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Breastfeeding Moms Breastfeeding Moms

does this make sense?

Posted by on Nov. 26, 2013 at 8:08 PM
  • 14 Replies
This will probably be all rambled and jumbled but talk through this with me. 30 second back ground is my baby is 12 weeks and cries constantly. We have worked closely with the pedi and done a ton of testing. She is gaining weight well, though slightly slower than the pedi wants to see. She also refuses to eat- latches on and comes off screaming- for 75% of her feeds. Ok, so talk this through with me and see if I am missing something, or if my logic makes sense. Baby had the barium swallow test Friday- barium is a thick, chalky drink and she drank 2oz extremely fast laying flat on her back. From the start of the bottle to the liquid passing all the way through the small intestines was 35 minutes. The pedi (she is getting us an appt with the GI doc soon, before this she was just running the tests here and sending him the results) said it is quicker than average transient time but she doesn't see that being the problem. But if she processes that thick food that fast, doesn't it stand to reason she processes breastmilk even faster since it is so thin? So if food is hitting her stomach and quickly leaving it, wouldn't that make her feel hungry again quickly? Ok (here's my stretch in reasoning) so maybe she feels like "why eat if I never get full, if it does nothing?" Plus won't her stomach be contracting to push the food through, if its pushing food faster doesn't that stand to reason its contracting harder/faster and could be causing her pain? I also wanted to say that Friday, Saturday, and Sunday she was a WONDERFUL baby!!!!!! She was so great and I credit it to drinking that thick chalky stuff. Even Saturday when she was constipated and in pain she was still happy when she wasn't actively trying to potty. So does my reasoning make sense with the food processing?
by on Nov. 26, 2013 at 8:08 PM
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Replies (1-10):
gdiamante
by Group Mod - Gina on Nov. 26, 2013 at 8:37 PM

Well... Babies don't reason that way. They simply want to eat more. For them to say "to hell with it" is essentially to commit suicide, and suicide is definitely not an infant idea, you know?

Breastmilk DOES process quickly. That's well known. I'll defer to our resident docs about the processing speed but the constant crying says to me she's in pain of some kind.

stepconfused182
by Kelley on Nov. 26, 2013 at 9:29 PM
It wouldn't be possible for her to reason like that. An adult wouldn't even find reason in thinking that they should stop eating because they can't get full. Also, viscosity isn't the only factor in the speed of metabolism so I'm not sure I agree with that theory either. She hasn't had an Upper GI endoscopy, right?
iSMILEheCRIES
by Bronze Member on Nov. 26, 2013 at 9:43 PM
No on the GI endoscope. We are trying to coordinate being admitted to the childrens hospital and get multiple tests done at once vs seeing one specialist here and another there and this dragging on another 3 months. The GI docs recommendation, and the other pedi(an older guy) in my pedis practice is to give her "thicker food". My pedi disagrees and right now I'm honestly on the fence because I feel like maybe the GI doc won't take this serious if I say "no I didn't thicken her milk with rice or give her formula". I mixed a bottle of formula last night :( and then threw it away because I licked my finger after shaking it and gagged...formula has nothing on breastmilk!! Assuming I even wanted to give formula how the heck am I gonna get her to drink that stuff?

Quoting stepconfused182:

It wouldn't be possible for her to reason like that. An adult wouldn't even find reason in thinking that they should stop eating because they can't get full. Also, viscosity isn't the only factor in the speed of metabolism so I'm not sure I agree with that theory either. She hasn't had an Upper GI endoscopy, right?
iSMILEheCRIES
by Bronze Member on Nov. 26, 2013 at 9:48 PM
Its so crazy because last night she cluster/marathon nursed for the better part of 3 hours! She's never ever done that! She ate ok today, I know she got full each time it was just a battle. I didn't think she would starve herself, but wasn't sure if her mind would almost "rewire" and associate food with pain or disassociate food with feeling full/happy.

Quoting gdiamante:

Well... Babies don't reason that way. They simply want to eat more. For them to say "to hell with it" is essentially to commit suicide, and suicide is definitely not an infant idea, you know?

Breastmilk DOES process quickly. That's well known. I'll defer to our resident docs about the processing speed but the constant crying says to me she's in pain of some kind.

