Showing posts with label reflux. Show all posts
Showing posts with label reflux. Show all posts

Sunday, January 25, 2009

In Pursuit of Magic Tricks

We may have cracked the code at getting Nate to go down without an hours-long temper trantrum. The magic to this CIO thing is keeping him down. That's the trick I need to master.

After a 90 minute stretch last night, Nate woke up expressing his extreme discomfort through abbreviated grunts that reminded me of Morse Code. I delayed entry into his nursery, waiting with bated breath for tranquility to return. But, alas, it wasn't meant to be.

After much hesitancy, I went in, picked him up and cuddled him in the nursery. He smeared the remnants of his tears on my camisole as he searched for a boob. I obliged, recalling that he was too distracted during our earlier playdate to be bothered with nutrition. I suspected that he was now compensating for the lack of calories.

I was able to get him to go down without protest once he was satiated. I succumbed to sleep myself but 2 hours later, my dreams were disturbed by panicked cries. In the shadows, I could see spit-up under his nose. The ugly, uninvited return of reflux. I picked him up and he began choking and gasping for air. I patted and rubbed his back, cradling him close to me. Eventually, the episode ended but he continued to be disgruntled. Despite my best efforts, I was consumed with fatigue and brought him to bed with me, where we both slept comfortably until 730am.

I know, I need to grow a backbone. But the positive side is that we can get him down in the crib. That part is getting progressively easier. We just need to work on prolonging the stretches. One step at a time, I say.
__________________________________________________

Today marks the one-year anniversary of Snowflake's unfulfilled due date. The memory of her loss still stings, as I think back to the blood, the cramps, the fear, the agony of waiting for confirmation of what I already knew to be true. I could never forget my baby girl. I will always miss her and this date will always carry with it a somber tone.

Instead of celebrating a one-year birthday, I'm on the brink of a 1/2 birthday. And despite my melancholy, I could not feel more fortuitous.

Sunday, January 18, 2009

The Mama Sway and Other Developments

I am feeling quite wordy this morning, as Nate naps comfortably in his swing. But in the interest of retaining your attention rather than antagonizing you with an unorganized, jumbled bout of verbal diarrhea, I will utilize bullet points to constrain myself.

  • Move over Macarena. Crank this Soulja Boy. There's a new dance craze in Chez Sticky. I've acquired the "Mama Sway". Seriously, it's impossible for me to stand still. Even without the baby in my presence, I subconsciously rock back and forth. I don't even realize I'm doing this until other people - primarily mothers - point it out to me, declaring that only mothers have "that tender sway". Perhaps we all inherit the "Mama Sway" gene as soon as we release our placentas? It's like I've been inducted into a secret society. A slow dance. A knowing nod. And I'm outed without saying a word. I guess I should praise Dr. Karp for that.

  • Just like the evil that masqueraded as colic for 9+ weeks, Nate's reflux seemed to dissipate overnight. For the past few weeks, I've been able to sport brand-name gear, unsoiled and curdled-milk-fragrance free. Sure, he will still spit up now and then after a feeding but ***knock on wood*** we've had no actual vomiting incidents ( > tablespoon) in almost a month. No more waking in the middle of the night to gagging and choking. No more receiving blankets substituted as burp cloths, drenched in the contents of his stomach. I'm marveled by the difference. It's nothing short of a Festivus miracle. I guess all the hoopla about reflux resolving itself in time really was true. The cynic in me can rest assured that medication was unneccessary after all.

  • We have a thumbsucker in our midst. Yes, after almost 6 months of unfettered fist and finger love, Nate finally discovered his abandoned appendage. I should say he is more of a thumbbiter, as he uses it more for teething relief than for self-soothing at this point. I've yet to capture this new development on camera but the mamarazzi is sure to catch it in her relentless pursuit of treasured candids.

  • After two weeks of daily entrapment, Nate has learned that the jumperoo serves more of a purpose than to spin in circles and look pretty. He can now jump so high that I fear he may completely fly out of the apparatus. Watching him spring himself into oblivion is the most amusing, adorable thing. It could provide hours of entertainment if his legs could withstand it. His new nickname is Jumping Bean.

  • With his new exercise routine in full swing, his already hearty appetite is giving me a run for my money. Nate is eating every single ounce I pump, despite my record of 21 oz. in 3 pumping sessions. I know it's hardly Guinness Book material but it sure made me proud nonetheless. I can barely keep up with him in my absence. He is also showing extreme curiosity in food during mealtimes. Meaning I spend more time keeping his sticky fingers off my plate than gobbling up my lunch. He's even taken to crying when I push my meal outside of grasping range. This is especially enthralling in the middle of a crowded restaurant, where onlookers gasp in horror at this poor, starving babe and the abominable mother who denies him one small morsel of food. I am but a week away from my goal of 6 months exclusive breastmilk and I'm hell bent and determined to get there. We will get there. Then, it can be a solids free-for-all. Until that day, you can brand me as the strict, unsympathetic, possessive, add-your-own-adjective-here mama bear that I am.

