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Re: 4 mth old spitting up??

From: AMD (anonymous@obgyn.net)
Thu, 18 May 2000 16:15:24 -0500 (CDT)


Hi Jennifer-- As the mother of a former puker, I can totally relate to the frustration of this situation. We used to keep a king size blanket on our living room floor to protect our carpet some!! The puker is now 5-years-old and has outgrown this habit, so it does not last forever (he outgrew it around 9-10 months of age).

If the baby's mother does not eat a lot of dairy, the baby may not be accustomed to the milk proteins and may have a little trouble adjusting to the formula. It may just take time. Also, when trying a new formula, use it for several days before deciding that it isn't working out. I used soy formula with my puker, but I wouldn't do it again unless it made a profound difference in the amount of spitting. That stuff is foul when you mix it, and is positively disgusting when it comes back up. I'm pretty sure you could strip paint with soy formula spit-up.

It may be worthwhile to experiment with different nipples and bottles. I had to do this with my puke-boy. When he was a newborn, his suck was too weak for nursing and even the disposable playtex bottles. As he got older, his suck improved and the plain old gerber nipples were just too fast for him. He would consume 8oz in about 3 minutes, and then puke up 4 of those ounces over the next hour and started having trouble keeping his weight. At that point, I switched him to the disposable bottles and he did some better.

If the nipple is too fast, the baby may eat too much too fast, swallow too much air, and have an upset stomach. If it's too slow, the baby may get frustrated and fuss more at the bottle. Ideally, mom could find a nipple that is similar to her natural flow of breastmilk. I know I have a very slow letdown, so I use a slower nipple on the bottles. This time around, I personally like the Avent bottles since the nipple shape requires a more "open" latch that is closer to nursing, and they come in 4 different flow rates (different # of holes in the nipple). You can change flow rate without changing bottle system.

I wish your sister luck finding some solutions and ways to work with this problem. Hopefully, it will just be a nuisance and not affect the baby's health.

Good Luck. Andrea

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




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