Baby always crying, refluxy, constipated, generally unhappy.

CordeliaJ

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Ladies, I'm desperate, I really need your help and advice. I'm at my wits end!

This is going to be long, so I apologise in advance.

Oliver is 10 weeks old, and since about 7 weeks, he's been having terrible reflux problems (or seems to be reflux anyway). From birth to 5 weeks he was so windy and a very often crying baby, so when we got 2 weeks of normal behaviour (between 5-7 weeks), I thought we could finally settle down a bit. He seemed like a happy baby and cried for normal reasons, hunger, overtired, bit of wind, nappy etc.

The reflux started with lots of sick, about 3/4 times after every feed. This was then quickly followed by crying during and after feeding, crying when a burp came up, and gagging/choking whilst being on his back. I spent a lot of time with him over my shoulder as he refused to be in any other position. We took him to the doctors and she prescribed infant gaviscon for him. Well we used that for a little while, and it seemed to help him keep food down better, and there was less crying, but it wasn't ideal as he didn't poop regularly, every 3/4 days maybe, and he still seemed uncomfortable. He also seems to wake up in a jolt from sleep and start screaming uncontrollably, it's horrible to watch.

We went back to the docs, and she decided to put him on ranitidine and domperidone. Well, the 5 days he was on that was the worst 5 days of my life. He was off the gaviscon, and was throwing up all the time, often including the medicine, he screamed bloody murder almost all the time, and refused to feed anymore. I was terrified he wasn't getting any food, I kept trying, both boob and bottle, but he would have a few sips then scream. Then spend most of the day screaming because he was starving. After 5 days of it I couldn't take it anymore, and took him off the meds. It didn't actually make a difference taking him off, so I took him back to the docs. She told me he wasn't sick, he was a healthy baby, just very unhappy because of the reflux. She told me to put him back on the gaviscon and that he would 'grow out of it'...just what every mum wants to hear huh.

Anyway, we put him back on the gaviscon, and the following 2 days were great. He was feeding really well and keeping food down too. I thought we had finally sorted it, and vowed never to take him off the gaviscon again. BUT...after 2 days it just went back to being a complete disaster again. The one thing the gaviscon is doing now is stopping him being sick, or at least he's not throwing up entire feeds. However he has stopped feeding properly again. He pretty much only feeds when he's sleepy during the night, or when I dream feed him, then he's fine. I think that's the only real food he gets. During the day he faffs on and off the breast, occasionally crying inbetween and often crying when the boob or bottle even comes near his face! He has a few sips of the bottle then just pushes it around with his tongue refusing to have anymore. When he has a good feed (and from a bottle so I can tell) he only has about 2-3oz maximum. The doc says that's a really small amount for a baby his age and size.

I can't take the constant crying anymore, he used to go down reasonably easily for naps, now he just screams and screams until he's exhausted himself..and this includes when I'm rocking him in my arms. In 10 days he has only done 1 poop and he cried whilst doing it, and it was really thick & gunky. I know that's probably because of the gaviscon, and I have tried giving him some cool boiled water, and some watered down prune juice, but neither seem to have made any difference. I also looked up some baby massage videos to try and get things moving, but that didn't do anything either.

On top of all of this, he is having what we think are some early teething signs - sucking/chewing on his hand, biting the dummy instead of sucking etc, and fussing during his sleep.

So he's refluxy, constipated and teething most probably. But my main concern is the not eating and the screaming crying that he's doing almost constantly on and off throughout the day. I can't take him anywhere because he will scream so much, and I'm losing my mind and on very little sleep.

Just for background, we combination feed him, he doesn't have formula very often, maybe every other day he has a bottle (if he will take it), but has expressed milk usually everyday for me to put the gaviscon in (only twice a day). He is also wearing a hazelwood & amber necklace which is meant to combat the reflux & teething, but so far it's had zero effect.

A friend of mine suggested he may have a tongue tie, but I don't think it is that either. He can stick his tongue out fairly far, and I have felt and looked underneath it, and it seems fine. Plus he went through a period of latching really well, I think there's a different reason as to why he doesn't want to feed.

Hopefully I have mentioned everything, but anyway, any advice would be really really appreciated. I think the next step is to go private and see a pediatrician. We just can't go on like this with such an unhappy baby. I really don't know what else to do, and I dread my husband going to work everyday as I am so tired of dealing with constant crying all my myself. :(

P.s. If you've got to the end of this huge amount of info, thank you for reading. x
 
oh hun im soo sorry you are going through this. I cant give to much advice as i dont have much experience with breast fed babys. But my daughter has been have alot of problems latly with constipation. Her poops would be litterally hard. SHe was very fussy because of it. Her pediatrition recommended putting alittle karo syrup in her bottles. I started this yesterday and after two hard poops she finally had a soft one last night and again this morning. she is not as fussy as she was. But i heard that it can be normal for a breast fed baby to go awhile without pooping?

