I ended up having to bring Margaret in to her pediatricians' office Tuesday. She got really inconsolable Monday night and Tuesday, so they wanted to see her. Just a stomach bug was the diagnosis, and fortunately, no other symptoms to worry about. But I was advised to switch her to soy formula for a few days to give her digestive system a chance to recover. I guess when babies get stomach bugs like this, it tends to kill off the parts of their digestive system that break down lactose. Making sure she's not taking in any lactose gives it a chance to rebuild. The soy did the trick but when I tried to switch her back to her old formula (Enfamil Gentlease) this afternoon, she almost immediately ended up with diarrhea again. Back to soy...
I'm wondering if we might have to stick with soy. She's had problems with gas and fussiness since birth, so I'm wondering if she has an undiagnosed milk protein or lactose intolerance because she continues to gain weight in spite of these feeding issues. She did really well on Gentlease (1/4 the lactose of normal cow's milk formula) but is doing even better on soy, so maybe that's the problem. I was hesitant to use it at first because of the controversy out there about everything with soy, including the long-term effects of the phytoestrogens in soy and the link I read about between soy and peanut allergies (they are in the same family, after all). But soy has been on the market since the early 60s. It can't be that bad, can it? And if she does even better on that, shouldn't I give her what she's best able to digest?
We had Margaret's 4 month appointment today. She now weighs 19 lbs 3.5 oz and she is 26 inches long. She continues to be off the charts, although she's getting further off for weight now. Her doctor wants us to cut back on how much formula she's taking in. She's been taking in 36 oz/day in 6 feedings of 6 oz per day for the last couple months. In the last few weeks, she's started acting hungry even after finishing. But I was afraid of giving her too much formula, so I did not increase her intake. Now I'm supposed to cut back, 1-2 ounces per feeding! The last few nights we've started having a hard time getting her up for her 9:30/10PM feeding, so I'm going to try to drop one feeding a day (so she'll have 5 6-oz bottles for a total of 30 oz/day). But I have my doubts it will work.
On top of that, her doctor wants me to start rice cereal. I did not even ask him about this, as I wanted to wait until 6 months to introduce solids because of the potential risk of food allergies from early introduction, as well as the AAP recommendation to wait that long. I'm a bit surprised her doctor would recommend starting now - especially since he's a young doctor, so he's been through med school fairly recently and I'm sure they discussed these newer guidelines of waiting longer. Margaret also had a mild case of eczema when I saw him last month, so I asked him if that meant she was more likely to develop food allergies. He felt that her case was so mild that it was probably more irritant-related than indicative of future problems with foods. I hope he's right. Regardless, I'm waiting until we figure out the formula thing before I add solids. I also plan on skipping cereals, since they basically are sugar in the body and therefore of no nutritional value. If I can hold out until she's 5 months old, I'll probably be okay with it. That's a compromise I can live with. But I also think she won't be happy with the decreased formula unless she's eating solids, too, so I may have no choice in the matter.
Tonight's the first night of cutting 1 feeding. We got her down for the night by about 9PM, when she normally isn't down until 10/10:30PM. I have a feeling I'll be up by 4AM, but I'm hoping for the best.
Homemade Oatmeal Cream Pies
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