09-27-2013 09:43 AM
Have you been to see a Pediatric ENT (Ear, Nose & Throat Dr)? My baby had problems eating initially and was finally diagnosed with a posterior tongue tie. He had trouble with any form of feeding we tried (nursing, bottle with different nipple types, syringe) and would take 45 mins-1.5 hrs to eat and then was hungry again soon after. A posterior tongue tie can be really hard to diagnose, so you need to see someone who specializes in this. We had seen several pediatricians and lactation nurses (none of whom recognized it!) before someone finally referred us to an ENT who specialized in tongue ties. After the ENT Dr. clipped his tongue twice and weeks of at-home stretching, he is finally able to eat enough and in a reasonable amount of time (20-40 mins)!
09-27-2013 12:06 PM
Has anyone checked to see if your baby is tongue tied (the web under the tongue extends to the tip tying the tongue down)? For some reason a lot of doctors are hestitant about clipping the web even though they can do it right in the office and if the baby is young enough no anesthetic or medication is needed and you will see immediate improvement. Something to look into at least.
09-27-2013 01:05 PM
Oh my Godness. At least am not th e only one. my daughter is 4 1/2 months .. was born full term with 4 1/2 pound-2.1 kg. had acid reflus was spitting a lot.Change from Breast-Feeding to Aptamil to Normal Cows and Gate to cows and gate acid refluX(yucky so think like yoghurt) then went back to normal cows and gate to NOW on Aptamil COMFORT. my baby girl wouldnt keep it down so keot changing on doc recomendation..Now that she should be on 7 oz every 4 hours is only on 2 /3 oz every 3 hours. sumtimes stay over 12 hours only with 2 oz. Evn though i tried every hour .She just push the teat with her tongue and look away ..even just wearing the bin make her cry.Feeding her on solids and she gulped it all in 5 minutes straight. but wat i do i put 2 oz in the solids so at least she is getting enough but again then she doesnt eat for more that 7 hours.. still waking up at night time. Want only the soother..She is teething now but she always like this anyway. sometimes i just burst into tears and feel sad to force her. and am wrecked with jusyt feeding her.Anybody Can even suggest Something will help Greatly.Am desperate..
09-27-2013 05:00 PM
There could be so many possibilities and each one should be ruled out. Don't be afraid to get second opionions.
Reflux could be an issue. Even when children don't display all the signs of reflux, it still could be a significant problem. The acidity could be irritating the throat and esophagus making the child reluctant to eat. Reflux can also cause baby to wake up at night, and have poor weight gain. A simple medicine taken daily can often solve all of the problems. Reflux can also be aggravated by food allergies or sensativites. And if your child doesn't have reflux, that the allergies and sensativites could be causeing the same problems as well. Children don't always react to allergies with swelling, hives, rashes or itchy skin. It could be causing internal discomfort as well.
Dysphagia (difficulty swallowing) could be a problem. My son has tongue anomolies that make it difficult for him to get food and drink in the back of his mouth to swallow. He also needs thickened liquids as when he swallows normal liquids they penetrate his airwaY. He has needed speech and occupational therapy to help with this. Along with the tongue anomolies and the difficulty swallowing liquids he had his tonsils removed as they were large and he had a hard time swallowing anything to thick, dry, or large.
A lip tie can cause difficulty with eating, drinking out of a bottle, sippie cup etc and with nursing. A tongie tie can cause a problem with nursing as well as difficulties eating. My son had both and had them snipped.
He nursed for about 15 months (he is 18 months old now) and I pumped the whole time so we have a stash of BM. He has always had a difficult time with his latch, it was a good latch but was very shallow. He one day stopped nursing on his own. (A month later he had the lip tie and tongue tie snipped and I was hoping he would try nursing again but he never did.) At the same time he refused a bottle, has never been able to drink out of a sippy cup (and we have tried MANY) and I had to syringe feed him until he was able to drink for a straw (a coffee stirrer size as he has trouble with all the rest).
It could be one or all of the above, it could be none of the above. Sometimes the answer isn't easy and you have to try many different things. Sometimes the solution is only a partial solution. Each procedure and type of therapy has helped my son, but it hasn't been the answer. I have been fighting to get him the help he needs for a year now, and we have made tons of progress. At 15 months old he was diagnosed woth Failure To Thrive as he hadn't been gaining weight and was below the growth chart. After a comboniation of surgeries, therapy, and adding pediasure in, he is at the 25th percentile for the first time ever. I went through 3 doctors and 3 therapy programs before I felt comfortable that he was getting the treatment he needed. Sometimes a Dr will tell you something you don't agree with, and that is ok. But you need to follow your instincts and if you disdagree with the dr then find one that you feel comfortable with.
Your son may just be on his own time with eating. Especially since he is so advanced in other areas. Children tend to focus on one area and fall behind in another. When they have one area mastered, they move on to the next.
Remember, every child is different, they each grow and develop different and no weight chart or developmental chart can fit every child. It is a guidline and if there are not any other problems, then maybe there is nothing wrong and he will catch up in time. But if you fweel there is a problem, fight to get him the help he needs.
I wish you all the best!
09-27-2013 08:19 PM
Along with what someone else said previously about checking on his diet, ask to be referred to a Speech-Language Pathologist. They can do a swallow study and an evaluation on him to see if he is able to control and manipulate various consistencies of liquids and solids safely and correctly. They should also be able to recommend different nipples that might help him take his bottles better. If your doctor does not give you a recommendation, you can call your state's Early Childhood Intervention program and ask for him to be evaluated for a feeding difficulty. These services should be at no cost to families. Good luck I hope you get the help that you and your little man need!
09-28-2013 06:12 AM