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KiwiL View Drop Down
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    Posted: 24 November 2008 at 8:31pm
Hi all,

Apologies in advance for the long post.

DS (just turned 2 months) has always been a spilly baby but he has fallen into the "happy chucker" category - frequent spills but little apparant pain.

About ten days ago he got unwell with what we think was a sore throat as DH and myself had it. It progressed over the week to the point he was quite clogged up, having trouble breathing and spilling up mucous. During this time the volume of his spills have increased a lot, and he is getting acid reflux into his mouth which is causing obvious distress.

Last night, in his middle of the night feed, DS flat out refused to latch. He didn't latch and then decide he didn't want it, he just refused the breast full stop and just yelled and yelled. Despite being visibly hungry. Eventually, near exhaustion, he latched and drank.

This morning he had his feed as normal, and I took him to the doctor, who prescribed Gaviscon. He continued to feed ok during the day with no aversion to the breast.

However, I have just battled through his 7pm feed. As soon as I turned him sideways to offer the breast he recoiled and began to yell. Again, it took me ages to get him to latch - we was just pushing me away, or latching and immediately coming off. Eventually he drank for a bit. However, each time I offered the breast we went through the same process. It is like he is afraid of it!

I have a fast let down, which he has normally coped well with, but while being unwell he has not liked it very much. I think it may be because he is having a bit of trouble breathing. We are using saline drops for this.

I understand that reflux can cause pain during feeding, but what I don't understand is why he would refuse the breast BEFORE the feed has even started. Are we dealing with a reflux symptom, or could it be something else? It just isn't sitting right with me. He's starving, but really unhappy that I am trying to offer him food. I have tried almost every hold possible, but getting the same adverse reaction.

I am almost beside myself with worry. Aside from the reflux symptoms generally, there doesn't seem to be anything causing THIS. He had a thorough check over at the doctor's today and nothing was revealed.


Is it possible for babies to refuse the breast before the feed has even begun? What would cause this? Why would it happen, then be fine for several feeds and then happen again?

I am so lost and confused and feeling panicky about this.
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Maya View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Maya Quote  Post ReplyReply Direct Link To This Post Posted: 24 November 2008 at 8:49pm
There's a section on the COSM site about breastfeeding a refluxer, but the short answer is yes, they can start refusing feeds because they begin to associate the feed with the pain which follows.

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KiwiL View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiL Quote  Post ReplyReply Direct Link To This Post Posted: 24 November 2008 at 9:06pm
Thanks Emma. I have posted over there too. I know I should start trawling through all the posts but I am just feeling exhausted.

I would understand that but I don't get why he would be ok for all the feeds inbetween.

Unless he is already sore and knows that feeding will make it worse?

And if that is the case - is there anything I can do to help him? And if not, is this going to be the end of our feeding or can we recover from this?
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weegee View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weegee Quote  Post ReplyReply Direct Link To This Post Posted: 24 November 2008 at 9:17pm
Sorry if you have tried this already, but when my midwife suspected JJ had mild reflux (he didn't, luckily - it was just my fast letdown) she suggested a couple of different feeding positions so he wasn't lying down which would have made him feel worse, especially on the left hand side. Have you tried feeding him so he is basically sitting up? Or kinda hanging down between your legs? There's some info here and some positioning tips here. Again, really sorry if you've already tried those.

Hugs and hope it gets better soon!

ETA: a couple of the sites linked to at that first link seem to be really useful so check them out if you get the chance

Edited by weegee

Mum to JJ, 4 July 2008 & Addie, 28 July 2010
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fire_engine View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 24 November 2008 at 9:46pm
Like Emma said, association can be a big thing. The other thing is that Gaviscon does not treat the acid in the reflux, which is what causes him pain. Losec (omeprazole) and Ranitidine (from memory) do treat this, so that material that's reflux is not so acidic, thus doesn't cause so much pain.

I always had problems with Daniel refusing the breast in the evenings, just like you. We started him on omeprazole, initially 5mg in the morning which helped a bit, but it wasn't till we got onto 5mg twice a day, with the second one given at 5pm, that it made a real difference. We still have some bad days, and on those days I give him a bottle rather than keep pushing the BF - it's not worth the battle for me or him.

Is one breast making him more fussy than another - Daniel is really fussy on the right, but much better on the left
Mum to two wee boys
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KiwiL View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote KiwiL Quote  Post ReplyReply Direct Link To This Post Posted: 24 November 2008 at 10:01pm
Thanks guys. Weegee, I have tried quite a few holds, but so far none seem appealing to him!

The Gaviscon is just for a few days to find out if it is reflux, and not something else. If he improves, the doctor will prescibe Ranitidine to move forward. But, apparantly it can take 14 days to kick in! I am much more concerned with treating the pain than the spilling.

It doesn't seem to be a particular breast, but it has only happened twice so far, so I haven't noticed a pattern.

I am confused as it is just SO sudden!
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