Sam had a doctor's appointment yesterday. Just his normal 9 month (although he is now 10 months) check-up. Now, we already knew he is a light-weight skinny boy. You can tell just by looking at him and holding him. He is VERY skinny. His 6-9 month clothes are baggy. You can see his spine down his back. He doesn't have a single roll on him; especially around his middle. I was anxious to know how much he weighed.
Yesterday he weighed in at 15lbs 11oz. This is off the charts below the 5th%ile. His growth curve has really leveled off instead of curving up. He had gained about 1&1/4lbs since his last check-up. So, it was good that he had gained, but it was not as much as he should have. When I got home, I found a paper I got from his pulmonologist appointment 2 months ago. His weight at that appointment was 15lbs 4oz. I realize that this was a different scale, but it concerns me even a little more because that means in the last 2 months, he barely gained anything. He's going back to the pulmonologist in a couple weeks, so I will compare his weight there again.
His length measured in at 28 and something inches. He is following his 50%ile growth curve perfectly in length and head circumference is also growing as it should around the 50%ile.
We have pretty much exhausted all possibilities of chronic diseases that might cause this failure of growth. His heart is fine. His lungs are healthy. He eats and poops plenty. One thing it MIGHT be is his reflux. He still throws up occasionally. (Last night he threw up a TON). My instincts say that it's a combination of genetics and reflux. My family is genetically skinny. Both my dad and brother are extremely skinny.
The doctor suggests that we go talk to a dietitian. Ha. I say, 'I am a dietitian. BUT, I would be willing to go talk with another dietitian to see if we can come up with some more ideas concerning his diet and weight gain.' More to come on how this consultation goes. It's a little embarrassing that I have to go talk with a dietitian. I am supposed to be the expert in this area, but I realize that I don't know everything about baby weight gain and it might be beneficial to talk to another expert.
I am considering formula feeding. He has started taking a bottle this week, so this is now an option. I just get really sad to think that it might be my milk causing him to not gain enough weight. From the medical stand-point, all breast milk should have the same amount of calories as formula, so as long as I'm producing enough milk, he should be fine. However, I keep thinking in the back of my head, maybe my milk is different. Maybe my milk isn't giving him the nutrients that he needs.
I just hope we can figure this out. I love my Sam so much and I just want him to be happy and healthy. Maybe he already is.
-Emily
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