Author Topic: 14 weeks increasing wakings  (Read 5022 times)

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Offline *Liz*

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14 weeks increasing wakings
« on: March 07, 2015, 07:43:08 am »
I'm loath to do this but I'm tired!!

Thomas is becoming more and more of a pest at night. It might be just the reflux, but just want to make sure I'm not missing something.

He's 14 weeks (10 adjusted), but equally he does behave more like a 14 week old baby than a 10 week old eg he's very alert, has discovered his (still flailing) hands, and his A time is approaching 2 hrs (less towards the end of the day).

A few weeks ago he started to sleep until 1-2am, and then feed again at 5ish, the wake at 7am. This last week or so has been horrid. He is waking at 10/11pm for another feed then basically wakes 2 hrs later. He won't take the dummy and will only resettle on my chest upright. He then sleeps until a more sensible time for a feed. Once fed he will do another 2 hrs in the cot and then repeat.

So basically I'm dozing with a baby in my arms for half the night.

He has to be held upright after a feed so ends up falling asleep on me every time. He needs the full 20-30mins else he doesn't transfer (starts regurgitating).

Thing is - I know it sounds really refluxy - but he had reflux when he was sleeping better as well yk?! He went on meds at about 6 weeks.

He is swaddled in a zip up pod thing. It's getting smaller, so I guess more restrictive, and I wonder if this is a baby swaddle fighting  ???? He does wake a lot in a sleep bag as well though, but I know they can for a while when you transition them. He never liked being swaddled properly, hence the pod with his arms held up. He is grunting and straining a lot.... He did this from birth but was seeming to quiet down a lot.... But is pretty noisy again now.

Is it a prop issue?? A co-sleep thing?

He is not really an IS due to the reflux. He has a dummy but rarely accepts it for sleep  ::). He is FF and feeding basically every 3 hrs. I'm having problems getting him to take more than 4oz per feed.

Thanks. I think I can see the 'answers' and it is hard to fix any of it  ??? ???. But grateful for others thoughts. Even if you have no reflux knowledge just say what stands out at you about the other issues to help clarify my mind  ;) :-* :-*.

Offline Martini~

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Re: 14 weeks increasing wakings
« Reply #1 on: March 07, 2015, 12:36:58 pm »
Hi Liz!

My general thoughts... hope it will help:
1. At 15/16wo we were approaching 4mo growth spurt and sleep regression so can it be that?
2.  Can he need more A time during day? Can you post your routine? At that age F's sleep needs rapidly went down and from around 4.5h at 10wo he went to 3h at 16wo...
~Marta

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #2 on: March 07, 2015, 12:43:01 pm »
Option 2 could be valid - he has bust his am nap 2 days running on his usual A time  ::).

Yesterday was (roughly - I don't write anything down!)
Awake 7am
Nap 1 9-930am  ::)
Nap 2 11-12 - was pretty hard to extend and was restless so I gave up as we needed to pop out anway
Nap 3 2.15-4.15
Nap 4 5.30 for 20 mins
Bedtime 7pm

NWings were 10.30pm (4oz), 1am (resettled on me), 3am (5oz) took until 4.15am to get back down, 6am (resettled on me until 7am)

This morning he napped from 9-9.30 again (def no chance of a resettle!)
Went back to sleep at 11am and still asleep now going on 2 hrs.....

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #3 on: March 07, 2015, 12:45:17 pm »
Option 1 equally valid - I guess I wasn't expecting it so soon due to him being prem - but they do gain ground don't they??

I could live with the day I posted above if he hadn't been asleep on me from 1-3, and again from 6-7. I basically slept from 11-1, then 4.15-6. That is pretty rubbish!!