  • Effective Thursday, Nate's usual whopping 3-4 bowel movements per day has lessened to a humble once a day. As a matter of fact, yesterday was completely poopless until his explosive blowout upon waking this morning. We're talking poop in the armpits, people. How exactly does that happen? I'm not sure if this is a sign of digestive distress or if his body is telling me that it's ready for more than just mundane liquids. He doesn't seem to be uncomfortable or constipated so I feel it's likely the latter.

  • After weeks of a sunny disposition, a storm is brewing. The crankiness. The clinginess. I'm identifying bits of foreshadowing. A taste of what's to come. I know the 6 month milestone brings along another growth spurt so I'm donning my cloak and armor, preparing for another battle.

A big apology if you made it this far. Not even the bullets could stop me from being verbose.

Sunday, November 2, 2008

Lethargy and a Great Misnomer

Daylight savings time can kiss my arse. It hasn't done a thing but cost me time today.

I put Nate down (and thus myself) an hour later than usual last night with the hope that his sleep and nap pattern would not be greatly affected. We retired to bed at 10:30pm. Nate woke around 1am. Pop out boob. Suckle. Back asleep. Stirring again at 3am. Pop out boob. Suckle. Back asleep. Stirring again at 5am. Pop out boob. Suckle. Back asleep. Stirring again at 7am. Usual wake-up time. Gave up the pipe dream of a decent night's sleep. Changed massive pee diaper. Put baby in swing. Watched him doze off enviously. Made myself a cup 'o joe and hopped online to look for holiday gift ideas.

Due to Nate's reflux, we feed from only one side at a time. This limits the spit-up and projectile vomit episodes. But it does mean he needs to eat more frequently - about every 1.5 hours - as opposed to 3 or 4 hours that most babies can manage. His light snacking is not an issue during the daytime but it poses a problem for sleeping through the night. I guess I'm destined for many a sleepless night until his digestive system matures and he can handle the load from both of my milk trucks.

MIL told DH she thinks I should give up breastfeeding, as it makes Nate too gassy, and opt for formula instead. Don't even get me started on this. Yes, I have an overactive letdown reflex and yes, it can sometimes choke him and cause him to gulp, taking in more air. But I refuse to wean him and give him exclusive formula, which would probably be harder on his sensitive tummy than breastmilk. I'm not opposed to supplementation but I have really been trying with all of my might to reach my goal of 6 months exclusive breastmilk. And I don't plan on straying from this objective unless a medical professional convinces me otherwise. How about supporting the decision I've made in my family's best interest instead of insulting me and basically implying that my son's reflux is my fault? Just because you raised two children does not make you an expert on what works for every child. Case in point: I specifically told her that Nate is now in 3-6 month clothes. I even pointed out which drawer to use in case of an impromptu accident. On the one day we ask her to watch him, she purposefully dressed him in a 0-3 month outfit - contrary to my crystal clear instructions - because it was "cute". Nevermind that it looked like a muscle tee and nearly cut off the circulation in his thighs.

GRRRRRRRRRRRRRRRRRR!!!!!!!!!

Sorry, where was I? Oh, yeah, reflux...

I've been avoiding meds since Nate has been gaining weight like a champ. I didn't want to administer anything deemed unnecessary. But I'm wondering if I should give them a go and see if we can build up to longer intervals between feeds. Something to discuss with the pediatrician on Tuesday, I suppose.

I'm also conflicted about cosleeping. I do love having him close to me - and simply rolling over to feed is quite convenient and conducive to my laziness - but I don't want to hinder his development or foster dependency on my scent or presence in order to fall asleep in the future. The nurse practitioner at my pediatrician's office practically slapped my wrist at his last visit and told me not to continue with it unless I wanted a three-year old sleeping in bed with us. Then again, I've heard from BTDT moms who said they waited anywhere from 4-8 months to transition to the crib and had very little problem doing so. In fact, they encouraged cosleeping and said that until 4 months old, babies are incapable of soothing themselves to sleep. I'd like to believe I could have the same seamless shift but since things have yet to be "easy" en la casa del Sticky, I need a plan of attack.

We have attempted to cry it out (CIO) a few times to no avail. At bedtime, I would rock him and feed and once he was drowsy, I would lay him down in his crib and quietly leave the room. He would be peaceful for several minutes but eventually whining would ensue. Whining would give way to crying. And the crying would give way to screaming - virtual pleading for me to come back. After 5 minutes, I would go back in to rub his back and soothe him without picking him up, speaking in a soft whisper. I would leave the room again and he would begin crying so dramatically that I feared he would vomit. I reached my limit of 10 minutes before I conceded to his demands and retreived him from his prison crib.

