Since our visit to the Doctor with Hannah on Wednesday, quite a bit has happened. Our Pediatricians Office operates an after hours/walk-in clinic, or urgent care clinic. We saw them first on Wednesday because I was convinced Hannah had an ear infection. She acted as though she was in pain when nursing on one side. They found nothing, but expressed concern about her weight as you may remember from my previous posting. http://forums.llli.org/showthread.php?t=15070
On Thursday morning I was able to speak to a local LLLI support member to discuss my concerns over starting solids this early. She provided a few tips on how to increase the amount of hind milk Hannah may be getting at her feedings as well as suggested increasing feedings at night for at least a little while. That afternoon, Hannah began running a fever and still appeared to be in some sort of pain. We returned to the Pediatrician that saw her the day before. There was nothing obviously wrong with her on the physical, so they collected urine and blood and performed a chest x-ray. They were 75% sure they were going to find a urinary tract infection. The Doctor seemed a bit too excited to think he found the reason for her poor weight gain, but I was probably as excited for any explanation myself. They were going to culture the urine to be 100% sure. Meanwhile, they performed the chest x-ray just to rule out other possiblities. That was clear. They found SOME white blood cells in the urine, but no bacteria the first time they looked. The second time he looked at the urine, he did see the bacteria. They started her on antibiotics (injection) immediately and sent some home with us.
I took my 1 year old to a friends house on Friday so that Hannah and I could focus on our feedings. She ate every hour that day, so thank GOD I had taken Jesse to a friends. The Doctor called around noon to check on Hannah and say that the culture was negative that morning, but by lunch was positive. Based on the type of bacteria they were growing, they changed her antibiotic, but had not yet received the sensitivities. They were happy to hear her appetite was healthy and no more fever.
On Saturday, another of the Pediatricians from the group called to check on Hannah. They advised we were 100% sure we were fighting a UTI. They are starting to freak me out by this point. They have never called to check on any of the other kids this frequently. I know they mentioned the POSSIBILITY that her kidneys could be the source of the problem since they believed she had this infection all along...by all along, we believe since she was only a couple of weeks old. I am more familiar with this Pediatrician since she sees our 7 year old on a more frequent basis. He has Tuberous Sclerosis with seizures and autism, so we keep her pretty well up to speed with what is going on with him. I asked her how common this was in infants this age to get UTI's and her voice sank a little when she said it wasn't common at all. The antibiotic is taking its toll on her poor little tummy, but her appetite remained pretty well up there. Today, it has tapered off some so that has me concerned. She smacks and licks as though she wants to eat, but when I put her to breast, she doesn't seem to actually nurse...so I am watching this today. I did see a difference in the bulk in her torso last night. She had that little full pot belly look that I had never seen before on her. I was received. Now, today, her appetite has dropped off again...so that is where I am now. I will keep an eye on this today and hope that she is just getting off to a slow start this morning. On the plus side, she has returned to her smiley giggly little self at least parts of the day.