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Old 12-13-2008, 08:29 PM   #1
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blood in spit-up and stool

I'll try to make this short. Basically I've been dealing with a reflux diagnosis, potential food allergies, and likely an oversupply issue. My son has now spit-up blood-tinged stuff at least 4 times in the last month and had blood in his stool 3 times at least. One pediatrician is very concerned and wants him on speciality formula. When they coudln't fit me in to the doctor's the most recent time it happened (I was told to call if it did) they sent me to the ER. ER said it's "normal" in breastfed babies, especially if I'm having any breast pain because I'm likely bleeding and just don't know it. Just looking for opinions on whether this is "normal" or not since I continually get conflicting opinions. I hate to ignore docs orders to put him on formula, but I don't feel like he's in pain. Doesn't make sense. Any thoughts?

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Old 12-13-2008, 08:32 PM   #2
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Re: blood in spit-up and stool

When I first started, I had some bleeding from cracked nipples and it showed up in stool and spit up.
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Old 12-13-2008, 08:37 PM   #3
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Re: blood in spit-up and stool

First off hugs to you momma. I remember so clearly how it felt to have a baby who had problems like that and how hard it can be to deal with.

I had the same issue with my son who is now 7. He spit up blood the first time at three months old and I was sent to the ER. His chest xray ended up being abnormal so the scoped him and diagnosed him with congenital emphysema. That diagnosis had nothing to do with the blood though and they didn't see the source of it on the scope. I did continue to nurse him until he was 7.5 months old and eventually he was diagnosed with reflux, gastroparesis, severe milk allergy as well as host of other things. None of his specialists, including his gastro, ever suggested that I stop nursing though.

I think that before you stop nursing you should ask for a referral to a peds gastroenterologist. Most pediatricians aren't trained to deal with kids who have severe food allergies, reflux and blood in their stool/spit-up.
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Old 12-13-2008, 08:49 PM   #4
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Re: blood in spit-up and stool

Was he uncomfortable though? Now that he's on Zantac, I have eliminated dairy, and I'm working on techniques to minimize the oversupply, he seems like a completely new baby. He is content, he naps, he smiles...he seems "normal". Screams his little head off in the car though, but that's about his biggest source of discomfort at the moment. Yet still the blood? I WANT to believe it's just from a cracked nipple or something since he seems so much better, but I hate to overlook something. I will fight for further testing if I should, but i hate to put him through testing if not necessary. Not to mention that military insurance is a pain in the butt to deal with..totally worth it if there is something wrong with him though.

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First off hugs to you momma. I remember so clearly how it felt to have a baby who had problems like that and how hard it can be to deal with.

I had the same issue with my son who is now 7. He spit up blood the first time at three months old and I was sent to the ER. His chest xray ended up being abnormal so the scoped him and diagnosed him with congenital emphysema. That diagnosis had nothing to do with the blood though and they didn't see the source of it on the scope. I did continue to nurse him until he was 7.5 months old and eventually he was diagnosed with reflux, gastroparesis, severe milk allergy as well as host of other things. None of his specialists, including his gastro, ever suggested that I stop nursing though.

I think that before you stop nursing you should ask for a referral to a peds gastroenterologist. Most pediatricians aren't trained to deal with kids who have severe food allergies, reflux and blood in their stool/spit-up.
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Old 12-13-2008, 08:59 PM   #5
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Re: blood in spit-up and stool

The only time he seemed uncomfortable is when he was laying flat. He sounded like a squeaky toy when he would breath and nurse and the pedi kept telling me that some babies are just loud breathers. When he started spitting up blood is when he was diagnosed with his first problem and it just compounded from there. Are you having any pain while nursing that would cause you to think that could be the issue? Any sores on your nipples? If you aren't having any signs or symptoms then I would ask to see a peds gastro.

