Hi Lisa,
When I 've had babies who were real air-gulpers, I tell the mom to flex the
baby's legs during feedings so that baby's knees are on or close to his
abdomen. This straightens out the last loop of bowel, and helps the child
expel gas easily, by peristalsis, during the feedings. Good luck.
Martha Johnson RN IBCLC
Eugene, Oregon
> ----------
> From: Lisa Marasco IBCLC[SMTP:[log in to unmask]]
> Sent: Thursday, July 29, 1999 11:41 PM
> Subject: Baby with laryngomalacia
>
> Just had a client return to me with her 7 week old daughter. Initial latch
> problems were solved days after birth, but not long after our consult,
> baby
> was diagnosed with laryngomalacia. She has frequently raspy breathing, but
> it is considered a mild case and has not been treated.
>
> A few weeks back mom contacted me about very colicky behavior. She
> eliminated all dairy at my suggestion, and said that the screaming
> episodes
> stopped. However, she says that her baby is *very* gassy. Baby needs to be
> burped frequently, has very loud burps when she does, and still has a very
> noisy tummy with lots of gas and air at both ends. Baby's feeding times
> are
> very erratic, and she has begun to click while sucking, and to pull away
> from the breast frequently during feeds. Mom says that her daughter may
> not
> sleep more than 10 minutes at a stretch on some days, and that mom is
> chronically sleep-deprived and fighting depression as a result.
>
> I did notice a light white coat on the back of her tongue, and baby did
> have
> thrush a month ago. Normally I would not flag this yet, but given the
> severity of the situation, treatment at the most would do nothing and at
> the
> best might make a difference. It would be nice if that was the solution to
> the clicking, gas, and unsettled behavior, but I'm not convinced that it
> is.
> As far as allergies are concerned, I have my doubts that there are other
> foods besides dairy that are causing problems since the dairy elimination
> did get rid of one major issue.
>
> My question for lactnetters: is it reasonable to assume that the
> laryngomalacia is causing this baby to swallow excess air while nursing
> and
> thus mechanically contributing to gas problems? If so, can anything be
> done
> for them? I am having mom try some above-the-breast positioning
> techniques,
> nursing laying down (to get some sleep!), and I suggested some adjustments
> to her burping technique. We also worked with a sling to assist in baby
> sleeping better. I would appreciate any expert input/opinions.
>
> Lisa Marasco, BA, IBCLC
> Santa Maria, CA
>
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