Just after some advice really. I dont know what to do. My son is just over 3 weeks old, but was born 5 weeks premature. I am breastfeeding him and every time I do, he always chokes and coughs on my milk. The he spits up and milk comes out of his nose and everything. I do manage to wind him, well a couple of burps come up. He relaxes in my arms and then as soon as I put him down he sounds like he is drowning in fluid and makes loads of grunting noises which really panics me. It keeps waking him up in his sleep as well, he obviously must have much more trapped wind than what I am managing to get up as when I pick him up he is tense and resisting me and seems really uncomfortable.
I have tried infacol but doesnt seem to do anything. If he is this windy on the breast god knows how he'll be when I bottle feed him! He was awake last night at 01:30, 03:30., 04:30 and 07:00. Put him down after a feed at 8am and he is awake again already now. At the beginning he was sleeping for a good 2-3 hours and feeding really well and settling no problems.
My baby chokes all the time, she still does but she has reflux! She was also a premmie and its very common for premmies to suffer with reflux! Chocking, gagging etc its common on reflux episodes as milk regurgitates whilst they try to swallow. It happens while she feeds as well as at random times such as sleep or awake time. I always put her on her side as I am terified of her chocking whilst I am asleep.
One solution that worked for us is a comfort formula that is thicker and doesnt allow the milk to come up her easophagus, but I suppose you cant really do that with breast milk! If you pump your milk maybe a solution if you thicken your milk a bit with rice cereal and feed? Best to talk with your doctor for options though.
Keep an eye on it in case you have other symptoms such as fusiness after a feed or crying, arching back vomiting etc.
It could be that its not reflux ut your baby is matstering its suck and swallow technique something that they do whilst in the womb on the last trimester which never happens for babies so they do choke till htey know how to co-ordinate
sorry I just found this article so I take back the comment about thickening breast milk
You can't use food thickeners if you are breastfeeding your baby. Experts recommend that you should give your baby only breast milk for the first six months, if possible. So, if you're breastfeeding and your baby is having problems with bringing up food, your doctor may suggest you use another treatment instead, such as sodium alginate.
My LO does this sometimes too (he was 3.5 weeks early so it might be related). He did it a lot more in the first month or so but rarely does it now. Same with the grunting and winding... sometimes takes 20 minutes for another burp to come out. Also, the feeding pattern you mentioned was the same for us (as we demand feed) for the first 3 months or so. Now it's slightly longer, with some 3 & 4 hour breaks at night.
If you are bf and he chokes and coughs on your milk then you could have an "overactive letdown" or OALD (try googling it). I think this is what I have as sometimes the milk spurts out rather fast and it makes my baby cough
Thanks everyone, i will mention it to the health visitor tomorrow when I go and get him weighed. I hope it isnt reflux too. Only small bits of feed come back though and he does settle and for the most part does manage a good 3 hours sleep between feeds so I also hope its just him mastering his sucking reflex. Man its hard with a prem baby x
My LO does all that as well, especially the grunting/snorting and the tensing up like she's really gassy all the time. Her sleep is awful because of it, she needs to be re-settled so often I never get any sleep and her demand feeding schedule is insane. She's not preemie but she's small and has had trouble with her sucking reflex (can't latch onto breast, has trouble with most types of bottle nipples), and lately she's been choking during feedings a lot and dribbling her formula down her chin, but we can't use a slower-flow nipple or she'll get frustrated and scream because the milk isn't coming fast enough. It's so frustrating! Try not to worry too much about your LO, it's scary and frustrating when they're choking and sounding so congested but I guess it's not uncommon! good luck!
Thanks Nic, you have just described exactly the same problem as what I am having, so its nice to know I am not alone. Lucas gulps a lot too. Just tried him on bottle now, TT with the vari flow teat and he still gulped 3 oz in 10 minutes! Had to burp him for ages and he still sounds restless now on the monitor despite burping hard about 4 times. I pray it isnt too long before things improve. Gonna try grab an hours kip now before I get him up again. Some nights he is great and only wakes at 0130 and 0430 which I think is great considering his age and bein premature, but he always has his moment between 6-10pm where it takes an age to get him to settle despite bringing in a bath, feed, bed routine around 6:30 pm. Guess its all trial and error! x Hope things improve soon for you x
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