August 26, 2008,
E.F. asks from Prairieville, LA on July 09, 2008
2 Week-old Baby with Reflux
My 2 week-old daughter has gastroesophageal reflux (GER) which causes her to regurgitate a lot and makes her extremely uncomfortable. I am writing for some advice on managing this. She is exclusively breast-fed and she has been on 0.7 ml of Zantac 3 times a day for a little over a week, and I am not seeing any improvement in her symptoms yet. One of my sons also had this and was on Zantac until he was 13 months old, but it took till he was about 4 months old to find the right dosage to control it and he was miserable until then! I just heard back from the pediatrician and we are going to switch her to Prevacid. She does not actually spit up more than a normal baby, but I can hear the milk come up into her throat and she swallows it back down over and over. She throws her head back, arches her back, extends her legs, and cries when this happens or when she needs to burp. We are doing all the things I remember from my son, like keeping her upright for 30 minutes after meals, burping often, etc. She will be sound asleep lying upright on me, but within minutes after lying her flat she starts grunting and acting like she is in pain, then she starts crying. She sleeps well during the day on her side or tummy (supervised), but is miserable on her back at night and won't stay asleep. I know I need to put her on her back because of SIDS risk when we're not watching her. I've even tried letting her sleep in her swing or in an inclined bassinet (which worked for our son) but that doesn't work either. Does anyone have any advice on helping her to be more comfortable and to sleep at night? I know the medications just reduce the acid, and will not make her stop bringing the milk up. Thanks!
D.N. answers from New Orleans on August 16, 2008
Also pay close attention to what you are ingesting. Make a list of the days and what you ate on those days, that the reflux is worse. This is because you are breast feeding. But please see a Peds GI. Good luck
A.B. answers from Jonesboro on July 14, 2008
My children also had this problem. My first had to be put on a slant board to stleep--nightmare. We found out when I had my daughter (who also had this problem) that as long as I didn't eat ANY dairy products, she was fine. We were able to take her off the medication. Hope this helps.
T.P. answers from Tuscaloosa on July 10, 2008
So sorry to hear about your baby. Some ideas you can try...you can get a special wedge with a velcro strap that will elevate your baby's head and shoulders so she won't be lying flat on her back. I don't know if you can buy these in stores, they may have to be ordered by a medical professional. They also make special sling beds that look something like a hammock on a stand which help babies with severe reflux sleep in a more upright and curled position. I know our local birth-age 3 program caries them and loans them out as needed. You can check with your local health department to find out about the birth-3 program. It also wouldn't hurt to be extra attentive to your baby's physical development. Sometimes babies with severe reflux will get really tight in their neck muscles and have trouble learning how to roll over, sit up, etc. Usually a pediatric physical therapist can really help if you can see one early enough. This is another area the birth-3 program can help you with. Good luck.
1 mom found this helpful
B.S. answers from Shreveport on July 10, 2008
I am so sorry for you and your family's pain. I don't have any advice about the medication; however, when you lay your baby down to sleep (of course on the back) you can place 1-2 folded towels UNDER the MATTRESS at one end of the crib. This allows for elevation without worry the baby will get caught up in the loose towels and hopefully will help with the reflux. My son did not have reflux, but he used to have alot of croup/respiratory illnesses when he was under 2. This helped with his breathing and no spitting up at night. Best of luck,
D.C. answers from Birmingham on July 13, 2008
My son is two months old now. When we were still in the hospital they started putting 1tsp of rice cereal per two ounces of milk. He has reflux really bad but by doing this we have been able to avoid meds. Good luck!
D.S. answers from Jonesboro on July 10, 2008
My now 12 month old daughter also has this and was officially diagnosed at 4 months old. She is being treated by a Pediatric Pulmonoligist as well as a gastroenterologist at LeBonheur in Memphis. We also started on Zantac which did not work. She was switched to Prevacid by the pulmonologist and put on Reglan by the gastroenterologist. Thickener is also put in her milk which helps her milk to stay down. She still has a cough and wheezing from time to time but for the most part is doing well. She takes pulmicort twice a day for the wheezing. You might talk to your pediatrician about the thickener (Simply Thick or Thick it) - we use the honey consistency. It works!
A.M. answers from Baton Rouge on July 30, 2008
Im sure you've had tons of advice for this but I just saw your request....my baby had the same thing. Since she was so small I let her sleep in the bassinet propped (right spelling?) in the middle of the boppy pillow. It was a huge difference from her being so miserable. I would swaddle her tight in her blanket and set her in that and she'd sleep all night (well...for the most part!!)Then as she got older we rooled some towels under her mattress so she was propped up. She never did take Zantac. I was told she could have maalox. I think we gave her like 1/4 tsp. Good Luck--BYTW my daughter would never sleep on her back only on her side. I bought one of those triangle things that keep the baby in the same position. Those things are awesome.
M.M. answers from Huntsville on July 10, 2008
Oh my! How horrible for your child....
Ask your peditrician if you can elevate the head of her crib a bit to help gravity keep stuff down in her stomach.
My son did not have reflux but he had to make sure his premature lungs wouldn't get gloppy with mucuous so I elevated the foot of his bed. It helped him.
Maybe this well help.
P.B. answers from Mobile on July 10, 2008
Our parents used something called Paragoric-I'm only spelling it the way it sounds 'cause I have no clue how to actually spell it-lol.Drs. stopped using it 'cause it's an opiate....but, now, my dr. suggested this w/ ours-Dewee's Carminative..u have to buy it directly from the pharmacist,but, u don't need a Rx. Works like a CHARM! Ask urs about it-I see you're from Lousiana;we're from Mobile.We have a pharmacy practically on every corner and when I need a bottle of it, I always have to call around first 'cause they have a hard time keeping it stocked! If u can't find it, go to Humco.com and u can order it-they're the manufacturers. Give her a dropper of it like u'd give her tylenol- w/ her bottles;it'll work!!
N.A. answers from Baton Rouge on July 10, 2008
I know what you're gong through b/c my son suffers withthe same thing, he will be 4 months old on the 12th, he was spitting up every bottle, sometimes with every burp. He is on prevacid and zantac and he also gets a teaspoon of rice cereal per ounce of formula. We went through alot of formula changes ang finally found one that seems to be working which is similac isomil advanced, it's in a red can and says on the can that it's fot gas, fussiness and spit-ups. I am on WIC which only covers Enfamil brand formulas so my son is now on Enfamil AR wgich is also in a red can and has rice cereal added in the formula. He gets this formula and still gets a teaspoon of the rice cereal per ounce of formula along with the medicine. He seems to be doing much better, not as much spitting up as before. Also the only way he will sleep is on his tummy which is the only way by daughter slept also and she is now 3 yrs old. When she was a baby the pediatricians wanted babys on the bellys to sleep so that if they did spit up in their sleep they would not choke on it. Also just a note, the prevacid is very much a pain to give, it only comes in tablet form and has to be disolved in water to be given, I put it in a syringe but still never seem to get the medicine to completely disolve. Hope this helps! N. A.