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hailstones
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Topic: Hopeless Doctor!!!!! Posted: 29 May 2007 at 10:39am |
Well, I posted yesterday about Elle having a gurgling Tummy, Runny poo (sorry TMI) and low weight gains, went to Docs about it yesterday and was sooo pee'd off about how I just got fobbed off by her - it was just blimin hopeless.
After waiting half an hour in a very busy waiting room (With lotsa sick germ filled people  ) we went to see Doc, explained Elle had been gurgling very loudly, and all the rest of the things, she felt Elle's tummy and said to me - well she doesn't seem destressed. I explained I was a little worried about Elles weight gain - or lack of it and she sent me in to the nurse to get weighed.
Well it seems that Elle has LOST weight, on 3/5/07 she weighed 5.35kg, on 17/5/07 she weighed 5.48kg and yesterday (28/5/05) she weighed 5.42kg, which means in 25 days she has gain 70grams. And in that time she has grown 2cm. Now the nurse tells the doctor this, and the doctor - who is rushing her patients through, tell me not to worry and come back and see her in a fortnight.
I felt like crying when I left - Babies should gain weight not lose it!!! Got home and rung plunket helpline, because I am thinking maybe my milk is not enough and maybe I should look at giving her a formula substitute feed once a day to try getting some weight gain on her. They were really good, and she has suggested either expressing during day and giving it to her in her night feed- so I know how much she is getting, or giving her one formula feed a day.
Also have rung my Plunket nurse to get her re-weighed, as I realise different scales can be slightly different weights, and have also rung the peads at hospital as Elle is due for a check about her breathing soon and thought I could get her looked at there - about the gurgling tummy and her low weight gains.
To top it all off I went to post last night and My computer screen seems to have blown - arghhhhhhh!!!!!!!
Has Anyone elses bubba's had low weight gains like this? And What would you do about it??
Oh and Elle got the Doc back by peeing on her bed - Hahahaha!!!!!
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busymum
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Posted: 29 May 2007 at 10:45am |
Sometimes right before a growth spurt a baby will grow upwards and then pack on the weight in the couple of weeks following. I don't think you need to be worried. Get Plunket to weigh her, then get her reweighed in 2 weeks' time, and make an appointment with the Doctor at that point.
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Anna
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Posted: 29 May 2007 at 11:12am |
I have found that sometimes you can take a little one to the doc and get a completely useless fob off answer. Perhaps try a diff doc?
And with the weight problems, do you have support and enough time to just feed her at every available oppourtunity? I had problems with Quinns weight gain early on but found that after I spent a few days at home just concentrating on resting and feeding it helped.
And just another thought (feel free to ignore) how is your breastfeeding going? If you feel she isn't geting enough you could get in touch with the La Leche League and maybe they could give you some help? I phoned two different people with the LLL for help, first one seemed not sure about what she was talking about (maybe she was new) but the second woman I spoke to was unbelievably helpful.
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hailstones
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Posted: 29 May 2007 at 11:26am |
Busymum, I had thought about the growth spurt theory too although am worried more by the fact elle hasn't even put a kg on since birth - only 900gm.
And Anna, I have been trying really hard to give Elle as much boob time as possible especially in the last 3 weeks. She feeds as much as I can give her and I am now expressing and giving her 100-125mls at night as well. However she does sleep long periods at night, which my plunket nurse said on the phone this morning may be too long for her to sleep, so will have to wake her now or put her to bed later, to get more feeds into her.
Oh and I am looking at changing my doctor, my current one isn't impressing me at all! I realise she is busy at the moment, but you go to them for help and she hasn't calmed my nerves at all! Or given me any insight to what the gurgling could be - which has now been going since friday. And Due to Elles breathing problems I do tend to worry alittle more
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Bizzy
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Posted: 29 May 2007 at 11:32am |
well i would think that if she has grown 2 cms in that time i wouldnt be too worried. my boys hardly ever seemed to put much weight on at all and they are fine...and runny poos is normal for a breastfed baby.
maybe just spend the day at home feeding and cuddling her and wait and see. the dr may not have been fobbing off at all..if you give her a formula feed it will affect your milk supply, so i would prob just stick with the breastfeeding...
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mamanee
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Posted: 29 May 2007 at 11:49am |
I am wondering if wrong scales was what happened to me too!
Sam was 4.105 at birth and then five days later he was only 3.535, but today being weighed by the midwife he was 3.900.
She said some scales fluctuate heaps and was NOT conviced that he put on 370grms in two days.
Hope Elles tummy is better soon!
