DD vomits every time we feed her solids

First off I miss TS, things have gotten so crazy at home I haven't had as much time to post lately. Plus not nursing anymore so the days of nursing and surfing are over haha. Anyway...

Our babes are 7 months tomorrow, the docs here say to wait til 6 months to introduce solids. Well we tried at 6 months and ds is doing great but dd...not so much. Some of you may remember the prune vomiting incidentI posted about here...well it seems that is what happens whenever we try to feed her solids.

Ok so as I am typing this I am realizing I am all over the place so let me try to do this in clearer form than what I had been typing hahahaha

1 - DD was fed cereal at most 2 times before the vomiting prune/rice cereal incident with no reaction. (I am just now realizing that this was the same brand but could have been slightly different in that it could have been either the add formula or breastmilk or the just add water one Heinz brand.)

2 - we have also tried oatmeal cereal (hmmm could be the add water or milk/formula kind I don't know, also the Heinz brand...maybe this is the issue???)

3 - the last incident was seriously only 2 teeny bites of cereal that I could pour into her mouth as it was very watery and a few bites of banana mum mum (trying to show her eating is fun...that went well ugh)

She is now almost fully on formula except for the first feed of the morning in which they still nurse so the doc said its not a milk or protein intolerance issue as that would have shown signs of that during breastfeeding or formula feeding not only with solids. His solution was to try to feed her only in the morning.....uhhhhhhh doesn't really sound like it will work, I highly doubt she vomits just to keep us awake all night? ardon:

Anyway, I am going to try to get her to a ped in town to see if they will take it more seriously but also wondered if anyone had the same type of issues. The vomiting starts a few hours after eating, she wretches not just spits up (although not projectile), sometimes she is throwing up what would appear to be just bile, she is lethargic for the rest of the evening til the next morning and may be fussy throughout the night (whereas she is normally my rock solid sleeper).

She also does not want anything to do with solids now, when she sees that spoon she clamps her mouth shut and turns her head away so I don't want to force feed her.

I bought some milupa rice cereal since the doc had said to maybre try a gluten free cereal, it says, gluten free, egg free, suitable for lacto-ovo vegetarians but I hate the thought of trying to feed her something only to have her throw up and feel awful again.

Man this is still all over the place...sorry. Can anyone help? TIA!

 

That sounds like bad bad vomit. Could be so many things--an allergy, intolerance, GI immaturity, etc. I would probably see a pediatric GI specialist with that kind of vomit.

 

Poor little girl! I would try the milupa since it is gluten free. But I think I would also try to see a GI specialist. Sounds like that's just miserable for her (and you). :hug:

 

oh my...this sound EXACTLY like my niece. Solids were introduced to her around 5 months of age. Initially she was OKAY with the rice/oatmeal cereals, but within a week she began vomitting every time she ate either of these. It became so problematic that she stopped gaining weight altogher from month 5 to month 8-9. Her pediatricians did not take my sister seriously and told her to keep trying them. My sister went with her gut instinct which was to completely cut out the cereals... unfortunately it's very hard to gain weight on the veggies/fruit alone. So at the advice of her SIL, a pediatrician, she started her up on chicken as a protein source and avocado. Avocado is very fattening! My advice, avoid all cereals...see if she can handle something benign like banana.

My sister did some major research on-line and found a rather rare condition, called F-pies I think... I think it has another name too. (I'm probably spelling that wrong.) It's basically a sensitivity, not a true allergy. But more and more kids are developing it apparently. And common issues are with rice, wheat, and oats along with green vegetables. So avoid all of these and test her on something else first. My sister was terrified to try wheat or corn after her dd's issues with rice and oat cereals, but around 18 months she did finally try wheat, and her dd was okay. But she still is very careful to pick out wheat bread with no oats in it at all. Thankfully most kids outgrow this issue by age 3, but don't mess around with it because the constant vomitting can cause weight issues. BTW, my sister did take her dd to an allergist at 18 months. They didn't send her earlier because according to her ped the testing isn't very reliable prior to that??... Anyway, the allergist was the only doctor with a clue. When my sister mentioned the name of the disorder she found on-line her allergist was shocked. She was just about to mention the same issue to my sister, and said that even most pediatricians have never heard of it. It really can't be tested for since it's not a real allergy, but a sensitivity.

In any case, if you haven't already tried some other pure fruit, try it. If you've only noticed the vomitting with the cereal then it could be the same issue. But like I said, some kids have issues with other foods too... I know green veggies were a common issue, and there might be some fruits that cause issues too. I would try something like applesauce or banana first, no cereal. Then try avocado since it will encourage weight gain! Chicken is also good. But so long as your child is gaining weight don't stress too much on how much formula she's drinking versus solids...most babies get their main calories from milk...bm or formula at that age.

