Lord have mercy at the spit-up that's been going on in this house. Since yesterday afternoon, Aubrey has spit a major amount of every feeding. Nothing else is wrong--no fever, no diarrhea, nothing else (that we can see). About and hour, hour and 15 minutes after getting a bottle she will gag; she'll keep that first one down, but then a minute later she gags again and then out pours a river of frothy whiteness. We've had to change her clothes 4 times since yesterday afternoon. I'm about to check her temp again and call the pediatrician. We're wondering if she's outgrowing her Prevacid dose and it's not working on her reflux like it should. Poor baby.
-Keli
8:30p.m.
Of course our pediatrician wasn't at the office today, and no one ever called me back. We're already going there on Friday, so I guess we'll save our questions until then. The speech therapist told us what she thought was going on with the amount of spittage--she thinks Aubrey's getting too much volume at a time of that thick formula and it's building up in her stomach. She doesn't spit like that early in the morning because the tube feeding isn't as thick and she can process it easier. She doesn't do it at 9a.m. or noon because it hasn't built up yet. She starts it in the afternoon because by then her stomach hasn't processed all of what was there from an earlier feeding and she's piling new stuff on top of it and it has to go somewhere. That somewhere is all over the front of her and whatever is around her. She suggested backing down to the amount we were feeding last week and see if that helps since she didn't really start this badly until yesterday (we're supposed to go up on feedings on Mondays).
The speech therapist watched Aubrey take her bottle this afternoon and was a little shocked by how fast she goes. We stop her every few swallows and make her take a break, but she still moves that paste through at super speed. She said to keep stopping her every 5 sucks, not long enough to make her mad, just long enough for her to catch her breath and pace herself. She said it was good that Aubrey lets us know when the formula isn't to her liking--she can discern what's best for herself in that situation.
We still have to ask the pediatrician about the Prevacid (just curious now--the therapist said she might not have gained enough yet to cause a need for a dosage increase) and about the feeding schedule and getting the tube out. I don't know if y'all have noticed, but I'm ready to get rid of that dang tube. I know Aubrey's tired of us having to check it and retape it all the time. She starts to fuss the second you touch it, even if you're not near her nose where it goes in. Poor baby. We're all pretty done with the tube, so hopefully it'll hit the road soon. Say a prayer for that, if you don't mind.
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| she fell asleep in the carseat holding my finger |
We made Aubrey's first major outing today other than a doctor/therapy appointment and my parents' house--we took her to roll call at Adam's work to meet his shift. We first made sure that no one was coming in sick or with a cold (they weren't), and everyone was good about just saying hi and not touching her. We got to sit up front with the sergeant and Aubrey growled at everyone. Plus I took them chocolate chip cookies. They love my cookies. They're spoiled. :)
-Keli
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