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Avatar Jessp...
Unsettled baby in pain after a feed

Hi, I have an 8wk old baby who is very unsettled and appears to be in pain after a feed (she is breastfed). As soon as she comes off she starts crying and scrunching up. While feeding she groans a bit, sometimes chokes, flicks her head back and sometimes cries. After a feed I try burping her in different positions (she usually brings up one burp at the start and often gets hiccups) and holding her upright to settle her. Eventually she will settle to sleep on me but every 5-10mins she will groan and squirm around and sometimes do random cries which then needs about 5min resettling. Once I think she is fully asleep and stopped groaning and squirming (anywhere from 30-90mins after a feed) I put her down in her bed. She sleeps for anywhere from 20-60mins and wakes up crying and scrunching her legs. I can usually resettle her on me back to sleep and repeat the process till the next feed.
I tried sleep training her (cry it out) for 2days but she would still not be asleep after 1-1.5hrs and I realised she's in pain and so uncomfortable so I stopped that just so she could actually get some sleep. During the night she is much better - she wakes once or twice and feeds ok and goes back to sleep after 10mins burping (she still only brings up 1burp).
Plunket nurse said its silent reflux (she doesn't spew a lot but sometimes has small spews up until her next feed). We went to the doc and she said colic and to sleep her upright on us which is ok but not in the long run! We went back after a week and got losec. She was very calm and relaxed and dozey for 2 days then back to the same unsettled and in pain. I don't know what to do next! Is it just an age thing, is there other meds I should try, is it reflux or colic?

Jane ...
Answer: Hi, It may be related to her age, but as long as she is thriving and gaining weight, reaching her milestones and her output is fine then these are all reassuring factors. Crying tends to peak between 8-12 weeks and then for most babies, there is an increase in their periods of calmness and predictability with sleep and more of a pattern to their day. Avoiding medication if possible is best. A lot of the time calming techniques are better, such as deep warm baths, tummy massage, holding upright, placing in a sling and going for a walk, going for a pram walk and gentle rocking. Time and gut maturity makes a big difference when it comes to the baby just becoming calmer. Check in regularly with your child health nurse. Best Jane
Answered: 21 Oct 2015