I'm wondering if my son might have Dysphagia. Although he weighed in at the 80th percentile at his 8 week appointment, he has always had feeding problems. They seem to be getting much worse (he is now 11 weeks old). I plan to contact my Pediatrician tomorrow to schedule a weigh in, because I suspect his good weight gain may have dropped off.
Here are the details:
We've always had latch issues when nursing, and until recently he has never been able to handle a standard size 1/Newborn nipple (dribbled out of mouth and caused gasping/choking/sputtering), other than Dr. Browns narrow based nipple.
He typically eats 1 - 2.5 ounces comfortably (or nurses for about 5 minutes), then makes a wheezing/gasping sound or just pops off the bottle/breast. After a burp, he is nearly impossible to get back on the bottle/breast, without lots of effort/fussing/waiting.
He continues to act very hungry (bobbing, head butting, flailing, making mouth movements) and eagerly takes the bottle or breast, but spits it out after a second or one swallow. After a few times he becomes frustrated. He won't accept a pacifier or spits it out. This goes on for a while and we either play (daytime) or comfort him back to sleep (nighttime/naptime). When he finally calms down we are sometimes able to get another ounce or so down. Usually 3-4 ounces total, with much cajoling, over the course of an hour or two.
On the rare occasion that he eats more than 4 ounces, he sometimes spits/vomits what seems like the entire bottle (my shirt is drenched, his clothes are drenched, milk in his hair and nose and face).
Random note - may be related - his breath always smells like sourish milk/formula.
Now that he can handle all size 1 nipples, we've tried every bottle/nipple on the market. We've also tried other formula (Gentlease), which was much worse.
He isn't congested at all.
He often naps for 30-45 minutes and then wakes up squirming and kicking (he sleeps on his tummy as will not stay asleep on back at all and acts like a wild beast when swaddled). If he eats or is able to be soothed back to sleep he will sleep another 2 or even 3 hours. He sleeps pretty well at night.
Sorry for all the detail, but I wondered what you thought. I have a very laid back Pediatrician who feels that as long as his weight is good, his eating issue must not be serious. Like I'm just a typical first-time mommy who overreacts to every little thing. Maybe I am! But I just feel like something is not right when my fairly big baby (13+pounds) can't eat more than 3, maybe 4 ounces at a time, never gets the recommended minimum food per day, and acts so frustrated about it!
What do you think?