Feeding question

I have a 22 day old and today ive noticed hes not feeling well. He seems to have a temp of 99.0 which the dr said my thermomater could be off a degree or two. Hes been really warm sweating through his light weight short sleeve (the summer weight) onesies and i keep our room at 65 degrees. Today I was logging two of his feedings (ive been doing mixed feedings but am slowly switching to formula because its helping him with his acid reflux) and noticed hes only ate 6-7 bottles in 24 hours and he normally eats 12 in 24 hrs. Hes sleeping longer periods and doesnt wake as easily. And starting last night he is spitting up at least half of his formula and spit up a ton of breast milk, im pretty sure he spit up all he got of the breast milk. And I space feeding out by at least 2 hrs.

Should i get him in to his ped tomorrow?

Yes inwould

I would. Sounds like it could be a stomach bug or possibly issues with reflux

The temp thing is no issue - babies that little don't regulate body temp well - so 99 is normal. Also - spacing feeds out if you are doing formula is normal, as breastmilk digests in 2 hrs because it contains predigestive enzymes - formula does not - so it isn't uncommon for babies to space out formula feeds compared to breastmilk. as long as he gains weight well, switching to formula for spit up isn't a good idea. A baby that has digestive system issue sis put at higher risk from formula feeding than he would be by breastmilk. Most babies outgrow reflux within 6 months or less regardless - but the increased health risks of not being formula fed last a lifetime...like a higher risk for diabetes, childhood cancer, SIDS, leukemia, the list goes on & on. The baby's Dr should be working with you on a way to keep nursing AND manage reflux symptoms & if he is not, he isn't a good pedi as being formula fed isn't in the best long term health interest of *almost* any baby - with very very rare exception (rare meaning like 1 in 80,000 has glactosemia kind of thing).

It is hard to say whether 6-7 bottles is okay as you don't say how many ounces per bottle. You would normally expect with formula for it to be about 2.5 oz per pound baby weighs (per day total - so a 10 lb baby would do 25 oz per day).

If you are worried something he is ingesting is causing the reflux you could cut dairy out of your diet (including dairy as a filler under names like casein & whey as a food additive) and for many babies that seems to work. Some babies are cow's milk protein intolerant. If that were true, then teh only formula that is considered "good" is a highly hydrolyzed one like Alimentum or Nutramigen...or nursing with a dairy free diet. Soy formual is a bad idea for those babies as most babies with CMPA are also soy protein intolerant (like 80-85% of them are).

Quoting justanothamotha:" The temp thing is no issue - babies that little don't regulate body temp well - so 99 is normal. Also ... [snip!] ... Soy formual is a bad idea for those babies as most babies with CMPA are also soy protein intolerant (like 80-85% of them are)."

we had to mix feeding because its the only way he will gain weight. he gets 2 oz. of formula, unless its right after a feeding then its about a hr after a feeding when hes already spit up a good oz or two of breast milk and is crying so loudly because hes starving. he spits up a good oz to 1.5 oz of what formula or breast milk. regardless of how long i have him sitting in a upright position, how long ive burped him nothing makes a diffrence, this is all new as of last night. along with him sweating through all the onesies. I've never see na baby sweat like this. hes in less clothes then me and i am cold but he feels soo warm.

Quoting ::1st:: Time Mommy:" we had to mix feeding because its the only way he will gain weight. he gets 2 oz. of formula, unless ... [snip!] ... all the onesies. I've never see na baby sweat like this. hes in less clothes then me and i am cold but he feels soo warm."

Babies often cry after spitting up. If it's an hour after he nursed, he isn't starving though because much of it would be digested by then already. It sounds to me like he has other issues going on. Never mind though - read your other questions & realize you've been on supplements since nearly the beginning, so it sounds like you're pretty set on it & don't intend to look into getting him onto only breastmilk. If you are going to nurse at all, I'd try pumping first before latching him & continue until after letdown & THEN offer the breast. You will be giving him hindmilk at that point & it is thicker & fattier. He'll keep it downbetter & gain more weight from that. It is much denser in calories than any formula on the market. They also have a human milk fortifier which is a powder you could add to the foremilk you pumped & top him off with that instead of formula & it would thicken it & increase calories & fat too. If your Dr was helpful & supported breastfeeding at all, they'd have told you that already. Most say they support breastfeeding, but then they seldom actually DO anything that supports it.

You are right, seating doesn't seem typical for a newborn at all when just setting still. My kids always sweated like crazy though during nursing - as in their hair would get soaked & clothing damp. That isn't unusual. They also always ran warmer than me, but I tend to run a little chilly.

Quoting justanothamotha:" Babies often cry after spitting up. If it's an hour after he nursed, he isn't starving though because ... [snip!] ... get soaked & clothing damp. That isn't unusual. They also always ran warmer than me, but I tend to run a little chilly."

i tend to need to be really warm and so keeping my room at 65 for him is kinda hard for me so i put extra clothes on me because i can tell by just touch if i keep it at 70 hes warm. but hes only sweating in his sleep. When we do nurse i notice he sweats and i was thinking thats cause hes cuddled so close to me and i strip him down and usualy try and do skin to skin durring that time.