MommyO2-6631
by Leslie on Nov. 26, 2013 at 9:56 PM
Question for the docs... and possibly the IBCLCs also. What is the "normal" stomach emptying time?
Analugojana
by Christine on Nov. 26, 2013 at 9:58 PM

Hugs. Is she back to screaming? I would not thicken her food or do formula if you don't have an answer to what is wrong. It still sounds like pain, not hunger. She would nurse MORE if the quick emtying were the cause. I still bet on acid reflux or some allergy. 

Quoting iSMILEheCRIES:

No on the GI endoscope. We are trying to coordinate being admitted to the childrens hospital and get multiple tests done at once vs seeing one specialist here and another there and this dragging on another 3 months. The GI docs recommendation, and the other pedi(an older guy) in my pedis practice is to give her "thicker food". My pedi disagrees and right now I'm honestly on the fence because I feel like maybe the GI doc won't take this serious if I say "no I didn't thicken her milk with rice or give her formula". I mixed a bottle of formula last night :( and then threw it away because I licked my finger after shaking it and gagged...formula has nothing on breastmilk!! Assuming I even wanted to give formula how the heck am I gonna get her to drink that stuff?

Quoting stepconfused182:

It wouldn't be possible for her to reason like that. An adult wouldn't even find reason in thinking that they should stop eating because they can't get full. Also, viscosity isn't the only factor in the speed of metabolism so I'm not sure I agree with that theory either. She hasn't had an Upper GI endoscopy, right?


stepconfused182
by Kelley on Nov. 27, 2013 at 12:14 AM
You mean of breastmilk or food in general? It depends on a lot of things, such as volume, macronutrient content and distribution, fiber content, liquid content, as well as the individuals rate of metabolism, age, HCl, hormone and enzyme concentration, etc. When we say breastmilk takes about 90 mins to digest, that's referring to the entire process, so the stomach emptying into the small intestines would generally take less time than that. Not sure if I answered your question?

Quoting MommyO2-6631:

Question for the docs... and possibly the IBCLCs also. What is the "normal" stomach emptying time?
MommyO2-6631
by Leslie on Nov. 27, 2013 at 8:10 AM
They're saying that the barium emptied the stomach in this baby in 35 minutes, what should have been the "normal" time frame for this if this was "fast".


Quoting stepconfused182:

You mean of breastmilk or food in general? It depends on a lot of things, such as volume, macronutrient content and distribution, fiber content, liquid content, as well as the individuals rate of metabolism, age, HCl, hormone and enzyme concentration, etc. When we say breastmilk takes about 90 mins to digest, that's referring to the entire process, so the stomach emptying into the small intestines would generally take less time than that. Not sure if I answered your question?



Quoting MommyO2-6631:

Question for the docs... and possibly the IBCLCs also. What is the "normal" stomach emptying time?

stepconfused182
by Kelley on Nov. 27, 2013 at 8:37 AM
Oh ok, sorry! A follow through study usually takes about 2 hours, sometimes longer.

Quoting MommyO2-6631:

They're saying that the barium emptied the stomach in this baby in 35 minutes, what should have been the "normal" time frame for this if this was "fast".




Quoting stepconfused182:

You mean of breastmilk or food in general? It depends on a lot of things, such as volume, macronutrient content and distribution, fiber content, liquid content, as well as the individuals rate of metabolism, age, HCl, hormone and enzyme concentration, etc. When we say breastmilk takes about 90 mins to digest, that's referring to the entire process, so the stomach emptying into the small intestines would generally take less time than that. Not sure if I answered your question?





Quoting MommyO2-6631:

Question for the docs... and possibly the IBCLCs also. What is the "normal" stomach emptying time?

MommyO2-6631
by Leslie on Nov. 27, 2013 at 8:42 AM
Hmmm... that is interesting.


Quoting stepconfused182:

Oh ok, sorry! A follow through study usually takes about 2 hours, sometimes longer.



Quoting MommyO2-6631:

They're saying that the barium emptied the stomach in this baby in 35 minutes, what should have been the "normal" time frame for this if this was "fast".






Quoting stepconfused182:

You mean of breastmilk or food in general? It depends on a lot of things, such as volume, macronutrient content and distribution, fiber content, liquid content, as well as the individuals rate of metabolism, age, HCl, hormone and enzyme concentration, etc. When we say breastmilk takes about 90 mins to digest, that's referring to the entire process, so the stomach emptying into the small intestines would generally take less time than that. Not sure if I answered your question?







Quoting MommyO2-6631:

Question for the docs... and possibly the IBCLCs also. What is the "normal" stomach emptying time?


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