You say you do alittle combo feeding. Well what kind of formula do you use for those few bottles you give? Maybe look for one that is designed to help spit up and gas? Maybe your baby has a intolorance to dairy? I had a friend whos baby was very fussy and spitting up alot. Once she cut out dairy from her diet than her baby was a completely different baby.

About the jerky wake ups. Do you swaddle?

Again i dont know if i have helped you as you prob have heard all of this before but i tihnk it would be a great idea to see a pediatriction. I also would look into if its a diary allergy. I really hope that everything works out for you it cant be fun
 
Thanks for your advice! :)

I don't eat dairy, so I suspect it's not that. We have tried lots of different formulas. SMA hungry baby and Cow & Gate comfort low lactose formula (both of those as powders). Then in carton form we have tried aptamil and cow & gate both number 2. Also tried Hipp number 1. They've all pretty much had the same reaction from him, although what's weird is he used to take the powder formulas we had (maybe about 2/3 weeks ago) but doesn't want any of it now.
He used to like swaddling until 4 weeks, now he will scream if swaddled - he gets quite hot though and likes to have both hands up by his face (which pulls apart any swaddling anyway).

I'll try the karo syrup, thanks. x
 
Sorry you're going through this.

I know you are breastfeeding bit what formula do you use? We switched my LO to comfort formula and it has made a world of difference. Helps with colic and constipation. They also do a reflux formula that my friends LO uses and she raves about it.

I know you probably know this already, but do you keep your LO sat upright whilst feeding and sitting him upright for 30 minutes afterwards.

Also, a friend of mine a few weeks ago ended up taking her LO to hospital because she was crying and wasn't feeding etc and it turns out he had a throat infection and that was causing discomfort when feeding. Has this been ruled out?
 
Thanks for your advice! :)

I don't eat dairy, so I suspect it's not that. We have tried lots of different formulas. SMA hungry baby and Cow & Gate comfort low lactose formula (both of those as powders). Then in carton form we have tried aptamil and cow & gate both number 2. Also tried Hipp number 1. They've all pretty much had the same reaction from him, although what's weird is he used to take the powder formulas we had (maybe about 2/3 weeks ago) but doesn't want any of it now.
He used to like swaddling until 4 weeks, now he will scream if swaddled - he gets quite hot though and likes to have both hands up by his face (which pulls apart any swaddling anyway).

I'll try the karo syrup, thanks. x

It sounds like you have used quite a few formulas. It can take a while for a baby to get used to a new formula and it suggested that you let them use it for a week or so to see how they handle it as changing formula can cause a baby discomfort. How long have you been trying the new formulas for?
 
Yeah we've tried the comfort formula - he used to take it but not anymore. He was on the comfort one for at least 3/4 weeks, so he just went off it randomly. Yeah you're right about the different formulas, but I just got a carton of each to see which went down the best. I think he preferred the Hipp one, but he still didn't feed properly with any.

I keep him upright for bottle feeding, but for breastfeeding he will only feed on his side, he hates breastfeeding upright, admittedly it's quite difficult because of the angle, and he doesn't like to be on his tummy. I do keep him upright after all feeds though, if I don't he usually throws up even more.

Interesting to hear about the throat infection thing. I actually can't remember if the doc checked his throat last time, but she definitely checked temp, ears, nappy etc. That was a week ago so I suppose maybe I could get him checked again - funny because you'd think if you had a sore throat you would want liquid!
 
sounds like your trying lots of good things i hope you find out wats wrong. also about the swaddling. All my kids hated having their hand tucked in. they get a half swaddle so i start the swaddle at the breast bone if that makes sense? They slept much better even with there hands out.
 
The dairy is issue is not one of lactose, but of the cow's milk protein casein. Most formulas are cow milk based, I believe. Often there can be a soy intolerance as well. I'm sorry you're going through this - it sounds awful for him and you. My heart aches for you because I know how hard it is to see your LO scream in pain. :( I hope you're able to figure it out soon. Check out Kellymom.com and llli.com sites for more help, too.
 