Offline cath~

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Re: 14 weeks increasing wakings
« Reply #4 on: March 07, 2015, 13:14:08 pm »
My first thought was also perhaps needing more A time in the day. We had similar increases in NWs with H and I eventually realised/discovered that an increase in A time during the day helped reduce the number of NWs
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Offline jessmum46

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Re: 14 weeks increasing wakings
« Reply #5 on: March 07, 2015, 13:16:30 pm »
I agree too.  In fact I don't think we've ever caught up since four months!!  Actively dropping the 4th nap did help us somewhat x

Offline Martini~

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Re: 14 weeks increasing wakings
« Reply #6 on: March 07, 2015, 13:29:26 pm »
The thing which makes me think about A times, Liz, is the fact that your older ones are LSN? Weren't you on 2 naps with Megan at 4mo:)?
~Marta

Offline Emami

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Re: 14 weeks increasing wakings
« Reply #7 on: March 07, 2015, 14:24:16 pm »
Hi hun, I don't know much about reflux and am not the best tweaker of A times, but since you mentioned the swaddle I just wanted to say that ditching it helped here. Annabel wasn't NW as much as Thomas but in addition to a NF she was waking up earlier in the night when I knew she didn't need to eat, and was quite hard to resettle.  She was definitely starting to get annoyed with the swaddle.  Since she's been out of it she's still woken a few times around midnight but she always resettles herself at that time, and I think it must be the freedom to fidget around and get comfy again.

We are also on 3 naps not 4, although Annabel is a few weeks older.  She is at around 1hr45/2hrs though, so similar to T.  If she throws in a short nap and the day gets off track I do EBT rather than try to fit in a 4th nap.
Emma






Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #8 on: March 07, 2015, 16:00:17 pm »
Oh yes, both my kids were LSN  ::).

And yes Marti - Megan used to do a shorter am and BIG pm nap from 4 mths. She would refuse the pm CN even with AP.

He just bust his pm nap at 40mins though  ::).

Offline Martini~

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Re: 14 weeks increasing wakings
« Reply #9 on: March 07, 2015, 16:54:37 pm »
Push A...:)?
~Marta

Offline ZacsMumme

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Re: 14 weeks increasing wakings
« Reply #10 on: March 07, 2015, 19:31:00 pm »
Hey sweets,
Both my boys responded well to EBT when naps went to the dogs. They also kept better overnight with it. Do you tink it's an option or just too hard with the others etc.
you could drop the 4th nap (unless you hit 20 min naps all day) push the a As a touch and offer bt earlier for 3-5 days and see if it helps.

Also think you may be able to ditch the swaddle. We had a night from hell when we did it, then T was fine. ::)

Truth is 4mths (ish) is seriously the worst time for sleep. So at least you know things can only improve Hun x
***Sara***
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DS1 - Our sensitive soul. Silent reflux.

DS2 Our cheeky chipmunk. Reflux, MSPI.

Offline lily_layne

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Re: 14 weeks increasing wakings
« Reply #11 on: March 07, 2015, 20:33:32 pm »
We have some similar stuff happening around here. Do you think some wonder week silliness might be playing a part too?
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Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #12 on: March 07, 2015, 21:23:39 pm »
Will see what happens with an increased A. It will likely result in a short nap due to hunger as he doesn't take enough for consistent 4 hrly feedings yet (reflux issue  >:(), but that is OK as long as I can get a decent lunchtime nap and a decent longish CN ie 45mins/1hr.

I have to do ALL the school runs and after school stuff next week anyway, and I suspect Thomas will fall asleep en route and do an early am CN anyway.

I can do 6/6.30pm bedtimes as long as DH is home to put Megan to bed. Otherwise it's easiest to do Megan first at 6.45pm, then feed and settle Thomas, then pitch Jacob in to finish off  ;). Megan has to go before 7 else she is a pest, and Jacob can self entertain easily (..... Well..... He can get bored and wander off and end up playing FIFA on the PS  ::) ::) ::)).

I put him in a sleep sack tonight and he struggled to settle. He was really trying to suck his hands but then rejecting the dummy  ::). Eventually I cuddled to sleep and he stayed down.

