Warning! This post deals with the subject of vomit. You've been warned!
Last night was a night that will go down in infamy. Nate had been out of town in Boston for the past week and was due home later that evening. As a treat to Abby and I for making it through the week without him, I decided to take her to Rosy's, a local diner, for dinner and dessert. Just as I took the exit to get on the freeway I heard Abby make a strange coughing sound followed by a whimper/whine. I started talking to her thinking she was wanting out of her carseat when suddenly that cough turned into hacking and the sound of her throwing up. I quickly pulled over to the side of the road, jumped out of the car, and wrenched open her door. What I saw was my daughter spewing forth vomit like in The Exorcist movie. It was everywhere! I quickly unbuckled her and swept her up in a hug as I could tell she was upset and needed her mommy. After a few minutes of hugs and telling her she was going to be okay I began the grotesque process of cleaning out the vomit, as best I could, from herself, myself, and her car seat and then strapped her back in and headed for home. (It was slightly funny as I was talking to myself telling me to just grab the darn vomit and not be a sissy about it. I hate having my fingers dirty so grabbing such yuck with my bare hands was a proud momma moment!)
Once we got home I decided we would both hop into the bathtub and get all sparkly clean again. When we were both smelling better it was time to try to get a little something into her tummy and then tackle the car. I'll admit that hosing down the car seat was a bit cathartic. I turned the spray on high and just blasted away! Hee! Abby was cute sitting in her highchair in the garage munching on a piece of toast watching me. It was like I was this big entertainment show that she got to enjoy for free. I figured that after I'd gotten the car decently cleaned up and Abby fed we could settle in to watch a movie while we waited for Nate to get home (as he was due home in just an hour by this time). Instead the night took a turn.
About 30 minutes after her first throw-up episode Abby started to get really fussy and whiny and just wasn't content with anything. I just happened to be by the kitchen sink when she started vomiting again. Not quite as bad as before but definitely another stomach emptying episode. I got her calmed down and began to wonder what I was dealing with. I took her temperature (a little high but nothing abnormal since she'd had a warm bath a bit ago) and gave her some water to drink. 15 minutes later we were back at the kitchen sink for another vomit. 15 minutes after that I was once again holding my baby trying to speak calm words and rub her back while she threw up. It was at this time that I decided to go to urgent care. As a new Mom I haven't had to deal with a baby throwing up and wasn't 100% positive of the treatment regime. (I called my sister who is a nurse, after the second episode, who gave me great advice but after the third time throwing up I wanted someone to see her.) It turned out that as I was getting ready to leave Nate showed up so I, thankfully, had support in caring for Abby.
When we got to urgent care I found out that, while they do care about people, they are still a business. We arrived an hour before closing but as there were three people ahead of us they were concerned that they wouldn't be able to do any tests or really see her before sending us home at closing time. So they gave us the option of going to the ER or coming back the next day at 8am when they opened. As we were walking back to the parking lot discussing our options Abby threw up again and, since she was now throwing up only bile as she didn't have anything in her stomach, Nate decided we were going to visit the ER that night.
The ER was actually much better than I'd anticipated (if ever you are driving through Richland, WA Kadlec Medical Center is a fantastic hospital and you will be well taken care of there!) as there was no one waiting there and we were seen immediately. They confirmed that Abby didn't have a temperature and only had a mildly elevated heart-rate, which was most likely due to her dislike of doctors and them touching her. :-) We did have to wait a bit for the actual ER doctor to see her (during which she threw up twice) because he stepped into our room to examine her and then was called out to answer a phone call.
Now, this is where I had a bit of humor for the evening. I'd been trying to wean Abby for the past few days (I want to say the morning of the 10th was the last time she'd nursed) but she had become really upset and I figured I'd at least have her attach to see if that helped calm her down. I was a little surprised that she was able to get any milk, but I guess I can produce even after weeks of reduced nursing. (Aren't nursing moms awesome!) Well,when the Doctor came back into the room and saw me nursing he immediately turned to face the back of the room and looked up at the ceiling and said he'd wait until I was finished give me some modesty. I told him it was fine and to look at Abby. He again said he could wait until I was finished. Since I didn't want Abby to wait any longer to get looked at I popped her off and put everything back in it's place and called him over. First ear was clear of infection. As I turned her over to have him look at her other ear he again turned his back to me and told me he'd wait until I was finished nursing!
Okay, first of all what nursing session takes such a short time that a doctor can just idly wait by? Second, why is a doctor, particularly an ER doctor, who must see horrific injuries so concerned about a boob? I honestly did not get him. After talking to some friends there was mention that he was probably trying to be helpful in case I was wanting more of a discrete nursing session or that perhaps he'd been burned in the past by a breastfeeding mom and so was extra careful to go out of his way to try to make me as comfortable as possible with nursing. Odd that his demeanor actual had the opposite effect and made me a little uncomfortable. :-) I don't know what it is but I, who am a pretty modest person (shirts have higher necklines, fabric isn't too tight, skirts and dresses are at/or below the knee), am carefree when it comes to nursing. My baby needs to eat so I'll feed her as she needs. In fact it was Nate who got me to wear a cover as he said that he would appreciate me covering up so others couldn't see me. Anyhoo - back on track. Just thought it was funny how the doctor was more focused on me nursing than on treating Abby when I hadn't a care about who saw me.
So where was I...oh, yeah. So the doctor looked over Abby and declared her free of infection that he could see and it was probably just a stomach virus. A nasty one as at this point in time she'd thrown up nine times over the past two and a half hours. We got a prescription for Zofran and took our baby home to try to get her to bed.
Here was another new experience for me as I tried get my baby, who was still throwing up every half hour, to fall asleep long enough to have her stomach settle with the Zofran and Pedialite in it so she could stop heaving. It wasn't until midnight that she finally had her last vomit bout and fell asleep for a good bit. The hardest part was seeing her little body kick and squirm while she gasped for breath while also throwing up. I know how horrible that feeling is and to not be able to do much more than hold her and give her comforting words was so hard. (The second hardest was realizing, after we put her down and thought she was done throwing up, that she'd actually thrown up by herself in her bed. We thought she was just coughing since we didn't hear any gagging so we let her stay in her crib thinking that she'd roll over and fall back asleep. It wasn't until we heard a second round of coughing that included gagging that we went to get her. I felt horrible when I realized that I wasn't there to comfort her when she was throwing up.) Finally, finally she calmed down enough to pass out for the night (or at least a few hours as she woke up at 3:30am just as thirsty as could be). By the end she'd thrown up 16 times in a little under seven hours.
This morning she woke up just as chipper as could be! She's drinking Pedialite and water like it's going out of style, isn't eating too much but enough to make us happy, and has had a massive blow-out of yuck so we know that whatever hit her has worked it's way out of her system. I have no idea what that virus was but I'm so thankful it was quick to come and quick to go. Prior to her throwing up in the car she was the happiest baby on the block, so to speak. At first I thought that she must have gotten carsick somehow. It wasn't until throw up number three that I began to think otherwise.
The positive out of all this is that I now know the steps to take when I have a vomiting baby. Plus, I feel more comfortable taking her in to see a professional when I get worried. The ER doctor was very nice in telling us, when we asked if an ER or urgent care visit was necessary if something like this happened again, that seeing a professional is actually helpful and we shouldn't hesitate any longer than we feel comfortable to do so. Seeing her while in the midst of her sickness helps them determine if something bigger is occurring, especially at her young age. So all in all a night I don't care to repeat again anytime soon! Hopefully your neck of the woods isn't experiencing any sickness like this, or if it is, that you escape it without harm! We are so thankful our Abby is back to normal!