by BabyMagic » Tue May 14, 2013 2:24 pm
Gosh, poor you, this is a tricky one, in that you have a toddler to keep asleep too!
My name is Sophie and I'm a trainee Doctor, an ex-nanny (15 years) and a Family Consultant (i.e. trouble shooter). I'm with you on the controlled crying, especially before the age of 1yr. the child mayt eventually learn to self-soothe but IMHO in a fairly traumatic way, and it breaks the trust a little bit..."I cry, no-one comes, am I alone?". It may work well for some families but I have never used it. It's a personal choice.
Without seeing your little one feed, it's pretty hard to establish whether or not reflux or silent reflux is an issue. I would be a wee bit questioning of any GP who diagnoses and prescribes for a little baby on the basis of patient history alone. It certainly would be frowned on in Paediatrics. Reflux is a nasty condition for wee ones (and adults!) but it is rather over-diagnosed. On sheer history alone...the fact that your baby can lie flat after a feed and not have a problem, would suggest it may not be a problem? Is there any postural stiffening, back arching or milk aversion-type behaviour yet?
I'm not going to give you any recommendations, because that would be rather unsafe practice not having seen you or your little one, but if your GP has tried meds and they don't help on compliance, before you move on to ranitidine or a proton pump inhibitor, ask him to check your baby's ears, or even better, have a skilled paediatrician check this. I've had the odd case where underdevelopped or chronically blocked eustachian tubes (the tube between ear and sinus cavities) are the culprit in the under 2s.
It could all be behavioural, that's where my sleep consultant hat would come on, but it's best to rule out anything medical or developmental before you start spending money on behavioural help.
If you want a quick chat (free) I finish ward duty at 5pm most days at the moment and am happy to talk. If you get to the point where you are considering sleep training, then my observation session can often sort easier issues out, or a few nights training may be all that is needed. I'm about 50% cheaper than most and offer a sliding scale of costs, so that I don't just end up helping families at one end of the socio-economic bracket only.
I know that this probably wasn't very helpful, so far, but the trainee Doctor in me is wary of giving specific advice without knowing more first hand, so feel free to give me a bell, if you'd like. I may only have half an hour or so free, but I'm happy to talk if it helps. 07787993156.
Happy sleeping,
Sophie.
Gosh, poor you, this is a tricky one, in that you have a toddler to keep asleep too!
My name is Sophie and I'm a trainee Doctor, an ex-nanny (15 years) and a Family Consultant (i.e. trouble shooter). I'm with you on the controlled crying, especially before the age of 1yr. the child mayt eventually learn to self-soothe but IMHO in a fairly traumatic way, and it breaks the trust a little bit..."I cry, no-one comes, am I alone?". It may work well for some families but I have never used it. It's a personal choice.
Without seeing your little one feed, it's pretty hard to establish whether or not reflux or silent reflux is an issue. I would be a wee bit questioning of any GP who diagnoses and prescribes for a little baby on the basis of patient history alone. It certainly would be frowned on in Paediatrics. Reflux is a nasty condition for wee ones (and adults!) but it is rather over-diagnosed. On sheer history alone...the fact that your baby can lie flat after a feed and not have a problem, would suggest it may not be a problem? Is there any postural stiffening, back arching or milk aversion-type behaviour yet?
I'm not going to give you any recommendations, because that would be rather unsafe practice not having seen you or your little one, but if your GP has tried meds and they don't help on compliance, before you move on to ranitidine or a proton pump inhibitor, ask him to check your baby's ears, or even better, have a skilled paediatrician check this. I've had the odd case where underdevelopped or chronically blocked eustachian tubes (the tube between ear and sinus cavities) are the culprit in the under 2s.
It could all be behavioural, that's where my sleep consultant hat would come on, but it's best to rule out anything medical or developmental before you start spending money on behavioural help.
If you want a quick chat (free) I finish ward duty at 5pm most days at the moment and am happy to talk. If you get to the point where you are considering sleep training, then my observation session can often sort easier issues out, or a few nights training may be all that is needed. I'm about 50% cheaper than most and offer a sliding scale of costs, so that I don't just end up helping families at one end of the socio-economic bracket only.
I know that this probably wasn't very helpful, so far, but the trainee Doctor in me is wary of giving specific advice without knowing more first hand, so feel free to give me a bell, if you'd like. I may only have half an hour or so free, but I'm happy to talk if it helps. 07787993156.
Happy sleeping,
Sophie.