Emma - how much hand/arm control does Annabel have? Thomas sits fiddling with his fingers all the time, and grabs at toys on the play gym, but otherwise is mainly batting around rather than proper grabbing yet iyswim? He's just starting to mouth anything he gets to his mouth. I just wonder if he has enough control yet iyswim?

Anyway.... Lots of issues to solve I think  ;).

Irritatingly Dh went to put the blinds up in his newly decorated room, and they don't fit  >:(. So another delay in having a proper sleep space for him. I was waiting for his own room to do some work with IS for naps. I guess I will have to do it in my room instead in the co-sleeper. You can zip the side and make it a bit more contained anyway.


Offline ZacsMumme

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Re: 14 weeks increasing wakings
« Reply #13 on: March 08, 2015, 07:01:47 am »
Liz what about giving T a lovey for those fiddly hands. It's a good time to introduce? My T has muslin cloths and Z has a taggy
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Offline Emami

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Re: 14 weeks increasing wakings
« Reply #14 on: March 08, 2015, 09:44:26 am »
Annabel's arm control is pretty good these days as in she's capable of not whacking herself in the face :) She has her hands in her mouth a lot and can reach out and touch things. Grabbing-wise she does manage to hold on to things but I still get the feeling that's fluke some of the time.  She's getting there but not totally coordinated yet
Emma






Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #15 on: March 08, 2015, 10:31:51 am »
Night was much the same really.... Although he woke at 5.15 and couldn't settle. I palmed him off on DH who tried rocking him and he just got fussy, so he put him in his sleepy head with his dummy - when the dummy fell out he sucked his hands and went back to sleep for an hour.

You are right about a lovey... I will try his muslin cuski. He does like fiddling with an old taggie we have as well.

Thomas sounds fairy similar in arm control... Perhaps a touch behind. But since they are his favourite toy he should get there soon now 😀.

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #16 on: March 09, 2015, 14:09:53 pm »
Last night was terrible again  >:( :'(, and really the nights have been very similar for a good 1-2 weeks so I think a pattern is setting in here.

I need a plan. Rightly or wrongly I can't carry on like this. I'm exhausted. Now, I'm not saying that as in 'I need my ridiculously small baby to sleep more so I can have a full nights sleep', but I am very concerned that I am placing him at risk with the current situation  :'(.

My DH can't help an awful lot. He offers to, he isn't being an a**, but he is a surgeon and operates almost daily currently. He takes his turn at the weekend, and he also deals with our DD who still suffers night terrors from time to time. But it simply isn't fair on his patients to have him up have the night either.

Last night he was asleep at 7.15pm (ended up rocked by DH as he woke when I put him down and failed to resettle). Woke at 9.30pm refluxing. I picked him up and resettled and put him back in his bed. Then woke at 11.30pm hungry. Took 5oz and went back to sleep in his cot. Then woke at 1.30am refluxing, I resettled but fell asleep with him in my arms and I woke at 3.15am  :-[ :'(. I put him in his cot and he woke up.... Decided he was hungry and I fed him 5oz and he cried again and I had to make another 1oz. Asleep on me and then back into cot. Woke at 5.30am refluxing, settled on me and again I fell asleep holding him and we woke at 6.45am.

It's the falling asleep holding him that I have a major issue with (obviously!!!). I recognise that reflux wakes him, but equally he has no IS skills and ends up in arms, and then I am exhausted and fall asleep.

What should I do.... I recently increased his reflux meds with no joy and we have a paeds appt in 1.5 weeks to try and address that side.

Should I try to get some IS skills? Or just be very focused on getting him back into his cot even though I have rocked/ cuddled to sleep?

Side/back/tummy makes no difference.

He has a dummy but I am wondering if I should stop using it? He rarely falls asleep with it. Tends to suck into a light sleep but then wake rather than ever enter a deep sleep. And he turns his head to the side so it always falls out. He also often refuses to even take it in the first place.

I know I can't fix his routine or naps or anything until his reflux clears.... But surely there is a better option than this  :'( :'(?

