Abram is a great eater and is gaining weight like you wouldn't believe. Here is my question/problem : When he eats he almost always chokes 2-3 times during the whole feeding process. My other problem is that a good 10-30 minutes after feeding, I can hear him/see him choking on spit up and then swallowing it. He gags himself and then scares me to death. It is almost like he holds his breath when he is spitting up. Anyone out there got any suggestions or advice? I have tried the whole me leaning back thing when he eats and I have tried different positions. A friend of mine thought it could be acid reflux, but wasn't sure. She mentioned having to give her little girl medicine for this. Just curious if any one had any advice or similar situations
Tuesday, April 08, 2008
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7 comments:
It sounds a whole lot like reflux. He may need a pharyngogram (swallow study) to make sure he's not aspirating. I suspect he is refluxing in the midst of feeding, though, and that's why he chokes. The breath holding is the body's way of protecting itself from getting reflux in the lungs; the vocal cords close over the airway, keeping air AND reflux from getting through. It's considered an "immature" response, but is fairly normal in babies Abram's age. If you're bottle feeding, limit his feeds to 2oz per feed for right now and keep him upright 30 minutes after a feeding. It's up to your doc, but he may benefit from some reflux meds. The good news is as babies mature, the body's response isn't as drastic and the reflux itself tends to improve as they spend more time upright.
Of course, you should get your doc's opinion, as he can physically examine your little man, but I'll be glad to help in anyway I can (I deal with this alot with my patients).
Lauren, Abram's next appt. is May 9th. Is this something that I should wait to tell him on our next visit or should I call them ASAP? He coughs a good bit too during feeding time and even 10-30 minutes after feeding. I know this isn't the end of the world and I'm sure it is not a big deal, but it scares me to death and I hate saying "Abram breath, breath Abram." Thank you so much for your help/advice. Is this something that I am doing or something I can do to make it better?
I like our dr, even though he is probably in his 70's. I am afraid that he will think I'm crazy or act like it's nothing to worry about. He has never acted liked this but then again we haven't had any major concerns or problems yet.
In light of the fact that he's coughing as well, I would go ahead and call him tomorrow. coughing while feeding can be a sign of reflux and/or aspiration.
It doesn't sound like you're doing anything wrong. It sounds like you're nursing, so there arent a whole lot of adjustments you can make. Maybe try keeping him at 45 degrees when nursing.
Any quality pediatrician is accustomed to dealing with nervous moms. If he doesnt adequately soothe your concerns, let him watch you feed Abram. If you're still worried, it's always within your rights as a patient to get a second opinion. And
Sorry-Molly pressed send...
And if you really get in a bind, you can come down to BR and see me!
Kristin,
I got your text and can't wait to see you. I will call you either tomorrow or this weekend.
I'll be glad to help in any way...
laurenoharris@hotmail.com
how'd it go?
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