After our follow up appointment with our regular doctor re: Katie's weight we were referred to a pediatrician. Well, perhaps notsomuch referred as I bullied her into giving us the ability to get a second opinion...
Our appointment with the pediatrician was yesterday - and he confirmed that yes, she was underweight. Or "not gaining as quickly as we would like to see her gain".
Before I go further, I just want to reiterate - this doc is goooood. As in - he takes concerns seriously, isn't (very) condescending, and very much loves kids (which is nice to see in a pediatrician I suppose).
After asking many family health history questions (Crone's, Celiac, allergies) and observing her, he came to the opinion that it's probably nothing. She looks good - she is growing (just slowly) - and she's hitting her developmental milestones (v good). He's of the opinion that perhaps my milk isn't as good (fatty) or plentiful as it should be (yes he said it much more nicely than that - but I'm boiling it down to what he meant) - he'd like to see her supplemented with formula more if possible - but is also all, meh - don't change your life over this, if she won't take a bottle, don't wreck your head about it.
I may be getting a prescription for domperidone. We will be trying more and more with formula and a bottle or sippy or anything she will bloody well drink out of. Solids are going to be pushed harder and more - but he's not suggesting we add butter or full-fat cream to her food... yet. (yes! this is actually something they suggest with underweight babies - crazy, non?)
We have another appointment in a month to check on how she's doing. He (awesomely) closed out the appointment by looking at me and (sincerely) saying - "I don't want you to worry about this. She's fine. F.I.N.E. She'll probably start gaining again just as suddenly as it dropped off and in the end, this won't matter - it won't affect her growth or development or anything. That's what I want you to take away from this - that she will be okay and not to worry more than necessary."
I love him a lot for doing that. Because clearly I'm freaking the fuck out. She's small - not registering on the growth charts small. Screams when you try to feed her baby food. Fights (as of today) and refuses to have a spoon jammed in her mouth. Only really chews on a bottle and drinks nothing vigorously except for water from a sippy cup. All that scares the shit out of me. She doesn't look skinny. But she is petite. And doesn't seem to like eating.
And that's weird to me. And I'm not used to it. And that adds up to me getting freaked out. But I'm thankful there's no testing or official "concerns" for now.