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Thursday, January 22, 2009 Desperate Dad asks

Q: Expected Infant Reflux Feeding Symptoms

Parents going crazy here.  It seems every day brings new challenges and our imaginations are running wild. 

 

Dear Daughter (3 months) seems to be using every trick in her very short book to avoid bottle feeds.  Some of them are expected and therefore okay.....crying, arching back twisting etc.  We have become concerned about what appears to be increasing tounge movement.  She has been evaluated as having a good suck swallow ability.....however this lasts for the first 2 oz (60 mls)......then she starts avoidance...including a lot of tounge movement.  We are concerned this may actually be a clue of a larger underlying problem that is more serious than reflux.  Of course first time parents expect the worst.  So my question is...what are normal expected avoidance behaviours in reflux babies who do not want to eat.  The good news is her average per feed seems to be improving but not to an acceptable level yet but moving in the right direction

 

Scott (desperate Dad)

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Answers (1)
Jan Gambino, Health Guide
1/23/09 6:35am

Hello Scott,

Drinking a small amount and then refusing is her way of communicating that she has reached her limit. She is communicating to you that the first two ounces tasted pretty good but now either the milk is refluxing up her esophagus, causing churning pain in her stomach or both. Have you ever finished a meal and said, "I cannot eat one more bite?"

The tricky part is finding the combination of treatments to help her eat more and eat without causing discomfort. You will need to look at the treatment plan with the doctor. Does she have a food allergy or intolerance? Milk soy protein intolerance is a common cause of food related bottle refusal. Does she have a high enough dose medication? Does she need another medication? Does she need to have a thickener in her bottle? head elevated after eating?

Meanwhile, keep track of what she is eating and see if she is able to eat small amounts but more frequently to get in enough calories.Is the doctor worried that she isn't taking in enough calories to grow?

Jan Gambino

The Reflux Mom

 

 

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By Desperate Dad— Last Modified: 10/20/10, First Published: 01/22/09