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Another OALD/reflux post :)  

post #1 of 8
Thread Starter 
Hi mamas.
I've been reading the other posts on this topic and wanted to ask for some advice myself. I have 2 daughters, both preemies, one is 2.5 and still nursing 3 times a day or so. The baby is 6.5 months old and is the one that seems to have the problem.

My first daughter nursed/s like a champ, for comfort, loves it, no problems. The baby seems to hate nursing!!! She will nurse for no longer then 5 minutes and usually comes off choking/sputtering. She is not a huge vomiter at all but does the back arching and lots of screaming, and is currently on zantac. She is growing well but just seems to hate to nurse. She won't nurse to sleep (unheard of with my first!). Sometimes late at night she will lie down and nurse well with me. Maybe the supply slows down. i still have to put my arm under her head and lift it a little though.

Since day one she has frequent green powerful stools (though not always, many are what i consider normal looking). my toddler never has had stools like this.

They more or less each have their own "side" and have since the beginning but i will occasonally switch the baby over. So the typical advice of block nursing doesnt really work for us since we do that anyway. I also nurse her mostly upright, sometimes let the toddler nurse quickly first (instead of pumping), nurse in a carrier, etc.

I think the tandem nursing may be causing my oversupply. Although i know lots of tandem nursers that don't have this problem.

I guess I am just not sure what to do. She is healthy and growing but just seems like she hates to nurse! It's just so foreign to me, with my first, nursing is like her favourite thing ever and could always be used to calm her in any situation.

My husband ends up calming the baby more often then not because nursing just gets her more upset and hysterical.

I feel like i am just putting in time now until she weans which makes me sad because i wanted to nurse them both as long as they wanted. i feel like she will wean before my toddler does. it just seems to make her so unhappy.

Sorry for my rambling post, hope you're still reading
post #2 of 8
I only have a few seconds to respond, but my 3 month old baby also has reflux and is on zantac (she was also hospitalized for three days, and went through a period of weight loss). She also had very green, mucousy stools and did the coughing/sputtering thing, and she's always only nursed about five minutes at a time. I determined that she had foremilk/hindmilk imbalance and was getting too much lactose-rich foremilk that overwhlemed the limited lactase in her digestive system. I went to block nursing, but also started taking L. reuteri probiotic supplements (which excrete in breastmilk) and also started giving babydophilus (acidophilus powder for infants), which I mix in bm and give by syringe. This has elminated almost all green, mucousy stools and the painful gas that goes with it. On the choking sputtering thing, I determined that my overactive milk ejection reflex was choking her. I started waiting until letdown had occured (or pulling her off right when it started) until the first rush was over, letting the milk run into a muslin cloth, then putting her back on. That helped too.

I know with serious reflux babies, they usually either reject the breast (because they associate it with the pain of reflux) or they nurse constantly because the milk is a natural antacid, and the alkaline properties of saliva function that way too (more saliva is produced with nursing). Sounds like your baby is in the former category. If she's gaining weight okay, then it's just a nuisance and challenge, but if her weight gain drops off, it could be a bigger problem.

Kellymom has some articles on foremilk/hindmilk imbalance and also overactive letdown. Also, I found the support of the women at these forums very helpful: http://www.infantrefluxdisease.com/

Good luck! I know how challenging reflux and the collaterial issues can be!
post #3 of 8
If she still hates to nurse then 2 things:
1. The dosage of zantac is wrong and she's still in pain. Having you adjusted as she's gained weight?
2. Zantac isn't the right medication for her and she needs something else.

You are describing Ds exactly, right down to the hating to nurse, except...once we started on zantac we saw a clear, clear difference. It was still a battle to get him to nurse, but the back arching and post-nursing I'm in pain freak outs stopped. Yes, he would still only nurse in very short spurts, and as rarely as possible. So based on my experience, I think resistance and even trauma over nursing is 'normal' or I should say to be expected in a refluxing baby. BUT, the reaction was in anticipation of pain, so at the start or beginning of nursing, instead of showing up as a painful response and back arching, which really should disappear IF the pain is under control.

The green stools send up a flag that there may be something dietary on top of the reflux, but I wouldn't necessarily connect the two from my experience.

I always send people here to read about meds. www.marci-kids.org because I learned more about different meds there than I would have through basic conversations with Drs.
post #4 of 8
Quote:
Originally Posted by Valian View Post
The green stools send up a flag that there may be something dietary on top of the reflux, but I wouldn't necessarily connect the two from my experience.
For us, green stools always meant food intolerance. For dd1 it was dairy, for dd2, it was wheat.
post #5 of 8
I also wanted to add that you can try a dose of Mylanta (heartburn meds) as a short term test/fix to help with the pain while you try to determine OALD vs reflux and getting the meds right.

If its 'just' OALD then the Mylanta won't make a difference, kwim?
post #6 of 8
Quote:
the back arching and post-nursing I'm in pain freak outs stopped.
This was our experience, too, once she was on zantac.
post #7 of 8
how do you get a breastfed baby to take Mylanta?? I can barely choke that stuff down!
post #8 of 8
Quote:
Originally Posted by Rockies5 View Post
how do you get a breastfed baby to take Mylanta?? I can barely choke that stuff down!
We haven 't used Mylanta but Ds will take most anything mixed with breastmilk. Zantac is no picnic either so we diluted like 1 ml of medicine in 4-5ml of breastmilk and it went down easy peasy.
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