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BriAndOlisMum View Drop Down
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    Posted: 14 June 2010 at 11:41am
We just had plunket here and Oliver has only put on about 250g in 6 weeks, he is nearly down under the 3rd percentile line now.

has anyone had experience with this?

He is breast fed and i can't drink complan or tigers milk to increase the amount or quality of my milk cos if i do then his excema gets worse.

I am off to see the doctor soon but just wanted to here other stories. Did you get referred to a pead? and what did the doctor/pead recommend to do to make your baby put on weight.
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Raspberryjam View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Raspberryjam Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 12:07pm
We were already in hospital but the paed and the dietician added duocal to the NG milk my girl was topped up on
I would also ask for a xray to make sure all his organs are working well

Best of luck hun
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fire_engine View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 12:12pm
We got referred to a paed for similar issue. We were seen within a week and admitted to Starship 2 days later (underlying cardiac issue that hadn't been picked up).

Has he got reflux or anything? You'll find the paed will look for any underlying causes for low weight gain. And there may be none - he may just be a little boy. Some babies are just little babies! But absolutely no harm in getting checked out.
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BriAndOlisMum View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BriAndOlisMum Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 2:25pm
well i just got back from the doctor. the doctor said Oliver is failing to thrive and said that i need to supplement every feed with formula but since he can't have the normal formula cos it makes him get bad excema he is organising a thing to get subsidised neocate and is calling the nutricia people for a sample can of neocate in the mean time until the subsidy form comes through.

he said oliver will need weighed again 3 weeks after starting neocate and if he still isn't putting on weight then we will be referred to a pead.

flissty - nah i don't think he has reflux. He may have colic tho cos he pretty much screams for 2 - 3 hours in the late afternoon/ early evening
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 2:30pm
How do you feel about adding in the formula?
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BriAndOlisMum View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BriAndOlisMum Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 2:37pm
I don't mind about adding the formula, we were giving him 1 bottle a day about a month ago, it worked great at calming him down for the afternoons but gave him bad excema so we stopped it after about 4 days when we realised what we had changed.

my DD was fed EBM until 6 weeks and then was full time formula so if i can still feed him as well as give the formula, and if that makes him grow better i have no problems with it at all.

i tried having complan and tigers milk but that made the excema worse too
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 2:41pm
Cool. I just get concerned when Drs think formula is the magic cure for weight gain. FX he puts on weight soon but if not, PUSH for a paeds referral to make sure there's nothing else going on.
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millymollymandy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote millymollymandy Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 5:15pm
Yes, I have so been here. DD had as always had slo weight gain.   She is below the 3 rd percentile. I self referred to the Paed to check her put (bugged Dr till she gave in). Get your bub check for piece of mind.

I had low milk supply which I suspect was a result of PND. The paed sussed this straight away and yes disagnosed the horrid sounding failure to thrive. I had lost a huge amount of weight and was struggling with milk. He suggested working on milk supply and changing her to formula. I didn't have luck with formula as DD hates bottles.

Things have improved slowly. Firstly I sorted out sleep issues and my depression lifted. I take brewers yeast and milk thistle tablets, so have seen a marked improvement in BF. Go get friendly with your local health store.

If I do get low, we top up with formula in a sippy cup but I offer BF first. As I have an older baby, can give her lots of protein etc in solids, avocado, butter and meat are diet staples here.. I think there's a slow gain weight happening as DD has gone up a clothes size in the last few weeks.   I have put weight on too. Plus she has developed some more rolls.

The hardest thing is not stress, it makes it worse. But I have found that hard not to do. If your bub is happy, and sleeping well its usuallly a good sign. Even the paed agrees, but can't explain her growth as she shows no signs of a medicial problem.

We go to Plunket once a month for monitoring too.

Someone has to be at the end of the chart, and it might just be our kids are those kids. DD is a very happy baby and developing on cue or before her milestones and she's now a great sleeper. But she is little, I do everything I can but I also know that not everyone is going to be a super chubb. Good luck. Please let us know how you get on.

MMM
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BriAndOlisMum View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BriAndOlisMum Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 5:30pm
thanks millymollymandy, yeah not stressing is the hard part.

He used to sleep really good, was sleeping between 9 and 11 hours every night from 7 weeks but the last 3 weeks or so he has stopped sleeping through and now even wakes at least twice a night.

I'm hoping he is just a little boy as my DD followed close to the bottom line on the graph but she had always been on the bottom line IYKWIM, whereas Oliver started up past 50% and is now below 3%, his growth line pretty much goes straight across.
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millymollymandy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote millymollymandy Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 5:47pm
yeah, we had a dip from 16th percentile after birth. Do you do dream feeds? That might help waking. DD never really slept through the night consistently till 8 months, so i was happy if she only woke twice.

