PREGNANCY-BIRTH Messages for May, 2000: Re: 4 mth old spitting up??

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Re: 4 mth old spitting up??

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 17 May 2000 11:41:09 -0500 (CDT)

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In reply to: Jennifer: "4 mth old spitting up??"
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At Wed, 17 May 2000, Jennifer wrote: >
>Hi
>
>This message is in regard to my sister's 4 month old...he weighs just
>over 14 lbs...hasn't been gaining weight as much as he had in the first
>3 months...my sister thinks it's because he has been spitting up a lot
>more now that she is trying to wean him..combining breastmilk with
>formula (just for 1 feeding).
>
>Can the baby be lactose intolerant??...instead of allergic to the
>formula...she has tried different ones? (Has always spit up...even the
>breastmilk) but never as much and as often as he has in the last few
>weeks...also hadn't had a bowel movement for about 6 days (did yesterday
>though)!
>
>She does the things to prevent spitting up like sitting the baby up for
>at least a half hour after feeding...this morning he didn't spit up
>until about 2 hours after the feeding...usually spits up after the first
>hour (shouldn't it be digested by then??)
>She has asked the doctor about using soy milk and they suggested that
>she didn't...that the cow's milk is better for him...the doctor also
>said he has eczema...can see it around his toes and elbows!
>
>Any ideas...does this amount of spit up seem normal...after every
>feeding he spits up a lot (maybe every 10-15 minutes)...could it be a
>food allergy??
>
>Any help would be greatly appreciated!
>
>J

J, What you describe sounds pretty normal. Without looking at a growth chart, 14 pounds at 4 mo. sounds pretty reasonable. Regarding the spitting, I can speak first hand having a four month old at home who seems to spit up every thing we feed him and more, this is not unusual unless he is not gaining any weight. Regarding the not growing as much as earlier, babies go through growth spirts and their eating is reflective of these periods of growth. Another issue is the fact that he is having more bottle feedings I presume since mom is beginning the transition from the breast. This can increase the amount of air ingested by the baby so it is important to be meticulous with regard to "burping" the baby every 3-4 ounces. If you don't do this, I guarantee he will spit up and up and up... If the concern is significant, I would just give the pediatrician a call... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: BBT shift"
Previous message: Lynn D. Montgomery, MD: "Re: Change from Micronor BC to Combo pill - baby 7 months old, still nursing"
In reply to: Jennifer: "4 mth old spitting up??"
Next in thread: AMD: "Re: 4 mth old spitting up??"

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