Looking for thoughts on slow infant weight gain, permission to post:
 
Mother has successfully bf 2 siblings. Oldest sibling suffered from severe reflux affecting wt gain and hypothyroidism. Mother is currently tandem nursing infant and toddler.
 
Infant is 7 months old and has consistently dropped weight percentiles since birth. Today's wt check reveals an 8 oz wt gain over the past 2 months. Baby has gone from the 3rd percentile (2 months ago) to off the charts. Baby's output is great, pre and post weights indicate transfer of 5 oz on day 1, 3 oz on day 2 of assessment. Mom is nursing on demand, day and night. No artificial nipples. Mom reports fussy infant after some nursings, but not all. Baby is responsive and active during both days of assessment. Infant is being treated for reflux. Rarely vomits. At 4 months of age had frenulum clipped. At 5 months of age, head circumference had risen 20 percentage points while wt had decreased. Extra fluid felt by dr at fontanel. Hydrocephalus was suspected by pedi and CT was performed. CT came back normal.
 
I see a happy infant who is consuming a sufficient amt of milk and losing weight. Thoughts on further testing recs...I'm thinking metabolic disorders/autoimmune issues...? PKUs were normal at birth.

Carrie Wright, IBCLC

Mom's Depot Lactation Resources
www.momsdepotonline.com
936-615-9304 
 


      

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