Peg,

I'm thinking that I'm going to need a lot more info to get the whole picture. How long was he gaining for before he began to lose weight? What percentiles was he on and is he on now. How long and why has mom been pumping? How much is she getting when she pumps? When did the baby switch to 2-3 minute feeds? Perhaps there is such a fast let down that the baby is getting a full quantity in 2-3 minutes. What are his poops like? Yellow seedy or green mucousy? What else happened when he began to refuse the breast?

Those come to mind, do you know the answers?

Gail Hertz
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On Feb 26, 2013, at 4:15 PM, Peg Merrill <[log in to unmask]> wrote:

> Wondering if anyone has any new tips on how to distinguish OMER from
> Reflux?  See a 5 month old tomorrow who has been gaining weight wll (until
> last month).  Had also been feeding well, except for very short feedings
> (mom reports 2-3 minutes).  Then he suddenly started refusing breast. Dr.
> suggested supplementing with pumped milk as she thought he wasn't getting
> enough because of the low weight gain. She had already upped his 'reflux
> meds. Baby does spit up all the time and definately likes to be held. Mom
> reports that he is much happier since she started supplementing him with a
> bottle of pumped milk after feeds(per Peds advice). So she thinks that she
> doesn't have enough milk.  So he has some symptoms of reflux, some symptoms
> of over supply or strong ejection, and some symptoms of low supply. Doing a
> weigh-feed-weigh tomorrow.  Any other ideas on how to distinguish what is
> going?
> Peg Merrill
> 
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