Liliana's 4 Month Well Visit

Liliana had her 4 month well visit today and here are her current stats:

  • Height: 22 inches (0.82% growth percentile)
  • Weight: 10 lb 6.1 oz (1.59% growth percentile)
  • Head Circumference: 15 inches (0.69% growth percentile)

I’m very happy about her weight (carrying her while she was in her car seat was such a pain because it was so heavy!), but I thought her height was going to be more than 22 inches. We have some 6-month clothes that my sisters gave us and even though Liliana should technically be able to wear them in about 2 months, they still look so big!

Well, something scary happened today. Liliana was on the examining table while we were waiting for the doctor, and she suddenly throws up. It’s a normal occurrence, except for the fact that her vomit had brown streaks in it. This morning when Liliana threw up her 6 o’clock feeding, Sean said that it was brown and mucousy. I asked the doctor about it and she said that it’s possibly old blood. There are a number of things that could be the culprit:

  1. We had changed Liliana’s NG tube this past weekend because she had pulled it out. The doctor said that we could have irritated something.
  2. Cold, dry air can also irritate and cause nose bleeds, so blood could be from that.
  3. A lot of acid in the stomach can irritate the lining, causing it to bleed.

Liliana did throw up once we got home and I started giving her another feeding. There was no brown in it this time, so maybe it’s clearing up. If she starts throwing up brown more often or it becomes red, then we have to call our pediatrician and GI doctor.

I asked about trying to give rice cereal to Liliana now, since she’s getting some teeth and she can sit up with support. The doctor said we can, so that should be fun and messy.

What else? Oh, immunizations. Liliana did NOT like them at all. The Rotavirus vaccine is done orally; the first time she took that one, she swallowed it without a problem. This time she threw it up, cried, tried throwing up some more, and kept crying. The nurse hurried through the injection vaccines, which is when Liliana just exploded with the loudest cries ever heard by man. When the nurse was done, I picked Liliana up and she instantly calmed down. After a while I tried putting her on the table so I could get her ready to go home and she’d start crying again. Sigh. Babies.

I’ll have to take some fresh photos either tonight or tomorrow for the Friday Photo, so stay tuned! Don’t forget to subscribe to the e-mail feed!

2 Comments
  • STapscott

    Reply

    I still think it was mucus. This was the day when she got really fussy, there was no boogers in her nose, and her lungs sounded congested. Its good that she coughed it up. Our pediatrician shouldn’t be scaring us when she has no idea what she’s talking about. Did she lay out all the situations or just the worst-case scenario?

  • Mercy

    Reply

    Those were all the situations she gave me.

    I think it’s reflux-related. We currently don’t have her on any acid-reducer, and since prilosec/omeprazole has side effects when used for long periods of time, I’m thinking about just waiting for our GI appointment next week to get a new acid-reducer. What do you think?

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