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Madeline started Zantac last week because she randomly started to projectile vomit. The Zantac helped with the projectile, but she is still having big spit ups (more than a teaspoon which my ped said was normal). Plus, she's been moaning and groaning because of horrible gas. The gas is so bad...it sounds like her butt hole is exploding I have tried gas drops, gripe water, bicycle legs, tummy massages, etc. And nothing helps.
I called the ped and I'm waiting on a return call back. I'm just wondering if it's my milk that could be causing the reflux/gas?
I know I could start eliminating dairy, etc, but I'm wondering if I should try formula while I'm eliminating (since it can take awhile for it to get out of your system) to see if that's the issue...then try the BM again....
I would try eliminating problem things and journal what you eat and how she is. Don't add in formula, because it might add in more problems (sometimes its a lot of work to find the right formula too, especially if your baby has food sensitivities). Plus you don't want to add in more factors while you are doing the elimination diet. You need to be able to see exactly what is affecting her.
And truly, what you are going through sounds normal especially for her age. Her system is immature and while she may not be handling that as easily as you see some other babies do...it still sounds within the "normal " range to me. My daughter used to projectile after every single feeding until she was 9 months. I cried buckets of tears over it but she is fine now. Most kids don't take 9 months though. You can try eliminating and it may or may not work...she may get over it no matter what you do...but your milk will still be best for her in most all circumstances. Think of this as being survival time. If someone could tell you that it would get better when she turns two months old...could you hold out and endure it? I cant make that promise, but in most cases, time is what works this stuff out. Maybe a little chiropractic adjustment would help her? I have heard stories of babies that got their tummies adjusted and their reflux totally stopped.
Thanks, ladies. The pediatrician called me back and told me to start with eliminating dairy, and it is most likely an intolerance w my milk. She also suggested trying Similac Soy or Similac Sensitive (still eliminate and pump) to see if it helps, so I'll know if it's a dairy intolerance. She said that since she's extremely gassy (85% of the day she spends groaning, moaning, farting, etc.) that it's most likely the issue, and the Zantac is working since it's not projectile, but still not good that she's spitting up 2-4 tablespoons.
So, now try the elimination process by trail and error. Sigh. I am going to try the formula, just to see (they are giving me free samples). But, I'll still pump, eliminate, and keep track of my daily diet to find the culprit.
My first daughter spit up all the time. More then a tablespoon. Even on formula. I tried all sorts - Nothing helped with the spit up. But she gained [was super chunky even] and hit milestones so it wasn't an issue. Adalyn spits up now. . . Not near as much as my first did. And the Dr said as long as she's happy (ie: not in pain) and gaining, it's fine. The reflux meds aren't suppose to help with the spitting up - They're only to help with the pain.
So your ped recommended introducing formula at the same time as starting the elimination diet? Even if it is dairy-free formula, it is still introducing many other "new" things to your baby's digestion. If your baby is having problems digesting breast milk right now, this might complicate things even more. It will also affect your milk supply and can open the door to breastfeeding problems.
It all depends on what you want to to and what you want to happen. If you really want to see baby has a sensitivity to something in your milk, then I'd suggest abstaining from introducing anything new. It might temporarily relieve symptoms without solving the problem of reflux/gas.
I'd try eliminating just dairy like the ped suggested. Keep your baby elevated and do not lie flat for 30 mins after feeding. Bouncy chairs are good for this. Prop baby to sleep on their side or at a slight incline at night. Check your latch and make sure that is not contributing to gas. Be sure to burp often during feedings (any time the baby releases from a latch on their own). If you hear sucking sounds, clicks, smacks, or slobber, then the latch is probably too shallow and baby is taking in air. You might also want to consider making sure that you are feeding small and frequent feeds instead of spread out large feeds. The smaller meals will be easier to digest. I would suggest feeding as often as every two hours.
Often times Reflux is a sign of an immature system with muscles in the esophagus opening and closing at the wrong times and diet may not be able to help if that is the issue. Scientific research shows that human milk causes less refluxy episodes than artificial milk/formula. Breast milk is easier to digest than formula and formula can be irritating to the stomach and esophagus.
If you are done trying to figure out the breastfeeding situation, that is understandable. You may find a formula that works for your baby. But I wouldn't suggest using the formula as a resolution to your problem if you are still trying to breastfeed.
my ped told me the same thing when my son had issues. The formula did improve symptoms, but totally ruined my milk supply because i was exclusively pumping. Then when we went back to the breast he got really sick. My advice is to keep nursing, but try eliminating. If it works, you'll see a slow improvement.