This story was written by guest writer, Jennifer Milner.
June 28. My daughter is 2 ½ weeks old, and morphs overnight from a snuggle bundle that eats and sleeps all the time into a raging, inconsolable animal who cries for hours at a time. My friends with kids nod wisely, saying, “Wow, colic came early to your household. Get ready! But don’t worry; it peaks at 6 weeks and goes away at 3 months.” At this point I’m not sure I’ll make it to three months.
July 2. My daughter is 3 weeks old. Every fiber of my new-mommy being tells me this is not colic, despite the books and online sages. I read up on “colic” and know that this is not it; colic seems to occur for a couple hours every day, at the same time of day, usually early evening. My daughter cries throughout the day, into the wee hours of the morning. She cries five minutes into a nursing session, arching her back and stretching her tummy out. She pushes herself off of me, screams, then pulls herself hungrily back to my breast. Her eyes are outraged, anguished, and tears stream down her face. She spits up frequently, often copious amounts. I must look further for an answer to this, and am trying to hang on until her four-week appointment next week. At this point, I’m pretty certain she’ll be an only child.
July 5. My daughter is 3 ½ weeks old. A girlfriend of mine listens to my story and tells me my daughter might have reflux. Turns out her son had reflux, which was not diagnosed until he was four months old. After going on medication, he turned from angry baby to happy baby overnight. I look up reflux in The Baby Book by Dr. Sears, and almost cry with relief; the list of GERD (gastro-esophogeal reflux disease) symptoms could have been written by me to describe baby girl. He lists several non-medical solutions to bring reflux relief, which I make note of. Baby girl’s 4-week checkup is in a couple days and I’m reluctant to act without medical confirmation.
July 8. My daughter is 4 weeks old.
And she has reflux.
I am so happy!
When our pediatrician confirmed my suspicions about reflux, I almost wept with relief. Having spent almost two weeks with a distraught baby and knowing instinctively that there was something wrong with her other than “typical” baby “colic”, I felt a huge burden lifted when a name was put to my daughter’s disease. After discussing baby girl’s symptoms in depth, our pediatrician agreed that it sounded like reflux. We talked through the non-medical interventions I’d found and she approved.
That very day, we began the non-medical interventions: putting baby girl to sleep on her left side (propped with rolled swaddling blankets so she couldn’t roll onto her stomach), elevating the head of her bassinet by putting phone books under the feet, and changing the way we fed her. I had been doing a variety of nursing positions to try to efficiently drain my breasts, but switched to vertical nursing almost exclusively – holding her upright, head supported – and began keeping her vertical for 30 minutes after each feeding. This meant that nighttime feedings were much more difficult; rather than a ten-minute nursing session, I’d be up with her for forty minutes, every two or three hours. During the day, I’d nurse her and put her in a soft carrier in front so she’d remain upright while I had my hands free. And lastly, I had to do away with nursing while lying down, since it caused the reflux to flare the most.
While our pediatrician encouraged us to try the non-medical solutions, she also wanted to prescribe Zantac for our daughter. After doing some research into it, my husband and I felt comfortable giving it to our baby. We started at two doses a day, which combined with the lifestyle changes did a bit but not much. Five days after starting the reflux regimen, our pediatrician upped the dosage to three times a day, and overnight our daughter changed. She went from tired and angry and in pain to contented, able to sleep, and actually happy some of the time. We kept her on Zantac for several more months; at three months we stepped the dosage back down to twice a day, and at four months discontinued it completely. Our daughter had outgrown the reflux and was a happy, healthy baby who slept through the night and enjoyed her nursings.
As hard as it would have been to believe at the time, we were one of the lucky ones with GERD; my support system (my girlfriend) had experience with this and spotted it right away, our pediatrician listened to us, and my daughter had a relatively mild case of it that she outgrew somewhat early.
Many other people are not so fortunate; GERD often goes completely undiagnosed, with the babies and parents suffering needlessly until it’s outgrown or comes to crisis proportions. If increasing our daughter’s medication had not worked, a trip to a GI specialist was the next step for us. Baby girl’s throat and stomach would have been scoped and more drastic measures would have been discussed. My girlfriend’s son was on Prevacid for a full year before outgrowing his reflux. Because babies cry a lot in the early months anyway, people often chalk up the excessive crying to “colic”, a catch-all phrase with no actual medical ramifications. And the other signs – excessive spit-up (how’s a new mommy supposed to know what’s “excessive”?), arching the back to try to alleviate the burning acid, crying during nursing, waking up crying – can often go unnoticed by new parents. Some pediatricians don’t have a lot of experience with infant reflux and so don’t catch it either.
So how can you know if your baby’s actually got reflux, or is going through “normal” newborn crying? First, read up at reputable sources.
http://www.askdrsears.com/ has much of the information available in Dr. Sears’ The Baby Book. He does a thorough job of talking through symptoms of GERD, and listing the differences between reflux actions and normal fussy baby actions, as well as discusses what options parents of a baby with GERD might have.
Second, ask around. Talk to friends and see if anyone you know has any experience with the disease, and can give you any advice.
Third, have a long conversation with your pediatrician. Keep note of your baby’s symptoms, as well as when they occur and how long, for example: “2-4 p.m. almost continuous crying. 5 p.m. nursed, spit up half-dollar sized amount. 5:30 p.m. woke up crying from nap.” Your doctor will want to rule out normal baby fussiness and a detailed list will help. Your pediatrician will also want to examine other causes of crying, such as an allergy or food intolerance the baby is experiencing via mommy’s breastmilk, so mom should keep track of her food intake for a few days as well. Some very common foods, such as cow’s milk and soy, can cause an extreme reaction in newborns that may mimic GERD symptoms. Your doctor may want to test stool samples and have you do an elimination diet to rule this out.
And finally, be persistent. If your gut tells you there’s something wrong with your baby and your pediatrician is dismissing your concerns, find a new pediatrician.
And know that there is help, and this will get better. Many babies with GERD outgrow it between 4 and 6 months as their digestive system matures; the vast majority of the rest of them by one year. My daughter is now nine months old and has been off medication and symptom-free for five months. She’s happy, healthy, and none the worse for her bout with GERD.
Good luck, and hang in there!
You can read more by Jennifer at her weblog at
http://www.1mother2another.com. Part diary of a new mom's journey, part support community for mothers, and part referral site for all things mommy, 1Mother2Another is the sympathetic,sagacious, and street-savvy girlfriend you always wished you had.