Reflux.
Over the last five years I've encountered 500x more reflux than I did during my first five years of nannying. This makes sense as reflux cases are on the rise. There are literally more cases of reflux now than there were ten years ago.
Right now, I'm taking care of twins, Jackson and Tabitha. Both born at 25 weeks, both the same size at birth and both adorable. Only one has reflux. Jackson spits a lot. Tabitha spits the normal amount but it never affects her eating, attitude or growth. Jackson is smaller because of the amount that comes back out. He has trouble with some feedings and at time refuses to eat at all.
This was also the case with Madison and Addison. Little Miss Madison is tiny, she spit a lot and ate significantly less. Food was always an issue with her, bottles were a struggle and weight gain was slow.
Before them there were another set of twins, just like Jackson and Tabitha, where the little guy had pretty bad reflux. A set of identical twins that also had tough reflux without the weight gain issues. And a sibling pair, not twins, Ethan and Ava who both seemed to suffer from reflux.
Of course after seven children with reflux issues, all different gestations, locations, different people, I've seen similarities. I see one particular stereotype with Jackson regularly. I've verbalized this to Roger and Sara to be poo-poo'd and have it forgotten/disregarded. Yesterday though, it was pretty blatant.
The more tired Jackson becomes, the more he spits. I've noticed this on many occasions. Roger believes the spitting comes from quantity, position, activity, excitement, many other things, but that it isn't predictable and/or avoidable. Because Roger is Jackson's father, we get to go with his theories first, always. Fine. I'm a rather patient person.
About a month ago, Jackson was spitting quite a bit. He was also overtired and having trouble sleeping regular, long periods. But don't think about that, his numbers were up. For me he was taking 220 - 240 mL. Roger decided, convinced Sara, this was the problem. They told me to cut Jackson off at 200 mL. Above that was just too much for him. I did and the spitting continued. Because my theory was just that, we continued limiting Jackson's bottles to 200 mL. After two weeks he visited the pediatrician who said that he wasn't getting enough total volume for the day. We needed to increase his over-all quantity. Sara thought about it and decided the only way we could do that would be to let him eat as much as he wanted at each bottle. About a week ago I was allowed to increase his per bottle volume again.
Surprisingly enough, his spitting didn't increase. But on the nights it was huge, he was really tired. Now, the original decision to limit his volume was based on this late evening spitting. Just a side note. There were no large spits during the day when he was well-rested.
Alright, now you have the background.
Yesterday Jackson decided that I needed to know when he was ready for bed. Apparently I hadn't been responsive enough on his schedule. After his breakfast he played for a few minutes then let out this terrible screaming-cry. It was awful! I told him it was too early for bed and tried to distract him. He wasn't having it. After almost five minutes of trying, I gave up. This cry was truly awful. I took him to bed. He was asleep within seconds and slept for almost two hours, rather unheard of for this morning nap.
He woke up, hung out, played, got annoyed, but didn't use that painful cry again. He ate his lunch, played more and BAM! there it was again! So, so awful. I looked at the clock, figured this was late enough and put him to bed. Exactly as before, he snuggled in and went to sleep immediately without complaint.
He slept another two hors and forty five minutes! While a long nap isn't out of the ordinary for my tomatoes, two long naps, right after each other, are. Jackson woke up happy, relaxed and calm. We had a great time playing. He ate and played for another fifty minutes.
Of course after two amazing naps he was hungry. He took 240 mL twice, also unheard of for our little dude. But no spits. Even dry burps. I'm not sure if you know anyone with reflux, but dry burps and spit-free post bottle sessions are pretty rare. Then, at five o'clock, he did the screamy-cry. It was so bad! But it was five, too late for a nap. I told him, apologized, but I couldn't put him to bed, it was too late.
Then, it happened. And happened. And happened. He spit and spit and spit. He'd eaten an hour before and hadn't spit at all, but as soon as he'd become over tired, he started spitting. The spitting continued the rest of the night, well, it had lessened just before I left, but it's likely it continued after I left. He took a bath and fell asleep almost immediately. He was so tired.
Ethan, my other little guy with terrible reflux, never slept. Seriously. This little boy broke his leg as a young toddler and spends most of his life sick. He never sleeps. His diet was outstanding but his growth slow and stunted. He was breastfed well into his first year, actually he was closer to two when his mom weaned him, and fed on demand. But he had the worst case of reflux. Then his sister, also breastfed, had trouble with reflux too.
From my experience, reflux increases as sleep decreases. As the number of average reflux cases has increased the average amount of sleep has decreased.
Obviously just having a good sleeper doesn't keep your kid from having reflux, but my best sleepers have had the least trouble with reflux. Sleep increases their growth potential, increases mental health and stability, improves their appetites, refreshes and rejuvenates their bodies, improves and increases their attention spans and brain power plus allows their bodies time to just be, what's wrong with just trying?
