Last week was a rough one for Cohen starting on Sunday when he woke up at 5:00 a.m. vomiting. He did okay throughout the day and on Monday, Jonmark's first day back at work, he was fine until I was cooking dinner and he started vomiting again, and did so a few more times. I decided to feed him a little less formula more often until I could get him in to the pediatrician on Tuesday, at which time he weighed in at 7lbs. 9oz. and we were given instructions to try. We attempted this as soon as we got home, and he still vomited so the pediatrican told us to take him to the ER, where Cohen had bloodwork done, an x-ray, and an Upper GI to look for Pyloric Stenosis, but it was concluded that he had severe reflux, not PS, and we were given a prescription for Reglan to treat the reflux. After researching Reglan Wednesday morning, we weren't happy with what we found, consulted the pediatrician, and were told to discontinue the Reglan and switch his formula to Enfamil A.R. Throughout the day Wednesday things got worse, so we went in to the pediatrician Thursday morning, found that Cohen's weight went down to 7lbs. 7oz., and she sent us for an ultrasound to check for PS. Again it was concluded that Cohen did not have PS. At this point the pediatrician prescribed Zantac assuming that he did in fact just have severe reflux and needed time for his system to mature. We were also told to come back in Friday morning for another weight check to make sure he didn't lose more weight, but he did, he went down to 7lbs. 3oz. so we were sent straight to the hospital to admit Cohen. During his stay at Mary Washington Hospital on Friday and Saturday we tried several different things in an attempt to reduce the vomiting: switched him to Nutramigen to rule out a milk protein allergy, continued the Zantac, added rice cereal to the Nutramigen, kept him upright after feedings, and finally we tried Reglan. The vomiting was so persistent at the hospital that from Friday afternoon to Saturday morning we filled up a huge trash bag with laundry from changing Cohen and his bed so often (gowns, receiving blankets, bed sheets, and waterproof pads), and as we appeared to be trying our last option on Saturday while Cohen continued to vomit everything we fed him, we were finally sent for another ultrasound. This time they were able to compare the results (measurements of the pylorus) to those from Thursday's ultrasound, and found that Cohen did in fact have Pyloric Stenosis, a condition in which the pylorus narrows from thickening muscles around it, preventing food from emptying out of the stomach, which causes forceful vomiting. Cohen, buckled in his car seat, was strapped to a gurney, and he and I were transported by ambulance to MCV in Richmond, arriving at midnight. Throughout the night we had many doctors and surgeons visit us to go over Cohen's symptoms, and were told that Cohen would be having surgery on Sunday. Once the surgery was complete we saw a difference in Cohen, a huge improvement! He slowly got back to eating with only a few episodes of vomiting, which is normal after the surgery, but eventually kept all his feedings down and he was discharged Tuesday night.
Laying in the bed at MWH wearing the tiniest hospital gown I've ever seen.