting mostlymaydays:

You are right, it takes weeks to get the dairy out of your system. Make sure you're eliminating all the hidden dairy, too. My second ds was diagnosed with cow protein intolerance after blood in the diaper. I tried the elimination for a few weeks. My supply regulated around 12 weeks, the blood went away and the cow protein issue ended up not being the issue anyway. He was totally tortured by my oversupply.



lello
by Member on Oct. 16, 2013 at 10:37 PM


I'm not totally sure but I feel like I've been block feeding for several days or more.  I don't know if I always make it to four hour blocks though and sometimes I do get too engorged and put him to the other side.  I'm gonna try to watch it more closely.  Until I saw how much he weighed I was kind of skeptical that I should do anything to reduce supply.  :-/

Quoting Cleo07:

I agree with getting the oversupply under control before worrying about feeding schedules. He has put on almost five pounds in 7 weeks so I would agree you have major oversupply and a symptomatic baby.

I had oversupply with all my kids. They all doubled birth weight in 2-3 months. I had to block feed my last one because his reflux was terrible. Within a few weeks, I had a different baby and his weight gain became normal too. I never limited breast feeding frequency as the breastmilk is soothing to their throat pain from the reflux even though the oversupply was the reason for the reflux. It's kind of a catch 22.

How long have you been block feeding? I noticed a difference in a few days just by doing four hour blocks.



Autumn19
by on Oct. 16, 2013 at 10:38 PM

 i hadthe same problem with my dd and it was from forceful OAL. try longer block feedings. i had to go to 12 hr blocks to even things out.

Quoting lello:

 

 

Quoting mostlymaydays:

For me, the reflux meds would be a last resort after definitive diagnosis by a specialist, for concern over the side effects from the drugs. With that impressive gain and the gassy fussiness, I'd try to manage the oversupply first. I don't imagine he's going to be any happier if you start denying him feeds! Quite simply, he's probably in a great big growth spurt. He's not going to eat and gain like this for very much longer.

Is he spitting up? Projectile? In pain while spitting up?

 

He does spit up a lot but its been rare that it was actually projectile.  Sometimes a lot just kind of pours out his mouth though.  He doesn't neccessarily seem in more pain while is happening.  And yeah I just don't have the heart to deny him feeds but I wonder if I offer the breast too much sometimes at any sign of fussing or pain.   

 

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lello
by Member on Oct. 16, 2013 at 10:39 PM


omg I think my breast would explode in 12 hours. I'm also really afraid of getting plugged ducts or mastitis.  Did you pump?  I can see how pumping might take out the formilk for him, but wouldn't it keep my oversupply going? 

Quoting Autumn19:

 i hadthe same problem with my dd and it was from forceful OAL. try longer block feedings. i had to go to 12 hr blocks to even things out.

Quoting lello:



Quoting mostlymaydays:

For me, the reflux meds would be a last resort after definitive diagnosis by a specialist, for concern over the side effects from the drugs. With that impressive gain and the gassy fussiness, I'd try to manage the oversupply first. I don't imagine he's going to be any happier if you start denying him feeds! Quite simply, he's probably in a great big growth spurt. He's not going to eat and gain like this for very much longer.

Is he spitting up? Projectile? In pain while spitting up?


He does spit up a lot but its been rare that it was actually projectile.  Sometimes a lot just kind of pours out his mouth though.  He doesn't neccessarily seem in more pain while is happening.  And yeah I just don't have the heart to deny him feeds but I wonder if I offer the breast too much sometimes at any sign of fussing or pain.   

 



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