He's swaddled loosely from legs to chest, but if it's tight swaddling he won't stand for it. He sleeps well during the night - he's up every 2 hours for feeding but it's the one good part because he's so sleepy and feeds well at night. During the day he's like a different baby, just refuses to sleep, even if I try and make it really dark for him, the loose swaddling is the same as at night though. His longest nap is 40 mins and even that takes half an hour of screaming & me rocking him in my arms to get there. My back is broken from doing it :(

Zooma you think it might be a cow's milk allergy? The docs said they can be allergic to lactose, so I thought it would be that if anything. To be honest I don't know if there's any point trying yet another formula though, they just end up wasted and cost so much :(
 
Aw huni it unfortunately really is trial and error to get the right mix for him! How is he after breastfeeding? I had to stop it completely as my two threw it all back up and it was hurting them so much. The infant gaviscon is terrible works for a few days but ends up causing more problems. My two have terrible reflux Mia is my sicky baby Mason has silent reflux.

Mia is currently on cow and gate comfort with cow and gate carobel in it, she is a lot happier on that but it didn't agree with Mason so he is on enfimil AR he is great on it although it didn't agree with Mia :wacko: it makes him constipated but I give him some water with a little pure prune juice everyday but if he is particularly struggling to go I use a cotton bud and plenty of Vaseline and insert the tip and gently swirl it around to help him go and it comes straight out he goes like a trooper as it doesn't hurt him and it gets rid of his wind! They are two completely different babies now. It took me a while to get it right with them though maybe you can speak to the dr we get the enfimil and carobel on prescription he will prob make you try the carobel first Mia went off the comfort milk for a while but I was reluctant to change her again as I had tried hipp 1 but it works well with the carobel! Hopefully you find something that works you could try and get carobel at the chemist and add it to his milk as see how he goes x
 
Oh and for sleeping I dropped the swaddle and started putting them on their side with the swaddle blanket tight around the waist it's the reflux making him jerky so being on his back is probably too uncomfortable and everytime he gets a pain his reflex kicks in and wakes him up Mason did this all the time...... I put a bunched up muslin cloth right in to their tummies so they couldn't roll forward they both slept great like this even with the reflux x
 
Aw huni it unfortunately really is trial and error to get the right mix for him! How is he after breastfeeding? I had to stop it completely as my two threw it all back up and it was hurting them so much. The infant gaviscon is terrible works for a few days but ends up causing more problems. My two have terrible reflux Mia is my sicky baby Mason has silent reflux.

Mia is currently on cow and gate comfort with cow and gate carobel in it, she is a lot happier on that but it didn't agree with Mason so he is on enfimil AR he is great on it although it didn't agree with Mia :wacko: it makes him constipated but I give him some water with a little pure prune juice everyday but if he is particularly struggling to go I use a cotton bud and plenty of Vaseline and insert the tip and gently swirl it around to help him go and it comes straight out he goes like a trooper as it doesn't hurt him and it gets rid of his wind! They are two completely different babies now. It took me a while to get it right with them though maybe you can speak to the dr we get the enfimil and carobel on prescription he will prob make you try the carobel first Mia went off the comfort milk for a while but I was reluctant to change her again as I had tried hipp 1 but it works well with the carobel! Hopefully you find something that works you could try and get carobel at the chemist and add it to his milk as see how he goes x

Thanks so much for your advice. Yeah he also throws up an entire breastfeed and cries and screams...except at nights, occasionally there's a little, but somehow him being asleep makes it stay down better.

Maybe I will put him back on the comfort formula then - he used to have it, but would have so little of it compared to the SMA. I got the feeling he didn't like the taste (or maybe texture). I don't know what carobel is, but it sounds like something I should be trying.

He has always slept on his side, from about 4 weeks old, so don't worry we already have that one down. :)

As for the constipation, I tried both those things! Gave him some watered down prune juice and tried the vaseline-qtip trick, but neither of them did anything. I'm so bothered that he hasn't pooped, I wish he would. :(

Anyway, very helpful advice, and much appreciated x
 
Aw huni it unfortunately really is trial and error to get the right mix for him! How is he after breastfeeding? I had to stop it completely as my two threw it all back up and it was hurting them so much. The infant gaviscon is terrible works for a few days but ends up causing more problems. My two have terrible reflux Mia is my sicky baby Mason has silent reflux.