Incidentally yesterday his naps were fine... 30mins am, 1.5hrs next, then 2hrs... But I held him for all of the longer naps and then I feel awful for my other 2 kids.

Offline jessmum46

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Re: 14 weeks increasing wakings
« Reply #17 on: March 09, 2015, 14:31:02 pm »
Lots of hugs Liz, you must be completely shattered right now :(. I'm guessing it's the safety aspect that's the most concerning for you?  Do I recall correctly that you have a side-sleeper bassinet thing?  I'm wondering if you could have him on tummy with elevated head in a position that you can reach from where you are lying?  So that you could have a hand on him if needs be so maintaining the contact but kind of recreating the position he falls asleep in on you?  If you are so tired that you are falling asleep without noticing I think he has to be somewhere else doesn't he? 

Realistically though my feeling is this isn't going to be much better until reflux under control  :-\ but I wonder if there's any way to get you more break?  I fully understand DH needing to be on form for work, but could perhaps you be disciplined enough to get yourself into bed by 8pm, DH handle things until midnight so you could get in at least a 4h chunk of sleep, then you take things from there to morning?  Or even just 2-3 nights in the week like that?

Sorry I havent a magic wand hun, wish I did. Xx

Offline lily_layne

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Re: 14 weeks increasing wakings
« Reply #18 on: March 09, 2015, 15:39:53 pm »
Hugs, Liz. Would cosleeping for a few nights help so you could catch up on sleep?
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Offline ~Jen~

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Re: 14 weeks increasing wakings
« Reply #19 on: March 09, 2015, 15:58:53 pm »
Hugs Liz... We are in much the same situation. I will follow along for ideas as well   :-*



Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #20 on: March 09, 2015, 16:05:08 pm »
He is on a side sleeper, you are right.

We can't formally co-sleep because of the elevation issue. He would wake lay flat in my bed.

Yes - it's the safety aspect that is my main concern. I know there is no answer... And sometimes the only thing that helps is time rather than meds etc. I'm just too tired to work it all out  :'(.

Do you think rocking in arms and holding for naps is making things worse???

He doesn't much like tummy sleeping... I do sometimes use it for naps though. I worry because he doesn't have a great deal of upper body strength yet. He hates tummy time as well. But I realise it's safer than falling asleep holding him. On me he's partly on the side, but obviously very elevated.


Offline jessmum46

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Re: 14 weeks increasing wakings
« Reply #21 on: March 09, 2015, 16:53:31 pm »
Can you use rolled up towels etc to position him in much the same way on the side sleeper?

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #22 on: March 09, 2015, 20:57:33 pm »
Thinking about it I say he doesn't much like tummy sleeping (and indeed he will protest it if he wakes - although he does protest back sleeping in the same way really - just takes a few mins longer to get upset about it  ;)) I do get 1.5-3hr naps on his tummy. The longest I have had on his back recently is 20mins, and on his side 45 mins. So there is something in that really I guess.

He slept 2x20min naps and one 35 min nap today. That was it. He went from 2pm until 7pm without falling asleep. I had to do the school run and take Jacob to tennis lessons so he was in the  car, buggy, and my arms, but nothing. Passed out after 1.5oz at bedtime.

I'm going to bed now on the off chance he sleeps a few hours out of exhaustion  ;). DH has dealt with the OT wake-up.

Offline jessmum46

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Re: 14 weeks increasing wakings
« Reply #23 on: March 09, 2015, 21:04:27 pm »
I hope you get a couple of hours strung together :) sweet dreams x

Offline Lolly

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Re: 14 weeks increasing wakings
« Reply #24 on: March 09, 2015, 21:24:24 pm »
Where are you with meds etc now? Do they need changing/ increasing? Did you try thickeners in the end or is that a no go?

{{HUGS}} I remember that exhaustion well. The safety is the reason DH had to get up at night with DS when I went back to work or I would have ended up crashing the car.