What ever the outcome there's help out there.
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Raspberryjam View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Raspberryjam Quote  Post ReplyReply Direct Link To This Post Posted: 14 June 2010 at 8:44pm
Id still be pushing for a paed to have a look, or even take him to another doctor for a second opinion rather than waiting
Dont leave it to chance Hun, they could be missing something really obvious
Extra calories will help him gain weight , whether he is sick or not, but like Flissty said - you need to rule out that they arent missing something
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Blat3 Quote  Post ReplyReply Direct Link To This Post Posted: 15 June 2010 at 10:29am
Hi there,

I really feel for you. We are going through a similar thing at the moment with my nearly 5 month old son. He only gained 300g in 6 weeks. We too were suggested formula top ups, but he hated it. I didn't even get him to suck on the bottle, let alone drink a whole one.

I took myself off to the GP who checked him over and said he looked healthy. I am now taking Domperidone and breastfeeding tea for my supply as we think mine was supply related because the nappies were slowly getting lighter.

2 weeks on and his nappies are wetter again, but I am not sure on weight as we aren't due a weigh until next week.

I agree with a previous poster who said that Drs are very quick to offer formula as a solution, when really, they may be no problem. My daughter was also slow to gain weight so I put her on solids at 4 months (on the health nurses recommendation) and topped up with formula and she STILL didn't gain weight. Took her to a paed who said health nurses need to stop relying on their books so much. He said my daughter was fine and just a slow gainer.

Good luck, as I said, I feel for you because it can be a worrying time.

I hope things pick up for you soon.

L
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BriAndOlisMum View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BriAndOlisMum Quote  Post ReplyReply Direct Link To This Post Posted: 15 June 2010 at 11:06am
thanks, how do you get Domperidone, do you have to get a prescription from the doctor? how much does it cost
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mummyofprinces Quote  Post ReplyReply Direct Link To This Post Posted: 15 June 2010 at 12:16pm
Jake was a slow gainer.. not that slow but slow none the less (more so big gains then big losses) and "failure to thrive" was thrown about by my GP and Plunket and forumula top ups were suggested.

I have health insurance so went and saw a paed privately and he had a good look at him and said he was fine!

He was just a small baby... and still is. Plunket had me doing all sorts to up my supply but he is just a little eater... he is only now just starting to eat "normal" amounts of food and I put that down to him now walking.

I personally would see a paed as they are the specialists and deal with this on a regular basis... but thats just me


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Post Options Post Options   Thanks (0) Thanks(0)   Quote mumtooboys Quote  Post ReplyReply Direct Link To This Post Posted: 15 June 2010 at 2:52pm
Originally posted by Raspberryjam Raspberryjam wrote:


Extra calories will help him gain weight , whether he is sick or not, but like Flissty said - you need to rule out that they arent missing something


That's not necessarily true. It did naff all with DS2 ,who I refused to comp btw after a similar situation with DS1 who was comped and it did nothing,once he was on solids I fed the kid avocados like they were going out of fashion as they are high in calories and 'good' fats and most months it did nadda for his weight gain....in fact he gained more weight when I took solids out of his diet altogether and put him on the boob more.

Why can't people just accept that some kids are just small, especially if a sibling was the same? True failure to thrive is incompatible with life, Drs like to throw that phrase around to scare the crap out of parents when there's usually nothing wrong. i should know, DS1 was FTT and the child at nearly 7 is at the TOP of the charts for height and weight for kids his age after being almost off them as a baby. That's not FTT, that's failure to accept that not every kid is going to be 'average' and that being smaller doesn't mean that they aren't healthy.

To give you an idea......................DS2 was born on the 75th centile, at 3 months he was 5.02kg and at 5 months he was 5.45kg so that gives you some idea of his 'average' weight gains and by 9 months he was actually off the bottom of the charts. He stayed there for a further 9 months, and at nearly 3 is now back over the 50th centile for weight. Not a thing wrong with him other than he didn't weight alot.

Edited by mumtooboys
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Raspberryjam View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Raspberryjam Quote  Post ReplyReply Direct Link To This Post Posted: 15 June 2010 at 5:01pm
The extra calories in the formulas - such as the one oliver would be put on - are a bit more than avocado kind of calories

My girl was tiny too 5kg at 6 mnths 8 kg at 1 - so I kinda have an idea of how it is too

My little girl was really sick - she still gained weight on calorific formula - its still better to rule out a hidden issue
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 15 June 2010 at 5:50pm
Mumtooboys, I agree that the FTT label *is* overused.

However, when you've been the parent of a critically ill child, when the only overt sign that he was a week away from dying was his "FTT" and six weeks of diving down the percentiles, then you have a slightly different perspective on why it needs to be checked.

I agree that many kids labelled FTT are just little kids like melnel said. But sometimes it can be a sign of a major problem, and that's why I always advocate getting it checked to make sure there's nothing going on, and then going "OK, I've just got a wee boy (or girl)" rather than the other way round.

So that's where I'm coming from.

ETA: I hate that the internet can't convey tone of voice - I'm not wanting to sound preachy, just explaining my perspective

Edited by Flissty
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