Mia is currently on cow and gate comfort with cow and gate carobel in it, she is a lot happier on that but it didn't agree with Mason so he is on enfimil AR he is great on it although it didn't agree with Mia :wacko: it makes him constipated but I give him some water with a little pure prune juice everyday but if he is particularly struggling to go I use a cotton bud and plenty of Vaseline and insert the tip and gently swirl it around to help him go and it comes straight out he goes like a trooper as it doesn't hurt him and it gets rid of his wind! They are two completely different babies now. It took me a while to get it right with them though maybe you can speak to the dr we get the enfimil and carobel on prescription he will prob make you try the carobel first Mia went off the comfort milk for a while but I was reluctant to change her again as I had tried hipp 1 but it works well with the carobel! Hopefully you find something that works you could try and get carobel at the chemist and add it to his milk as see how he goes x

Thanks so much for your advice. Yeah he also throws up an entire breastfeed and cries and screams...except at nights, occasionally there's a little, but somehow him being asleep makes it stay down better.

Maybe I will put him back on the comfort formula then - he used to have it, but would have so little of it compared to the SMA. I got the feeling he didn't like the taste (or maybe texture). I don't know what carobel is, but it sounds like something I should be trying.

He has always slept on his side, from about 4 weeks old, so don't worry we already have that one down. :)

As for the constipation, I tried both those things! Gave him some watered down prune juice and tried the vaseline-qtip trick, but neither of them did anything. I'm so bothered that he hasn't pooped, I wish he would. :(

Anyway, very helpful advice, and much appreciated x

When you say he didn't take a lot of the comfort milk, the comfort is a lot thicker than normal milk so it does take them longer to drink and a faster flow teat is recommended x
 
We did try with a faster flow teat, but he didn't seem to really 'want' it the way he wants other formulas. He would stop sucking, turn his head away etc. Eventually he would just stop altogether and had less than half of what he drank with other formulas. Is that usual? In any case, I would've carried on with that formula anyway, but that was when he started refusing to feed altogether, so gave up. :(
 
Check out www.poddlepod.com, I spotted this on facebook and have read plenty of reviews from mummy's of baby's with reflux who say these were great xx
 
I think everyones pretty much covered it but wanted to send my best wishes! Hope you tigure out what works best soon! I would go to a pediatrician though theyll be best to help. Im waiting for my referal to come in post x
 
hun I am exactly in the same boat as you, it wasn't as bad, then I had a quiet period and now I have screaming with every feeding. He's not constipated, not on meds, exclusively breastfed, I haven't changed my diet. In fact, I haven't changed anything at all. He wakes up screaming and tired, I suspect it's something to do with lactose as his poop turned green now but there is no blood and the doctor told me not to worry. I think he has painful cramps about 10 minutes after feeding, he does throws up as well. We swaddle still and he sleeps better with swaddling but I just spent at least two hours putting him down for a nap and he was obviously in a lot of pain. The doctor prescribed us zantac and I haven't tried it yet but I tried it with my daughter and it didn't help much, prevacid did and then she outgrew it by 3-4 months.
How do you know he's losing weight? I suspected the same but Grey gained quite a bit this past week, when it all started. So maybe it's another growth spurt with super painful cramps in his tummy, not sure. Let's keep in touch if we figure it out.. :(
 
We don't have a poddle pod but we have a sleepyhead which is the same thing - he's been in that since he was born as he never liked going in a moses basket.

Lanaross I'm sorry you're going through a similar thing too, it's tough for us mummies huh. I don't know his weight at all, so I have no clue if he's losing weight. He could well be though, but I have no way to tell. Will get him weighed this week, although it won't tell me much as he hasn't been weighed since about 4 weeks.
 
We don't have a poddle pod but we have a sleepyhead which is the same thing - he's been in that since he was born as he never liked going in a moses basket.

Lanaross I'm sorry you're going through a similar thing too, it's tough for us mummies huh. I don't know his weight at all, so I have no clue if he's losing weight. He could well be though, but I have no way to tell. Will get him weighed this week, although it won't tell me much as he hasn't been weighed since about 4 weeks.

I think I have a theory. Does your LO take pacifier? Mine doesn't. My thinking is that maybe I still have a bit oversupply and he just wants to suck himself to sleep instead of eating? maybe he got more efficient at breast and getting milk out that he's not hungry anymore and is just looking for comfort? Just a theory... Not sure what to think anymore. He just screamed for an hour pulling on and off breast :cry:
 
I'm not sure if it's a food allergy, but it seems like _something_ is causing these symptoms. Some babies are "colicky" - but that label should only be given if all other causes (including diet and reflux) are ruled out. I'm no expert, but I've done some reading online. I don't have experience with formula, but some of the sites talk about both BF and FF babies.

This resource is a good one. It addresses issues with BF babies a little more, but there are a lot of links and information that will apply to all babies. https://kellymom.com/health/baby-health/food-sensitivity/

Good luck. :hugs:
 

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