Laura


Offline ZacsMumme

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Re: 14 weeks increasing wakings
« Reply #25 on: March 10, 2015, 10:00:26 am »
Oh honey it's so hard isn't it. I still tear up remembering when T woke constantly and I was a walking zombie. We had no answers accept time, a recliner and somehow we managed to keep our marriage in tact and come through without anything serious happening from sleep deprivation but really, it is so dangerous when your so tired you can not function.

Some things that helped (didn't fix it, but kept us sane and functioning) was
I would go to bed as soon as the kids were down. Luke would so all resettling till midnight. Often he just held T in his arms and watched telly, or napped in the (next thing that helped) recliner ::)

We had a good recliner in Ts room. We slept in/on it - not real sleep but dozed. Probably not that safe, but the best we could do with 40 min wake ups all night long ::)

Pain meds.....we gave them probably too much for my liking but well within the safe recommendations.

Neocate. - what formula is T on at the moment love?

I cried a lot....I've never said that till now but I did. Often at night, and it won't help him sleep, but I think it helped me as a mum :-\ it's very isolating, and incredibly painful having a baby struggling so much and knowing you can't fix it. I think when you let it out it can help one cope a bit better with the next 1/2 hr or whatever.

Liz do you have any family nearby...maybe someone who could take him for a few hrs during the day and you can nap then?

Have you considered domperidone - if the drs will even prescribe?


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DS1 - Our sensitive soul. Silent reflux.

DS2 Our cheeky chipmunk. Reflux, MSPI.

Offline jessmum46

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Re: 14 weeks increasing wakings
« Reply #26 on: March 10, 2015, 10:02:14 am »
Did you get a couple of hours rest lovely?  Thinking of you today, and sending 'hurry up time' vibes for the Paeds appoinment xx

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #27 on: March 10, 2015, 10:25:14 am »
Paeds appt is the 19th... Week on Thursday. I have this paranoia that they won't change anything, but since he has lots of respiratory issues from it I think they should  :-\.

Sara - he's on nutramigen. My GP won't change meds or formula - they want him seen by paeds first.

I'm a bit better for 5.5hrs interrupted sleep. Walked the big kids to school on scooters and T had a 45 min nap in the pram. He's a bag of reflux and fuss now we are home so I'm thankful I didn't bother even trying his morning nap  ;).

Will try a tummy nap at lunchtime, and either the carrier or pram again later for the school run. It's a lovely spring day. I'm not trying more than that.... If he wants more he will have to nod off while I make tea or take DS to beavers later.

Good job he is beautiful  ;).

Offline ~Jen~

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Re: 14 weeks increasing wakings
« Reply #28 on: March 10, 2015, 10:48:51 am »
Good for you for getting out and doing school run!  It is a beautiful day. I selfishly drag Caia out on most school runs in the carrier so I can spend time with big kids and see my friends at school gate. It helps me to feel normal. And I know at this age anyway she would have just short napped at home anyway.. Always try to be back at home to work on lunchtime nap in cot.



Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #29 on: March 10, 2015, 11:34:08 am »
At one point I was getting a decent morning nap and could sleep with him, so my dad was doing the school run. But that is all long gone (and my Dad is on holiday  ;) ;)). It's actually a long walk but after using the car yesterday DS wasn't very good, so I thought I would try the pram today.

He's actually puked and fussed all morning, and refused half his feed, and gone to bed in disgrace  ;).

Offline ~Jen~

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Re: 14 weeks increasing wakings
« Reply #30 on: March 10, 2015, 11:44:07 am »
Aw, I hope he is feeling better after a rest

Only 9 days until your Paed appt - I am sure he will help. Thomas has had a tough time for while now they should be willing to take the next step.



