Colic

We have it.
Or maybe I should say "colic", since the word is very loosely thrown around.
About 3 weeks ago Fiona started acting fussy, albeit not very fussy, but a definite change in personality for her nonetheless. My first instinct was that it was due to more milk in my diet, since I could logically link the two and the timing fit. With Bella I didn't change a thing about my diet except to eliminate caffeine, and I naively assumed I would have the same good fortune this time. She got very,very gassy, a hard and tight abdomen, spitting up, etc. Then as it persisted I came to the conclusion that it was reflux as she exhibits every symptom. Bella had reflux, but only suffered the profuse spitting up and none of the discomfort. I went to the family doctor, he agreed it sounded like reflux and prescribed Zantac. I was happy if only because it meant I didn't have to deprive myself of any delicious dairy products, and hopefully her discomfort would soon be alleviated. Now I'm not so sure. With the wonders of the internet I found that 2 other 'conditions' seem to aptly describe this as well. So I'm looking at reflux (or GERD), an intolerance to dairy products, or overactive letdown reflex. Hmm. Let's review.

Overactive Letdown Reflex

A baby who gets too much milk too quickly, may become very fussy, very irritable at the breast and may be considered "colicky". Typically, the baby is gaining very well. Typically, also, the baby starts nursing, and after a few seconds or minutes, starts to cough, choke or struggle at the breast. He may come off, and often, the mother's milk will spray. After this, the baby frequently returns to the breast, but may be fussy and repeat the performance. He may be unhappy with the rapid flow, and impatient when the flow slows. This can be a very trying time for everyone. On rare occasions, a baby may even start refusing to take the breast after several weeks, typically around three months of age.

Summary:

Gets milk too quickly: check.

Very irritable at the breast: check.

Coughing, choking, struggling: check.

Because of all of the struggling, it usually results in gulping and swallowing air, resulting in the gassiness and fussiness. Another thing to consider is that she eats better from a bottle, which would seem to support the overactive letdown reflex.

Foreign Proteins in the mother's milk

It has been shown that some proteins present in the mother's diet may be excreted into her milk and may affect the baby. It would seem that the most common of these is cow's milk protein. Other proteins have also been shown to be excreted into some mothers' milk. The fact that these proteins and other substances appear in the mother's milk is not necessarily a bad thing. Indeed, it is good.

Thus, in the treatment of the colicky breastfed baby, one step would be for the mother to stop taking dairy products. These includes milk, cheese, yogurt, ice cream and anything else which may contain milk. When the milk protein has been changed (denatured), as in cooking for example, there should be no problem.

Breastfed babies who are sensitive to dairy in mom's diet are sensitive to specific cow's milk antibodies, in the form of proteins (not lactose), which pass into the mother's milk. Cow's milk (either in the mother's diet or engineered into formula) is a common source of food sensitivity in babies. Cow's milk sensitivity or allergy can cause colic-like symptoms, eczema, wheezing, vomiting, diarrhea (including bloody diarrhea), constipation, hives, and/or a stuffy, itchy nose.

Summary:

It can cause all of the same gastrointestinal discomfort, causing the 'colicky' behavior. Other symptoms I have read about include a rash,congestion and mucus, all of which she has.

So...the symptoms fit for 3 different conditions. Since I have a hunch about the dairy I am first trying to eliminate it from my diet. Oh dee. I'm on day 2. I'm also going to include chocolate in my abstinence because I'm worried about that too. Double dee.

My primary concern is for her comfort, because she is obviously in pain, but I cannot deny how frustrating it is to deal with a colicky baby. 24/7. It is not confined to nighttime fussiness, although it seems at it's peak then. Last night I only slept when I took her into bed with us. Today she was only happy while being held. It is not seeming to lift either...

Not helping the situation is that with my hands constantly unavailable, nothing is getting done around here. Since I'm also potty training (yay!) I haven't left the house in 3 days. I haven't gotten ready in 3 days. I have no social outlet or break from the girls. When Timm gets home, he is great to help as much as possible, but that still leaves me with the entire day, all night long while everyone else is asleep, and much of the evening. The house is a mess, laundry is all over the house, I haven't eaten real food in days, I smell like sour milk... As of tonight I am officially frustrated. My inability to be productive while being cooped up in the house that is in disarray due to my non-productivity is getting me down. When will I be able to get anything done? When will my house be comfortably clean again? When will I get a full night's rest? When will she stop crying and be happy and healthy again?

This doesn't paint the clearest picture, because I have actually been feeling very good since Fiona's birth. I am adjusting much better than I thought I was capable of and have been very proud of my state of mind and stress management. That is all a post I have been meaning to articulate for some time, and still will. But right now, I'm repeating "It's only a phase.... an indefinite phase, but a phase all the same."