I'm not sure if this is going to turn into an emergency, so I posting here. I have "Elliot," an estimated 18 day old baby who I fed GMF for 10 days, then switched to Esbilac (started on the morning of day 11). He tolerated the 2-day transition well and has been peeing, pooping great & thriving. About 3 days ago he didn't eat well (1ml) for 2 of his feeding, but ate fine (2mls) for his 3 other feedings. I checked his teeth and saw his lower teeth were coming in. The next day he was back to eating great.
I made fresh formula last night before I went to bed so I would have it ready to go this morning. I've never given him FV 32/40, but do add a table spoon of heavy whipping cream in his Esbilac. I've keep his formula in my food cooler that is nice and cold and only pull out my two syringes (typically 2 mls each) worth and place the formula back in the cooler immediately. I do not reheat any of his formula once he is done feeding and I clean the syringes and nipples after every feeding.
I travel on the weekends and he travels with me since I'm the only one caring for him. Today he's been a bit finicky starting out, but has done well (2 - 2.5 mls at 35g) overall. When I got to my hotel room, I decided to try feeding him an hour early b/c he only ate 1.5mls at his last feeding and just seemed thinner than I'm used to see after feeding.
When I went to stimulate him , I noticed a speck of blood on his anus. I cleaned it off, stimulated him and he peed and pooped fine. Actually pooped twice and saw no obvious blood mixed in the yellowish (normal color for him) poop. Then he did something I have not seen or read about. He chattered his jaw like we do when we are cold, like he was shivering. Keep in mind he is wrapped up in a warm fuzzy cloth &/or always in my palm to ensure he does not get cold.
I swapped out syringes several times as I use 2 so I can rotate when one starts to get cold. He licked and seemed like he wanted to suck the nipple, but did the "chattering" thing 2-3 times and would stop eating. I'd dry any dribble formula off him, rotate to a warmed syringe and try again. He just seemed like a child who didn't want to eat their broccoli. He would start, then pull his head away and push the syringe away. When I try again, he did the chattering again.
Any ideas about the tiny blood speck? Idea on the jaw chattering?
I keep him in a cooler with plenty of bedding, half on a heating pad and he sleeps in a fuzzy, fleece sock (ankle high), where he can crawl out if too hot. He's been in this since I've had him (about 3 days old) and has been doing so great. I make sure the temperature is 95F or better have worked hard to make sure he is getting everything he needs.
I hear no clicking when breathing, but he seemed to be a tiny bit more vocal during the last feeding. He is still very active when I get ready to feed and strong. Belly is soft and non-painful.
Any advice or ideas is appreciate. I'm getting ready to give him one more feeding. If he does not eat well, I will get up around 4am to feed him again.