Friday, March 6, 2009
Our Little Fountain of Spit-Up
We thought that Ethan spat up fairly frequently, but that was nothing compared with our little fountain Ryan. Thankfully we have not experienced the feeding difficulties that we did with Ethan though. Ryan has been eating a lot and gaining weight well, but he spits up 6-10 times after every feeding. We're talking mass quantities of spit-up. He usually goes through 5 or 6 outfits and umpteen burp cloths daily, so we have been laundering a lot. I took him to the pediatrician today because he often shows signs of discomfort when he is spitting up, and I was concerned about the frequency of his spit-up episodes and what could be done to help with the reflux. Ryan weighed 8lbs 7oz (which is really great- Up almost 2 pounds from when he was discharged from the NICU). Just during the 20 minutes or so that we were in the exam room with Ryan's pediatrician, Ryan spat up 7 or 8 times. Our doctor agreed that he really is a fountain, but wasn't overly concerned due to his excellent weight gain. As I had expected, he confirmed that the discomfort Ryan is feeling with spit-ups is due stomach acid coming up repeatedly in his esophagus. He prescribed a low dose of Prilosec to help suppress stomach acid and make him more comfortable until his digestive system matures enough to handle feedings better. Now if we could just keep the Prilosec down long enough! So far he has either pushed it out of his mouth with his tongue or spat up shortly after swallowing it, so who knows how much is actually getting into his system.
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