Mothering › Forums › Breastfeeding › Breastfeeding Challenges › What the heck do I do now?
New Posts  All Forums:Forum Nav:

What the heck do I do now?

Poll Results: What should I do now? (choose all that apply)

This is a multiple choice poll
  • 25% (2)
    Cut out ALL dairy, including hidden
  • 50% (4)
    Try block feeding
  • 0% (0)
    Bring back the nipple shield
  • 25% (2)
    Go back to the SLP for help, STAT!
  • 0% (0)
    Tough it out, it's a phase
  • 0% (0)
    Magical "Other"!
8 Total Votes  
post #1 of 8
Thread Starter 
The problems: nursing issues and green, mucousy stools in my 15 week old.

The long, twisted back story:

DD was tongue-tied, clipped at 2.5 weeks. When nursing didn't improve, we worked with a speech language pathologist and found out she had a very weak suck, high palate, and poor tongue groove. 6 weeks of tongue exercises, bottle-feeding, and nipple shields later, we're still struggling with a shallow latch due to middle tongue hypersensitivity.

Her diapers were originally yellow but runny, no seeds, and DD spit up a TON. SLP recommended I cut out dairy, so I cut out all main dairy but didn't worry about hidden dairy; reflux improved, and diapers got seedy!

Then we tried to wean off the nipple shield, and her diapers turned BRIGHT, seriously flourescent green, still seedy. We guessed it was maybe because her nursing wasn't that great and she was only getting foremilk.

FF another month: I'm back at work, and her diapers are still bright green. Her latch *at night* (half-asleep) appears to be much better (still shaping, but no longer losing the latch with every suck), AND she's getting 12oz/day of milk via bottles, so I don't think it's a foremilk/hindmilk issue anymore.

BUT finger exercises show compression instead of sucking, and sometimes she fights the bottle (like she "forgot" what to do), she refuses the nipple shield, and she 9 times out of 10 a paci will fall out of her mouth within 20 seconds. She has also started pulling off the breast crying/screaming/totally ticked off at the end of a nursing session.

Other info: she spits up after nursing, but not after bottles. No diaper rash or skin problems to speak of, but she does have a sniffly nose. And, FWIW, her sister gave me grief at this age and popped out 2 teeth by 3.5 months, so part of me wonders if some of this is teething related (though I doubt it).

What the heck should I try now? DD is at home with family members for one more month and then goes to daycare. If we can't get the feeding issues worked out by then, how will our nursing relationship survive, because I clearly can't expect a center to help me out with her therapy.
post #2 of 8
If you don't find any other cause (like teething, ear infection, etc.) and the problem doesn't improve or gets worse, I'd suspect reflux. Fighting the bottle and pulling off the breast angry during feedings are classic signs of reflux, and babies with reflux very often nurse or bottle feed better at night when they are groggy or half asleep.

www.infantreflux.org has lots of information that may help you if reflux is the problem.
post #3 of 8
Hey, Mosaic, I'm so sorry things are still rough for you, too.

Are you getting any arching when she pulls off your breast? It does seem kind of reflux-y -- might not happen when bottle-fed because she's more upright? Sprout's reflux got worse around that age, and we had to switch from Zantac to Prevacid to get it under control again.
post #4 of 8
Thread Starter 
Wow, you gals are good! I forgot to mention we *are* suspicious of reflux. Eliminating dairy did seem to help, but both her ped (whom I hate) and the SLP (whom I love) strongly recommended meds. If this is reflux, do you think it would go away if I completely eliminated dairy? Or not really?

And yes, she definitely arches back when she pulls off. Since day one she has arched back a lot more than her older sister did, even when in arms or playing on the floor.
post #5 of 8
It depends.

DD had a dairy intolerance and reflux symptoms. She went on Prevacid at 6 months and I completely eliminated dairy (even trace). Her symptoms disappeared. At 9 months, we took her off the Prevacid and she was fine. Now whether it was the lack of dairy or just growing out of the reflux, we'll never know. Her intolerance continued until 2-2.5 years old.

DS has reflux unrelated to my diet. Zantac helped for a while, then we had to switch to Prevacid.

If you suspect it, it's worth giving medication a try. The medications are really safe, and it can improve everyone's quality of life so much. I hate that it took so long to diagnose DD, because I saw how much better she felt afterward.
post #6 of 8
Reflux generally has two causes.

1. An immature LES (lower esophageal sphincter). All babies have this to some degree which is why most babies spit up at least some, but babies with reflux have a more extreme case of LES immaturity which causes not only food but stomach acid to back up during and/or after feedings.

2. Milk/soy or other intolerances.

Generally speaking, babies with cause # 1 will outgrow their reflux between 9-12 months. Babies with the intolerances usually will take much longer to outgrow their reflux, sometimes as long as 2 years.

Some babies have both 1. and 2.

Medication will help cause 1 and 2, but babies with milk/soy or other intolerances will usually need dietary changes as well in order to get complete relief.

So, to answer you question, will the reflux go away if you eliminate dairy..... it's possible. It would take considerable time to figure it out. You'd have to eliminate dairy for at least two weeks, and then if no improvement try eliminating soy for at least two weeks as well.

I'm quick to recommend reflux meds because they helped my son so much, but certainly it's worth a try to eliminate dairy and see what happens.

Good luck. I hope she's feeling better soon.
post #7 of 8
OH mama, we seem to be having the same issues. Lilah spits up a TON!!! Like sometimes it looks like an entire feed comes out. I have her on prilosec now which seems to help the arching, freaking out screaming, and the day I forgot to give it to her until 1p I could see a difference in spitting up. I do also think she has a dairy intolerance as well. The days I have a cup of milk or ice cream she throws up not just spits up, and it's for hours and several out fits and is so so hard.

She also has a very weak suck, and i took her to the dysphagia specialist as well. She told me to work on tongue groove and pulling bottle to see if she can keep it in. She can not keep a paci in her mouth pretty much ever. I went from pumping every 3 hours to nursing about a month ago, but still gave her a morning bottle and a night bottle thickened with organic brown rice with dha and probiotics (blended to a fine powder of course) so she could keep it down. I've now cut out ALL bottles, but I'm terrified she's not getting what she needs. Nursing sessions are taking upwards if 1.5 hours and I'm constantly squeezing and rubbing my breast.

I wish I could help you, just wanted to tell you I feel for you mama. I hope it gets better. If I had 1 wish, it would be that Lilah's nursing improved so she could get enough and keep it in. Good luck mama!!!
post #8 of 8
http://www.kellymom.com/babyconcerns...tolerance.html

http://www.llli.org/FAQ/foremilk.html

Sounds like these articles descibe what you are going through.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Breastfeeding Challenges
Mothering › Forums › Breastfeeding › Breastfeeding Challenges › What the heck do I do now?