Lily's 2 month appt

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Joined: 12/21/10
Posts: 529
Lily's 2 month appt

Hello!

As you may have read we had our 2 month appt yesterday.

Lily is doing super. She weighs 11 lbs and that puts her right in the 50 percentile and she is 23" long (75 percentile).

Her colic seems to be getting better but the acid reflux was not. We increased her Zantac dosage and that already seemed to help last night. Dr. said that based on the vomiting she saw yesterday, if Lily were not gaining weight or goes backwards, we will have to discuss surgery but she does not think that is likely (thank goodness) and she prefers not to have it done if at all possible as it is not a pleasant surgery.

Dr. was very impressed with how she follows voices and makes and holds eye contact.

Her upper body strength is a little weak but her lower body is superb so Dr. is not worried at all.

She still hates tummy time but I got 5 minutes out of her this morning so I am excited and for the first time she grabbed for a rattle and held it for a few seconds.

I think all is well.

Have a great day, everyone!

AK2663's picture
Joined: 09/03/08
Posts: 710

Glad things seem good! And yay for tummy time! We still don't get any done but she holds her head up fine so I'm not worried.

Can I ask why they would go right to surgery for her reflux? Have they diagnosed a physical abnormality that would require it? I only ask bc of our Wk at the children's hospital taught me so much I didn't know about reflux and I would think if pedi would want to consider other reasons for her sever reflux such as allergies or an immature sphincter muscle in her esophagus (which are the two most common reasons for reflux. Allergies would be taken care of by diet change or switch to hypoallergenic formula and for the immature muscle it just needs time to mature. If surgery was an option I would hope she would run certain tests first to diagnose a problem that truly required surgery.

Joined: 12/21/10
Posts: 529

Anne,

It is the immature sphincter muscle that is the problem and we are not doing the surgery since she is continuing to grow/gain weight. It is only something to consider if she does not continue to grow/gain weight. Dr. only mentioned it b/c she saw just how much Lily vomits and wants to be sure that we keep a close eye on her weight. She did say that most likely by the time that Lily is 4 months the muscle would be much stronger and we should see an improvement and hopefully it will be all gone by the time she is 6 months. If it is not gone by then we will continue to explore our options.

When we were there they actually gave me a change of clothes since she vomited all over me and I was covered in it and they felt bad. Then after I was done feeding her she started to throw up again and for the next half hour it just continued to flow out of her mouth. I think that sometimes people do not believe when I say that she vomits non-stop and seeing it made the Dr. realize just how bad it it (in spite of her weight gain).

I am sorry if I did not explain that well. I was at work and in a hurry as I do not have much time these days (I know you are all in that same boat). Smile

How is Emme doing and what have you guys done to help with the reflux? I was actually thinking of you guys today and wondering how you are doing?

AK2663's picture
Joined: 09/03/08
Posts: 710

Taking the diet has almost eliminated her reflux! She was the same way w the vomiting and ppl would say "all babies spit up" but they would quickly see 'spitting up' and what Emily was doing were not the same thing. She, like Lily, was continuously vomiting. BIG DIFFERENCE!! We have been able to eliminate all but the thickened gel feeds and prevacid from her medicine list just with the diet change. Plus, now she just 'spits up' for real lol. The gel thickener is expensive but we worth it. We learned cereal is not good for thickening bm bc the proteins in bm break down the cereal so it doesn't stay thick in their belly....the gel stays thick all the way to her poop Wink u should chk it out. It's used mostly for kids w swallowing issues. WWW.simplythick.com

Jessica.'s picture
Joined: 02/02/09
Posts: 424

Glad she's doing well. Do you find things getting easier as time goes by? I know the first three months with our first were difficult!

kilahmaree's picture
Joined: 08/28/09
Posts: 951

Glad to hear Lily is doing so awesome! My DD had reflux like that too! What was sad, was I had no idea it wasn't normal since she was my first. Like you, I was covered in her spit-up and it was the doctor who was like, "Um, this isn't normal" lol. It definitely got worse before it got better, but I do remember that by 7 months she was off her meds completely! Smile