 

I just re-read your post, and have to restate that this sounds soooo much like my niece...from the length of time it took to vomit...to the lethargy... absolutely fits what she went through to a T. And my sister said that this forum she found on-line has women describing the exact same symptoms for this condition. I would really look into it if I were you. FPIES... food protein something endocrinitis syndrome... My sister went to a GI doc and to an allergist. The GI doc had no clue what FPIES was, the allergist did, but my sister said she's heard the reverse from friends too though where the allergist had no clue and the GI doc knew what it was. Apparently, younger doctors have heard of it, older doctors haven't unless they are staying on top of their stuff. It really is a GI issue not an allergy issue, but in my sister's case the only help she got was from the allergist. Her peds looked at her like she had 3 eyes for bringing it up, and just kept telling her to 'wait and see' and to 'retest' in spite of her dd's weight issues. Anyway, my sister told me that if you go to BABY Center and look at their forums, and do a search on FPIES there you will find a whole section of the forum with women who have experienced the same thing. Also, she said to google FPIES and you'll find information too. HTH

 

My four year old was slow to take to solids. I remember worrying whether he would be able to eat his cake on his first birthday (he was). I also remember poking cheerios and peas into his mouth and having them come right back out (along with hysterical crying). Anyway, he is totally normal - was just a little slow to take to solids. Maybe you should just wait a few weeks and try again?

 

Thanks everyone! Yes a fellow TSer mentioned MPIES and FPIES and when I looked into them it really did sound like her. And most definitely sounds like your niece Susanna+5.

Googling I came up with:

FPIES is Food Protein-Induced Enterocolitis Syndrome. It is commonly pronounced "F-Pies", as in "apple pies", though some physicians may refer to it as FIES (pronounced "fees", considering food-protein as one word). Enterocolitis is inflammation involving both the small intestine and the colon (large intestine). The most common FPIES triggers are cow's milk (dairy) and soy. However, any food can cause an FPIES reaction, even those not commonly considered allergens, such as rice, oat and barley.

A child with FPIES may experience what appears to be a severe stomach bug, but the "bug" only starts a couple hours after the offending food is given. Many FPIES parents have rushed their children to the ER, limp from extreme, repeated projectile vomiting, only to be told, "It's the stomach flu." However, the next time they feed their children the same solids, the dramatic symptoms return.

MPIES (milk-protein induced enterocolitis syndrome) is FPIES to cow's milk only. MSPIES (milk- and soy-protein induced enterocolitis syndrome) is FPIES to milk and soy. Some doctors do create these subdivisions, while others declare that milk and soy are simply the two most common FPIES triggers and give the diagnosis of "FPIES to milk and/or soy."

MSPI is milk and soy protein intolerance. Symptoms are those of allergic colitis and can include colic, vomiting, diarrhea and blood in stools. These reactions are not as severe or immediate as an FPIES reaction.


This is really what we think it is but when I mentioned a "protein intolerance" to the doc he said no way, sigh. Anyone have any more experience with FPIES or MPIES?

She is a little chubby thing, gaining weight well but that is from formula alone. At almost 7 months she is 15.8 pounds and 23 inches long.

Oh yeah and I forgot to mention she has eczema and runny/watery eyes and has since birth. And hubby has a variety of food allergies including cows milk when he was a baby.

 

Just from what I've read here, I'd highly recommend getting with a GI doc ASAP. And avoid anything you can associate with the vomiting. Keep a strict food diary including times, what and how much was given, etc. I'd also avoid any combos for now, only giving single foods until you get a feel for what causes issues. GL and please keep us posted. I'm intrigued!

 

Couldn't agree more!

 

Don't worry about what your ped said...Like I said, my sister's kid hadn't gained weight in 4-5 months and none of her peds had a clue or cared. And she saw a variety of them. They were all telling her to wait it out. Unfortunately they didn't want to refer her to a GI doc or an allergist until after 12-15 months I think. I think she actually saw one closer to 18 months. By the time she saw these other docs she had already taken things into her own hands...cut out the cereal completely... added the avocado to gain weight... try out fruits and veggies to see if her dd tolerated those, which she did. (Although I think she's avoided green veggies due to it also being a common issue.) My sister was just glad to finally have someone bring up the same disorder she though it was since both her ped and the GI doc had no clue what FPIES was. Your dd should eventually be taken to a GI doc and an allergist. I really believe it's important to hit both of these since she could have other allergy issues on top of this sensitivity, especially since she has eczema going on too.

 

BTW my sister's dd was fine switching to milk when the time came... So even with this issue on the cereals it doesn't necessarily mean there is an issue with dairy. And she too has had patches of eczema, but so have all of our kids with no major dairy issues.

 

Maybe she just isn't ready for solids. Many people don't introduce solids until the second year. Solids aren't necessary during the first year.