My 2-week old baby has a habit of projectile vomiting (well, the "vomit" is really just spit-up, but it shoots right out, even traveling a couple of feet through the air) about once a day.
She has done this on occasions where I can look at her last feeding and see what I did wrong: once I way overfed her (she is only 6 lbs), once she was acting too hyper to latch well and she drank air, etc. But I can't really predict what will cause it. All I know is that she does it every once in a while, and that she will do it again. This forceful spitting is preceded by a "choking" face, and grabbing at her mouth for a second. It usually happens in the afternoon.
She has horrible periods of "colic" at night, between about 8 and 12 or so. She seems to writhe in pain and anger, but calms down if fed. Since I am concerned about overstuffing her, it is not always my first choice to feed her as soon as she screams, especially if she just ate (she is exclusively breast-fed). My fear is that she will end up with a crazy spit-up in the night which will choke her.
For what it's worth, my mother was here to witness one of these episodes yesterday and suggested I NOT call the pediatrician, because babies just do this. Since baby seemed otherwise pretty normal (other than her infrequent pooping schedule which I am writing about separately), I was fine with that, but what do you think.
ps. The baby is 6 lbs 2 oz, and has been frequently weighed and judged to be gaining about an ounce a day, which I have been assured is a good rate of weight gain
Although seldom seen in breastfed babies, regular projectile vomiting in a newborn can be a sign of pyloric stenosis, a stomach problem requiring surgery. It occurs 4 times more often in boys than in girls, and symptoms usually appear between 3 and 5 weeks of age. Newborns who projectile vomit at least once a day should be checked out by their doctor.
Here is a public health info sheet on pyloric stenosis with info about symptoms: http://www.healthlinkbc.ca/kb/conten....html#hw180924
He had an intolerance to dairy and soy. Once these were out of my diet for two weeks he stopped projectile vomiting. I would suggest looking into this. He was still a spit uppy baby, but no longer cried when spitting up.
DS 10/09 DS 2/17/11 Blessing #3 sometime 2/13
I think with any projectile vomiting in a newborn, I'd check with a healthcare provider just to be sure.
But really-- it happens. My DD1 was a big puker. She used to let fly at least a few times a day, and it would shoot out all over the place. I remember her doing it once all over my couch, five minutes before DH's boss came for dinner. She was famous for doing it while I was carrying her over my shoulder, and making huge puddles all over the floor.
She grew out of it, slowly, as her system matured. By the time she could sit alone, it had almost entirely disappeared.
In the meantime, it can help to keep baby upright after a feed, and to keep lots of towels handy if you're burping baby. I would want to keep baby close to me while baby was sleeping, so you could be aware if baby was having difficulty. I used to have to keep a few towels under us at night, so I could change them if she spit up.
FWIW, fussy evenings are normal at this age. The best theory we have for colic is that babies nervous systems are immature, and they get overwhelmed with the big wide world. Go ahead and nurse at those times, if it seems to soothe baby. I always did. Babywearing during the day, to reduce baby's stimulation and help with good naps, can really help with the fussy evenings-- my kids always had easier evenings if they had a quiet day and napped a lot.
I wouldn't worry about spit up, even forceful, if baby seemed happy most of the day, and was gaining weight well. And fussy evenings wouldn't make me rethink this-- all of my kids fussed in the evening at this age. I would check with a healthcare provider about projectile vomiting, if it seemed to be getting more frequent, just to be sure about the pyloric stenosis, but I wouldn't worry overmuch.
And for the most part, he was a happy baby throughout the rest of the day.
Jenn<>< crunchy conservative mama to 6
and my way through my stash.
So my temptation is to say that it's a laundry problem and not a health problem. However, at 2 weeks, you're still having really frequent well-baby checks - bring it up with the pediatrician next time you have one. It can't hurt to see if there's a particular cause, and to keep an eye on it.
One thing you might want to consider - do you have an over-active letdown? When this happens, your milk comes out so fast your LO has a hard time keeping up, gulps a lot of air - hence the spitups.
Here is great info on this and what to do:
This is our problem to a T and we've pretty much solved it by how I time pumping, block feeding, lots of burping and upright time after feeds and - uh - luck. FWIW - we still have occasional massive urps - but he's growing like a weed (80th percentile) and healthy and happy otherwise.
Me (40) DH (49) daring DD (9) and darling DS - almost THREE! (born June 25, 2010 in an amazing, unplanned
We had an ultrasound at the hospital (ordered by Dr) and everything was fine. He outgrew it (now 5 mths and nothing outside of normal amounts of spitup)
Leila, mama to Eleanor (10/08) and Emmett (4/10)
Visit my blog! www.rookblog.com
Don't worry too much. The first time my DD1 vomited, she was a week or two old, and managed to get my roommate in the cleavage from several feet away, missing everything in between her and the cleavage! And this little one has been dubbed, "Fiona, Destroyer of Linens"
Welcome to baby Fiona with a giant omphalocele, 6/17/10!
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