To be honest I suspect both reflux and OT. If it does turn out to be reflux i would guess that it is the silent kind because we rarely see spit up (although we often hear wet burps). I have looked at the reflux symptoms and he does seem to have a lot of them - sometimes: frequent hiccups (usually after he is burped whereupon he won't nurse anymore), gulping, choking (sometimes will hold his breath then gasp), fussing during/after feeding, etc. He rarely shows this behaviour during the night, mind you. He is also a very gassy boy (grunting and farting through the night often
![Roll Eyes ::)](https://smiley.babywhispererforums.com/Smileys/classic/rolleyes.gif)
).
OT is also a possibility (or perhaps it is a combination of OT and reflux). Our routine, to be honest, does vary day by day. I generally have an EASY order of things, unless things get particularly messed up. At night he is in our room and he ends up in the bed for much of the night because he is hard to get back into his cot sometime and tbh i am so tired in the night that I just pull him in with me. I plan to change this and move him to his own crib in a few weeks (or perhaps sooner). As a result, he sometimes nurses an hour or so before waking.
He usually wakes at 8:45-9:15.
S - 9:45-10:15 - he likes to go back down very soon after waking - will sleep 45 min-1.5 hrs (he doesn't fall asleep independently yet - usually is in our arms with a swaddle and soother and patting on his back or bum. Plan to start shush/pat within a few weeks)
E - upon waking (I am starting to think he is emptying one breast in 9 minutes - at least that's how long he stays on
I usually think of sleep for him within an hour of waking - sometimes less, sometimes slightly more. When he has a bad feed things get off track sleepwise and I think then we end up with OT as well. I also suspect it happens in the other direction. I think he has a hard time latching on and tends to gulp and choke more when OT.