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Katherine
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Posted: 29 May 2007 at 12:11pm |
Hey Hailstones, I just looked in my little girl's Plunket book, and at 12 weeks she was only 5.29kg. She was always a slow weight gainer (3.56kg at birth, 3.625 at one week, 3.875 at four weeks, 4.74 at 6 weeks, 4.72 at 8 weeks) and had weight losses just like your little Elle. I was also panicking as I had read that babies should double their birth weight in the first three months of their lives (don't know where I read it, but it stuck in my head) and Emma didn't double her weight until she was almost a year old! Even now, at 15 months, she's only 8.92kg -- just on the 20th percentile line on the Plunket growth charts.
What did I do about it? Heaps of worrying, of course. Heaps of reading to find out what I should try. I spent a few days in bed with her, just breastfeeding and sleeping, and that seemed to help (that was when she gained between four and six weeks). I called the LLL and Plunket and got advice. I spent hours crying on the phone to my mother (who kept saying unhelpfully, "But YOU were always on the 98th percentile!!!").
After a while, I started to look at other things than her weight gain, and started thinking that maybe Emma was just a slow gainer. Her health seemed fine, her poos were okay, her sleep was becoming predictable, she was breastfeeding fine, she was active and happy, she was starting to move and take an interest in her environment. How is Elle doing with things like this? Are her poos "breasfed runny" (because a breastfed baby's poos are meant to be runny) or "sick runny"? Does she seem hungry more often, as if she's having a growth spurt? The gain of 2cm in such a short time certainly suggests that she's growing just fine. If you look at the little Plunket growth chart, is her growth steady along one of the lines (doesn't matter which one, just that it's steady!)? Is she active and engaged? Take a look at the whole picture, and if things aren't adding up, then definitely go back to the doctor and stay in their office until you feel like they're listening to you. Big hugs!!!
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MILF
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Posted: 29 May 2007 at 1:22pm |
what katherine has to say makes a lot of sense hayley.
when i was worried about jordis gaining, i started taking her into the plunket rooms myself once a week to weigh her in the self weigh room. i am sure there will be one in dunedin for you as well. so that will give you a good indication of how much she is gaining per week. the difference in scales is huge, plunket ones are best as they are digital and baby weighers. the ones at my doctors surgery are so old they look like it antiques. and it is not reasurring when the nurse says " does that look like it is on the 5 or the 6 to you?" how is that accurate????
it is hard when babys sleep through. i think i would let elle sleep still, and increase the amount you express during the day to get a good amount up. . i express on average 4 times a day and build up a good amount for the freezer, as well as the bed time bottle. then if having a good size bottle doesnt help then you can look at getting her up. your milk is probably starting to change its composition too, so dont be surprised if she starts feeding even less, or for shorter times. you will still have the milk but it is becoming more efficient about the letdown, and baby is getting better at getting what she needs quicker, iykwim.
is there anything you have eaten recently that might be not agreeing with elle? her poop sounds like the stuff jordis was having when i was on dairy, so it might be a sore tummy from something she is not used to.
in my experience doctors are useless with babies. i dont know how many times i have taken x to the doc and get fobbed off. i have learnt this time round that if you want some advice, go to plunket. i go to the main rooms in town and there is always nurses there to talk to.
hope you get a solution the the gurgly tummy soon. how many poopy nappies does elle do a day? still plenty of wet nappies? those are better indications of growth then weight gain. and the last thing i want to say (sorry for the novel lol) is elle got great growth from you before she was born, and maybe she is evening out a bit. she was big to start with, and it is hard to maintain that sort of growth. she might be going from the top of the weight charts to the middle, and will settle there.
hope SOME of that makes some sense lol!
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Lyla - mum to
Xanthe -  my big 4 year old
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Jordis -  1 year old
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busymum
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Posted: 29 May 2007 at 1:26pm |
Hmmm if she hasn't gained much since birth I'd be worried too, perhaps if she was allergic or something. Go get a second opinion. Also I don't think your mw should have discharged ya if she hadn't been showing gains.
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hailstones
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Posted: 29 May 2007 at 8:11pm |
Have an appointment with Pead at hospital tomorrow at 11am for her check up (re- breathing) so hopefully will be able to get a conclusion on the gurgly tum and low weight gains.
Katherine, Elle is very active and otherwise seems fairly happy, she is a very alert wee girl and very smiley. her poo does seem to be overly runny though at the moment.
Lil, she has plenty of wet nappies - and seems to delight in peeing while she has her nappy off. On the poo front she only poos usually every couple of days. I haven't eaten anything lately that I can think of that I don't usually have, and my eating habits are probably the best they have ever been.