Also - when I took him in to the ER he was happy as could be. They thought that they would do his xray and send him home since it's "normal" in breastfed babies until they saw the xray. They couldn't believe that the baby on the table matched the xray. Not saying at all that your son has all the problems that mine has, but sometimes you just have to go with your mother instincts and find out if there is more to it than just a "normal" thing.
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Old 12-13-2008, 09:02 PM   #6
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Re: blood in spit-up and stool

For your oversupply issue, did you try nursing on one side for several feedings in a row and then switching to the other side for several feedings rather than feeding on both sides at one feeding? My nephew had blood in his stool and ped said milk allergy but if you cut dairy, I think it's probably just from a cracked nipple. to you mama, it's hard to know what to do sometimes.
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Old 12-13-2008, 09:10 PM   #7
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Re: blood in spit-up and stool

I currently am recovering from a milk blister, so it's possible I am bleeding now and don't know it. But he's spit up blood at least 2 times without any known cause. The first time he spit-up blood was following a suctioning at the hospital when they sent us there for a chest x-ray and other tests to rule out RSV and flu.

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The only time he seemed uncomfortable is when he was laying flat. He sounded like a squeaky toy when he would breath and nurse and the pedi kept telling me that some babies are just loud breathers. When he started spitting up blood is when he was diagnosed with his first problem and it just compounded from there. Are you having any pain while nursing that would cause you to think that could be the issue? Any sores on your nipples? If you aren't having any signs or symptoms then I would ask to see a peds gastro.

Also - when I took him in to the ER he was happy as could be. They thought that they would do his xray and send him home since it's "normal" in breastfed babies until they saw the xray. They couldn't believe that the baby on the table matched the xray. Not saying at all that your son has all the problems that mine has, but sometimes you just have to go with your mother instincts and find out if there is more to it than just a "normal" thing.
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Old 12-13-2008, 09:11 PM   #8
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Re: blood in spit-up and stool

My ds also had some blood in his spit-up (and very funny looking BM) when my nipples bled due to the poor latch (there was an abscess close to a size of an orange right next to my nipple). It only lasted a few days though and once my nipples healed, it all went back to normal. I don't think formula can be a better choice for anybody, it is simply really inferior to breastmilk, so people shouldn't just blame everything on breastfeeding.
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Old 12-13-2008, 09:12 PM   #9
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Re: blood in spit-up and stool

Yes, we've been doing block feeding for probably 3 weeks now.

At recommendation from both the pediatrician, LLL, AND the hospital I've now slowly started adding new foods back in my diet. I've had no straight dairy (like milk, ice cream, cheese, etc) but I have now had foods with some minimal dairy in them (crackers, chocolate, cookies, etc.). Do you think he coudl be allergic to all dairy but not show any signs of discomfort?

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For your oversupply issue, did you try nursing on one side for several feedings in a row and then switching to the other side for several feedings rather than feeding on both sides at one feeding? My nephew had blood in his stool and ped said milk allergy but if you cut dairy, I think it's probably just from a cracked nipple. to you mama, it's hard to know what to do sometimes.
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Old 12-13-2008, 09:16 PM   #10
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Re: blood in spit-up and stool

I wanted to add that DS has had a rattling in his chest for a long time. No wheezing noises though, but a rattle. It's diminished quite a bit, but still lingers. In fact he had a chest x-ray to rule out RSV and pneumonia (he was legitimately sick at the time, as was his brother). I'm assuming that his chest x-ray looked fine though or they would have mentioned it???

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The only time he seemed uncomfortable is when he was laying flat. He sounded like a squeaky toy when he would breath and nurse and the pedi kept telling me that some babies are just loud breathers. When he started spitting up blood is when he was diagnosed with his first problem and it just compounded from there. Are you having any pain while nursing that would cause you to think that could be the issue? Any sores on your nipples? If you aren't having any signs or symptoms then I would ask to see a peds gastro.

Also - when I took him in to the ER he was happy as could be. They thought that they would do his xray and send him home since it's "normal" in breastfed babies until they saw the xray. They couldn't believe that the baby on the table matched the xray. Not saying at all that your son has all the problems that mine has, but sometimes you just have to go with your mother instincts and find out if there is more to it than just a "normal" thing.
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