Offline Emami

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Re: 14 weeks increasing wakings
« Reply #31 on: March 10, 2015, 15:29:40 pm »
You reflux mums are heroes. It's hard enough dealing with healthy babies and all the normal stuff without them being in pain and all the eating and sleeping problems it causes. I wish I could help, but I just have a whole heap of hugs for you Liz.
Emma






Offline ZacsMumme

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Re: 14 weeks increasing wakings
« Reply #32 on: March 10, 2015, 18:25:51 pm »
I have this paranoia that they won't change anything, but since he has lots of respiratory issues from it I think they should  :-\.
make sure you tell them that from the consult you expect something to change because as things are, he is not improving and you are struggling. :-*

Does the wrap work at all hun? For a while that and a bouncy chair in Ts dark room were the only way I could get him to sleep. Do whatever works right ;)

Do ou think he's hitting the 4 month GS or the 3mth one late? What is he weeks wise, true to date or early?
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DS2 Our cheeky chipmunk. Reflux, MSPI.

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #33 on: March 10, 2015, 19:14:15 pm »
He's 12 weeks adjusted or 16 weeks on Thursday, so it could be time for either. I think it likely is the 3 month one really.

I'm only getting short naps in the wrap, but he does like it and does sleep. Bouncy chair - nope!

He slept for 2hrs at lunchtime on his tummy (and a fair few resettles), but just 20 min naps this afternoon.

He has been through 3 outfits, and I have been through 4 today  :-X.

Ahhhh.... Thanks Emma.... I don't think I'm that great though. I spent his naptime on you tube and ended up in tears wondering if he had a gross motor delay  ::) ::). I'm tired, it's the wrong time of the month, and I'm anxious as a result. I think he just lacks some core strength due to being prem and carried all the time. I think.

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #34 on: March 12, 2015, 12:06:21 pm »
Yesterday was weird - very short naps all day. Lots of in and out of the car with the 2 older ones and impossible to settle once he had woken. Massive OT meltdown at 6pm (expected!), and passed out after just 2oz milk at 6.15pm.

I had forgotten to give him his Zantac until 1pm, due to the morning madness, and then decided to miss the evening dose else really they are a bit close together. He slept until 2.15am  :o :o. That is 8hrs after a 2oz bottle.... He had 4oz at 4pm before that.

He was very peaceful asleep as well. Less restless. He had 5oz at that wake up and them slept until 5.10pm. I just cuddled him back to sleep until 6am then because if he feeds between 5 and 6 he ends up needing a feed in the middle of the school run, so it's best to APOP him back to sleep and feed at a proper time. I fed him when he woke again at 6.30am. He then fell asleep in the swing (unheard of!) at 8.15am. I put him there as he was fussy and I was trying to pack a PE kit for DS. I just needed to buy 5mins until we left for school.

Very odd.

The night sleep is weird though.... Really odd. He was doing that long stretch before a good few weeks ago but we lost it.

He just fell asleep lay on the floor at a baby thing as well. The boy who has no independent sleep skills at all. I was putting my shoes on to leave. He's been really calm as well.

I know he may just be exhausted after a rough week or so, but I can't help but wonder if he has been getting side effects from the Zantac. Sleep disturbance is listed.... But equally they can get headaches/tummy aches/dizziness. Could be anything really just 'unsettling' him. I hope not. I'd feel horrid  :'(.


Offline jessmum46

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Re: 14 weeks increasing wakings
« Reply #35 on: March 12, 2015, 14:15:57 pm »
My guess would be exhaustion really  :-\ the only way to know if it's Zantac would be take him off....but I guess you wouldn't be hugely keen to do that?  Glad you got a decent stretch though even if it was a crash x

Offline ZacsMumme

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Re: 14 weeks increasing wakings
« Reply #36 on: March 12, 2015, 18:32:24 pm »
My guess would be exhaustion really  :-\ the only way to know if it's Zantac would be take him off....but I guess you wouldn't be hugely keen to do that?  Glad you got a decent stretch though even if it was a crash x
I agree. Zac did random 3 hr naps at that age, amongst the 20 min ones (not a lot but a few) - remember it could be GS behaviour too that long stretch at night and sometimes they just do have a good day or night just to confuse us!

Are you waiting for a pead to move him to a PPI?
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DS2 Our cheeky chipmunk. Reflux, MSPI.