I've tried to use the crib more for naps, reasoning that we could gradually work our way from resting to slumber, but the maximum I can get out of him is 20 minutes. In his swing, I can get at least 45 minutes, if not longer. So, back to old reliable.

I've tried to execute the 3 B's (bath, boob, bed) but when reflux strikes, leaving behind the scent of eau de spoiled milk, or we have a morning blowout from the sheer force of hours of compacted waste, I have to bathe on demand. And since consistency is key to establishing any long-lasting routine, this plan is also unreliable.

I took an outing to the bookstore today and bought several sleep books. I should be able to pull at least one piece of useful advice from these texts. If I can only find the time to read them...

I'm desperate to nail down a routine. I think structure, in whichever form it may exist, is needed to preserve our sanity.

Wednesday, October 8, 2008

Vexed About Vax

Yesterday was Nate's 2-month pediatric appointment. Yes, he's over 10 weeks old so we are a little delayed. I guess my subconscious mind allowed me to procrastinate because I knew what was coming. That's right - vaccinations. FOUR of them.

For the life of me, I can't understand why the American Academy of Pediatrics recommends administering four shots all at once. I realize there is no solid research or evidence that today's vaccinations cause developmental disorders such as autism. Many questionable ingredients in vaccines, such as thiomersal, have been removed but are still used in third world countries. To my knowledge, the prevalence of autism is not higher in those countries. And neither DH nor I have ever had any adverse reactions to vaccines. Common sense just tells me it is too much for a little baby to take. Hell, I had an MMR booster last year and it left a painful knot on my arm for days. I wanted to split up the vaccines so that Nate could get two shots each in two separate visits. However, my unsympathetic insurance company would not cover both visits. Nice to know they have my baby's comfort in mind when they approve these preposterous policies.

Needless to say, I was dreading this day.

He was in such a good mood in the morning, smiling and cooing. Blissfully unaware of what lie ahead. He slept on the way to the doctor's office and only woke when I had to undress him for the weigh-in. My chunky monkey is now 13 lbs. 2 oz. and 24.25 inches long. I admit I smile smugly when they tell me he's in the 70-80th percentiles for height and weight. It makes me feel good to know my very own boobs are making all that cute little baby fat possible. At least one (make that two) of my body parts can perform their inherent function without the assistance of medication.

Even after the intrusive rectal thermometer dance that squashed any rumors of constipation, Nate was still in good spirits. I spoke to the doctor about some recent incidents in which a projectile milk missle has unexpectedly shot out of his nose cannon, causing gagging, gasping, choking and congestion as well as a raise in Mommy's blood pressure. She officially diagnosed him with reflux - which I've assumed since he was born - but said that since he is gaining like a champ, there really is no reason to introduce medications. I agreed and said I'd call if it worsened or caused him more discomfort than usual. She said it would go away as his digestive system matured and his esophageal sphincter strengthened.

Then came the shots. I initialed the consent form hesitantly as if I were signing a declaration of war. As he laid on the exam table, I grit my teeth in anticipation, watching intently as the nurse prepped his left leg. I stuck my finger in his tiny palm and gently rubbed his bald head. I watched the first needle go in and after a pout of sheer horror, he cried out in pain. Second shot went same as the first. I spoke to him softly, telling him it would all be over soon. Over to the right leg. Third shot. His crying became shrill and torturous. I apologized as warm, wet tears ran down my cheeks. I felt so helpless and horrible as I watched his little body turn red with fury and disbelief. Fourth shot same as the one before it. I could barely wait for the syringe to exit his chubby thigh before I scooped him up in my arms. His repugnant look stung my heart, as if to say, "how could you do this to me, Mommy?" I knew that vaccinations were a necessary evil but I couldn't help feeling like a bad guy. He never knew the throes of pain before this and yet I had to be the one to inflict it upon him.

I whipped out the one thing in this world that makes his boo-boos all better - the all-powerful, almighty boob. He suckled as though it were an oasis in the middle of the Sahara desert. After just a few minutes, the grueling experience was behind us. He passed out from sheer exhaustion and stayed asleep for almost 2 hours. When he woke up, I gave him a dropper-full of Tylenol (mmmm, grape) and held him close. His tear-stained eyes glanced up at me and as I whispered to him, he let out the slightest hint of a smile.

I interpreted that to be a sign of forgiveness.

Throughout the evening, he was a bit clingy and did not want to be put down for a second. He snuggled with me as we watched the presidential debate and fell asleep for good around 930pm. Just a few nursing sessions during the night and he woke up at 7am a new man baby. Are vaccinations a rite of passage? If not, they should be.

We're both looking forward to a new day.