Busymum, she was gaining weight when midwife discharged us, and has pretty much seemed to stop gaining in the last 4 weeks.
But at least we have the appointment tomorrow and I can ask all sorts of questions, pretty happy with the dunedin pead department for getting us in so quickly!
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yummymummy
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Posted: 29 May 2007 at 8:19pm |
I googled and found this - not sure if it will help. Big hugs anyways  Hope all is resolved soon.
Moms that have an overabundant milk supply, or nurse in very short sessions, will often experience what is commonly called an imbalance of foremilk and hindmilk. What this means is that the baby is not getting enough of the rich fatty milk. This can cause excessive gas, fussiness, and very green liquidy and highly acidic stools. Sometimes mom can hear the baby's tummy "gurgling", and the baby usually will have a diaper rash.
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Maya
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Posted: 29 May 2007 at 10:06pm |
Best of luck with teh paed tomorrow Hailey. Maya was diagnosed as "fails to thrive" at nine months after months of poor to no weight gains. Hers turned out to e a reaction to the dairy and egg in my diet passing thru my breastmilk to her.
As for the useless doctor - don't ever hesitate to ask for a second, third even tenth opinion. We never got an answer with Maya until I pretty much set up camp in the ED atStarship and refused to leave. She ended up being admitted for two weeks
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 Maya Grace (28/02/03)
 (02/01/06)
  The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
 Lil miss:Chiara Louise Chloe (09/07/08)
 Her ladyship:Rosalia Sophie Anais (18/06/12)
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Andie
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Posted: 30 May 2007 at 11:43am |
Hope it all goes well for you today, Hayley. I think it sux that your GP fobbed you off like that. And I agree with whoever it was who said Plunket are a great resource for this sort of thing. I take Ella in every 2 weeks for a weigh-in, and they're great. I've found that they usually listen really carefully to what you're saying, and spend a decent amount of time with you if needed. Definantly worth a try. Hope you can get some answers soon.
FYI - Ella is a very active baby too (and low weight gainer). I don't imagine that your Elle has the same reasons for slow weight gain (I hope not!), but one thing that I did find reassuring was when our GP said that active babies burn off a lot of energy during their awake times - they may consume just as much, but don't pack it all on as weight. She said that a baby who is very docile and likes to just relax a lot will gain more weight. In her opinion (she seems to be a good GP!), there's an extent to which an active baby being slender is not a problem at all, and it's time to worry when a previously evergetic baby suddenly becomes more lethargic, and won't gain the weight.
And there was another thread somewhere on here about the overabundant milk supply... I'll bump it for you if I can remember what it was called - might be worth a read if you're thinking about what yummymummy posted.
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hailstones
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Posted: 30 May 2007 at 2:32pm |
Just got back from town, Pead said (from what I could gather - he was Sri Lanken (sp?) and a little hard to understand) That Elles breathing is basically the same, and the gurgling tum could be one of a couple of things - fast let down of milk/big supply, wind from not latching properly or positioning of her body whilst feeding, so will talk to my plunket nurse about that.
He is alittle concerned about her weight gains - or lack of, but would like to see what the plunket scales meaasure, and her height etc from plunket, and has made a new appointment for next month to monitor this.
Interestingly he weighed her in at 5.52kg and 64cm (so she's grown 3cm in 2 days and 100gm - goes to show everyone measures and weighs differently!!), but will see what plunket weigh and measure tomorrow.
Andie - I had wondered whether her activeness could be a contributing factor into her low weight gains.
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hailstones
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Posted: 30 May 2007 at 2:34pm |
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MILF
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Posted: 30 May 2007 at 4:48pm |
great that the paed has listened to your concerns and offered reasons why it might be happening! ok it isnt telling you exactly what is wrong, but better than just fobbing you off. and also great that he is seeing you in a month to check on the gains.
kudos to the doc!
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Lyla - mum to
Xanthe -  my big 4 year old
and
Jordis -  1 year old
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hailstones
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Posted: 31 May 2007 at 4:12pm |
Plunket have just been - Elle weighs a grand 4.68kg YAY!!!! She IS putting weight on, and I bet the last 3 days of constant feeding has helped heaps.
And Andie - she mentioned the issues on the overabundant foremilk, and said that this is probably why her tum has been gurgling heaps. Which is probably resulting in her low weight gains as well. (she was pretty impressed that I pretty much knew all of this - thanks to the magic of ohbaby  )
So My mind is abit more at ease now!
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james
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Posted: 31 May 2007 at 7:52pm |
aww yay i,m glad you got some answers hailey ohbaby magic
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