Offline lily_layne

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Re: 14 weeks increasing wakings
« Reply #37 on: March 12, 2015, 19:06:48 pm »
I'm glad you got a good long stretch. Did you sleep well?

I agree that it could be exhaustion. Babies (and adults) go right into a deep sleep and stay there most of the night if they are that tired. Reid fell asleep in his swing the other day too. It was the first time he put himself to sleep but it was 2 hours after a 30 minute nap so being really tired helped for sure.

Would it be worth skipping another dose just to see what happens? I have no expertise with reflux so I could be way off base here.
DD - August 2012
DS - November 2014

Offline *Liz*

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Re: 14 weeks increasing wakings
« Reply #38 on: March 15, 2015, 20:17:37 pm »
I took him off  ::) :P. I just hated the idea that some of what was going on was side effects from something I have given him yk?!

He certainly is side effected from it.... It makes him very whingy and irritable (which could be anything obviously....).... And it interrupts his ability to sleep making him sleep very restlessly and so wake often.

However his reflux had noticeably increased. He can completely only sleep on an adult chest now (but he will sleep a nice nap like that - on the ranitidine he was just too restless), and at night he chokes and refluxes and cannot be put down. Yesterday and today he started to lose the ability to feed anymore  :(. So from 4-5oz bottles he can now only take 2oz. He often has a reflux scream afterwards, but overall is still calmer.

We have put him back on a medium dose of ranitidine (2mg/kg). His appt is Thursday. I'm still concerned that they won't use a PPI due to lack of weight loss, but it seems ridiculous to not give him something and leave him on 2oz bottles until it does iyswim?! He almost certainly would FTT like that.

The same thing happened last time when we stopped the ranitidine to see if that would ease the constipation.

At least I have it straight in my head now though.

Sara - I'm hoping for either a PPI or neocate or bath basically. I think he gets enough symptoms to warrant treating regardless of weight, but still concerned they will just leave him since he is gaining. He's second centile, but it is about a month since he was weighed (I'm not a fan of very frequent weigh-ins). But with the amount if respiratory issues he gets I think they still would want to treat usually.

Once again, silly baby!!

Offline C&B&E

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Re: 14 weeks increasing wakings
« Reply #39 on: March 15, 2015, 21:55:41 pm »

 I'm still concerned that they won't use a PPI due to lack of weight loss, but it seems ridiculous to not give him something and leave him on 2oz bottles until it does iyswim?! He almost certainly would FTT like that.


Just seen this after reading your last thread and you mentioning his reflux...poor baby  :(.  They really should give him a ppi - at least for a decent trial, surely?  Neither of my two were losing weight, but they were in serious pain, and that was enough for the gastroenterologist to prescribe the ppi after ranitidine had basically done nothing. So many hugs Liz for you and your wee man. 
Claire x



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Re: 14 weeks increasing wakings
« Reply #40 on: March 16, 2015, 09:33:59 am »
I'm still concerned that they won't use a PPI due to lack of weight loss, but it seems ridiculous to not give him something and leave him on 2oz bottles until it does iyswim?! He almost certainly would FTT like that.
Argh this makes me mad. We had this with the public peads here. Because T wasn't loosing enough weight they wouldn't do more. But he wasn't loosing more weight because I was feeding him in his sleep, coaxing etc. so to prove my point I had to stop trying and make my baby starve. It's so wrong and I get so grumpy about it every time I see this with babies. - rant over.

But, honey your a medical professional, your a mama who has btdt you 'know' its reflux and It clearly runs in the family. Let them know this, remind them your not silly, you do know what your saying and that you want a trial. Be firm and strong - I know it's much easier said than done though :-*

Fx you get both, he sounds like he would benefit from both really :-\ let us know how it goes thurs, I'll be thinking of you Hun
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DS1 - Our sensitive soul. Silent reflux.

DS2 Our cheeky chipmunk. Reflux, MSPI.