Andrew had his two-month check up on Thursday. He weighs 12.6 pounds and is 24 inches long! He's a big boy!
I feel like we're finally moving in a new direction. Dr. S has diagnosed Andrew with reflux, which I had suspected since we made the switch to formula. He has many of the symptoms of reflux.
1. He fusses after feedings -- which I had interpreted as a sign that he wanted more but most times he wouldn't take more or he would spit it all back up.
2. He spits up A LOT. He spits up during his sleep, even if it has been hours since his last feeding. This usually wakes him up and he doesn't get the rest he needs.
3. He constantly makes this noise in the back of his throat -- I call it a grunt but Dr. S said it is really a cough, caused by the reflux.
4. He still has the hiccups several times a day.
5. He has a terrible amount of gas. I've watched him in his sleep pull his little legs to his chest and then pass gas, waking himself up.
6. He cries out in his sleep. I can't tell you how many times I have gone to his bed thinking something horrible has happened to him only to find him sound asleep.
So, we have made some adjustments according to the doctor's orders.
We are doing smaller, more frequent feedings. Instead of 6 oz. every 4 hours, he's getting 4 oz. every 3 hours. We burp him every ounce and we hold him up on the shoulder for 20 minutes after each feeding. We have elevated one end of his crib. We are putting one tsp. of rice cereal per ounce of milk in each bottle to weigh down the milk in hopes of keeping it from coming back up. And, perhaps most important (or controversial) Andrew gets two doses of Zantac in his bottle everyday.
Since we started these things, the amount of spit up has decreased significantly. Andrew can put himself to sleep without the endless soothing we were doing. A swaddle and a few pats seeem to be all he needs now. His sleep is more sound and though we have heard the little cough a time or two, it is not constant like it was. He has only cried out in his sleep once. He seems to be napping better.
We had hoped the rice in the bottle would help him sleep through the night, but it has not. But that is OK. That will come with time.
I really hope these new measures will make Andrew more comfortable. I now understand that he has been in quite a bit of pain and discomfort, which is something that I could not fix for him. His crying made me feel like I had to be doing something wrong, but the cause of his crying was something that I could not fix.
It is a terrible feeling when your baby is crying and you've done everything in your power to soothe him and nothing works. Here's hoping those days are behind us.