We were back at the doctor today for Jacob's followup with the pulmonary specialist. We expressed our concerns that he didn't seem any better--he still has a doozy of a cough. I've never been completely convinced about the reflux issue. Yes, the procedure he had last time around showed that he had it, but they never made it sound like he had it very badly nor has he ever spit up like a real reflux baby. The only visible symptoms were merely circumstantial evidence--waking up at night, arching his back during feedings--and none of that seemed to go away with his cocktail of meds. However, the doctor didn't like the fact that he still had the cough, and his ever-present runny nose (his perma-cold from day care, as I like to say) was giving him some post-nasal drip as well. She asked how he was doing with the nebulizer, and while some nights it knocks him out, other nights he flails around like crazy. As a result, she decided to change things up. So now we're back to an inhaler like he had right after his first bout of bronchiolitis. Twice a day, two puffs each. Can't wait to try to get him to sit still for that!
He's staying on the Reglan and Prevacid for now for the reflux, which he should outgrow. In addition, she told us to get him some over-the-counter allergy meds. Of course, somehow we didn't end up with her notes on that, so I have to call tomorrow to confirm what kind she'd like us to get. She mentioned a couple, and so far I've only found that Zyrtec is approved for babies his age, though Claritin has less side effects for kids. Perhaps at a certain dosage it's ok. Either way, it will be interesting to see how that goes. We've been wanting allergy meds for him for months, and it will be interesting to see if they work. I mean, we know he's predisposed to allergies and asthma from us. Though it turned out to be bronchiolitis, I'm still convinced that ragweed time started him off with the coughing. We were sick together, and it happened to be the same week that everyone was complaining about ragweed, my worst allergy. Coincidence? Maybe. But the fact that his cough has been worse in the last couple weeks makes me wonder if the massive amounts of pollen outside might be pushing that along. We shall see.
Jacob's biggest issue these days is eating. He was back down under 20 lbs. today, which doesn't surprise me at all since his feedings have been pretty awful. They'll range from 5 minutes up...his morning feeding is usually no more than 15-20 minutes, and he had some brutal ones over the weekend. Tonight, of course, he ate forever. Most nights are pretty decent. His bottles at daycare are anywhere from 5 oz. to 7 oz., and apparently it's a struggle most of the time. They've been trying everything, from putting it in his sippy cup, to playing with him in between and going back to it later. I've even been having issues at dinner time with solid foods. He hardly ate anything tonight. It's tough to tell what's going on. It could be that he just wants to get up and play now that he's crawling like a maniac. Or maybe he's uncomfortable from his post-nasal drip...I know I don't like swallowing much when mine is bad. Or maybe he's teething again. We can't see any teeth coming, but he's been chewing on everything almost non-stop. They've got to be coming soon, so I suppose that's a definite possibility. It definitely makes me nervous because I don't want him losing too much weight. I just don't know at what point I need to try to supplement with formula when he won't nurse. I know he'll eat when he's hungry, but God gave us parents for a reason so perhaps I need to step in. It's so tough to tell.
Jacob is definitely a handful these days, crawling around and getting into whatever he can. He ended up with a couple scratches and a little shiner today from his crawling exploits. I think he's getting braver and is trying some different moves, but his balance is not quite there yet and he's falling on his face a lot. Poor baby. Have I mentioned that he finally seems to have figured out raspberries? He doesn't do it a lot, but over the last week or so he finally figured out how to put his lips together and blow. It's still pretty cute because he hasn't started doing it at bad times, like while he's eating. He's getting very adept at finger foods, and that has been fun to watch. He was firing down Cheerios like crazy over the weekend. He's pretty amazing to watch these days as he figures things out and grows into a little boy more and more. I can only imagine what's in store...now if we could only get him healthy for the ride, that would be great!