[kittycat01]

Hi,

DS1 never vomited very often so this is a bit new for me with DS2. He's now 16 days old and he vomits (sometime retching, sometimes as a result of sneeze/cough/reflux) on every single feed.

He is almost fully BF (have given him formula once per week and he had some in hospital before my milk came in due to low blood sugar). I've been keeping him upright for 30 mins after a feed but he's chucking on winding and when I lay him on change table. It's a proper vomit, not just posseting. He is also vomiting in his sleep, in spite of elevating him.

The ECHN suggested that i was over feeding him, but he's doing it even on small feeds so I'm not sure that's the case. Any ideas on things to try? I am getting very little sleep at night because I keep waking up when he's choking on puke...not easy to settle back down after that. dH is home this week so I'm catching up on zzzz's in the morning but next week he's back to work. Not sure what I will do then!

Kitty

[MrsDamonSalvator...]

could he be lactose intolerant? Ethan was and it took me forever to figure it out, but he did the same thing. would spew afetr EVERY feed, no matter the anount he had...

[Dinosaurus]

Hi,

Your poor baby and poor you

I would start with the simplest solution and work your way from there.

The simplest solution is that he is over-fed, try waiting 3-4 hours between a feed and see if it still happens then.

The next solution is reflux, this burns like hell so I'd see a Dr first and discuss appropriate ant-acid treatment to see if that helps. If baby isn't crying or in apparent pain it might be silent reflux.

the third option is that there is something wrong, I was this baby - it took until I was 13 to be diagnosed and until I was 15 to be fully 'fixed'!! My poor Mum!

Anyway, try the 3-4 hour thing today, after the next feed, see if it has any impact. If not I'd be heading to the Dr or if that's a long wait the pharmacy to get some OTC reflux-inhibitor to try.

All the best, I hope it's an easy fix.

[twinboys]

If in doubt take him to be checked out it could be the start of Pyloric stenosis which can be controlled with thickened formulas

[Ianthe]

If in doubt take him to be checked out it could be the start of Pyloric stenosis which can be controlled with thickened formulas

This is a very serious condition and often requires surgery. OP this is very rare but two of my sons had this and were operated on. It presents around 2-6 weeks. If he is doing projectile type of vomits it could be that. As I said it is very rare but can be very serious.

[Glowworm80]

My LO does a fair amount of vomiting, she also seems to be quite gassy. I now burp her every 5 or so minutes when feeding and this seems to help.


It seems the longer i have her upright after a feed the less likely she is to vomit. Not so easy in the middle of the night to get her upright while trying to sleep myself so, I have also raised her bassinet so that she sleeps on a slight angle.


Lastly my GP recommended infant Gaviscon. You can get from a pharmacy OTC, but honestly I didn't see much of a difference using it.


Other then that I just hope she grows out if it and keep plenty of those old terry cloth nappies close by for clean ups... And dress her in lots of bibs.

[twinboys]

Didn't mean to make light of it Lanthe - my sister had it and it was controlled with thickened formulas back in that time.

[kittycat01]

Mumma bear - DS1 and DH both had lactose intolerance issues as babies but didn't show until 1yr old when put on cows milk. DH would vomit after having it but DS1 just had diahorrea constantly that only stopped when we put him on lac-free milk and cut out other dairy. He is able to tolerate it fine now (at 3yrs old). I would think that if he was reacting to my breast milk, that there would be a much more extreme reaction with formula? That's not the case though so I had ruled it out....

I am feeding him 3-4 hrly most of time and feeds are taking 20mins each side max now, sometimes less (as he can be rather enthusiastic when hungry - big bubba, now nearly 5kgs). He is very windy though on some feeds - about halfway between, he might wake up with cramps. DS1 was similar at this age though and grew out of it by about 8wks. My let down is very strong so the wind mainly happens due to the gulping, trying to keep up. I do lean back at beginning of feed but doesn't seem to help slow the flow.

Keep suggestions coming...good to revisit things I think I've thought of incase I'm missing something

[Razman]

I'd follow the advice of the PP's and get your DS checked out for all the medical conditions mentioned.

And if you've ruled out all the medical conditions and you still have a chucker (my case) it should settle down somewhere between 6 and 12 mths (14 mths in our case). Buy up heaps of big bibs, old fashioned cloth nappies (chuck towels) and a big washing machine

Sleep in the rocker/bouncer during the day - its more upright than you can get the cot. Cloth nappy under his head and over his blankets/wraps to protect from vomit. And while its counterintuiative always sleep on his back, he can breath through vomit on his face but not if he's face down in the vomit (IYKWIM and sorry TMI)

Be prepared for hating tummy time too. It seems to make the vomiting worse and don't push it until he can hold his head up.

[kittycat01]

Also my brother had something along lines of Pyloric stenosis (some sort of valve issue that he was supposed to grow out of but never did). He was FTT until he was 2.5yrs and has severe reflux problems as an adult. Do these things run in families??

I already discussed reflux with paediatrician before discharge as he gulps and swallows in his sleep. Doesn't seem to screw his face up or be distressed though by it so not sure that its acidic. She said to wait a couple of weeks and see if it improves. Might be just immature valve on stomach,

Kitty