D.B. asks from Santa Rosa, CA on December 22, 2007
E.V. answers from San Francisco on December 26, 2007
My son also suffers from acid reflux. I believe sometimes it happens because of being over fed. Zantac didn't help at all for us. I also notice if he is fussy or super active before or after he eats he spits up more than normal. Some babies just spit up and others don't at all. Does he seem bothered by it or in pain? If not it is more of a laundry issue. As long as he is gaining weight it isn't a big deal...other than messy =) I would say take him off the zantac and feed him slowly and try keeping him mellow afterward...hope this helps.
L.C. answers from Fresno on December 26, 2007
there was a recipe in the paper....from a doctor....for acid reflux. Mix 2/3 cups of grape juice; 1/3 cup of apple juice and 1 tablespoon of apple cider vinegar. A 70 year old woman said it has helped her for years. I don't know, you might give it a try.
V.W. answers from San Francisco on December 24, 2007
How old is the child?????
Malt Barley is highly allergenic - you might want to think about prunes instead.
M.D. answers from San Francisco on December 24, 2007
Not sure how old your little one is, but mine really benefited from Pepcid (proton pump inhibitor--its a little stronger than the Zantac). Different pediatricians have different thresholds for giving it to babies, but mine has been on it now for about 5 or so months and it made all the difference in the world for us.
Good Luck and Happy Holidays!
N.D. answers from San Francisco on December 25, 2007
I have not tried this myself because I do not have that problem but a friend's doctor said that eating a handful of dry popcorn will act as a buffer and not let the acid come thru it!Of course I do not know the age of your son but I think it might be worth a try unless he is an infant! Good luck to you, N.
A.S. answers from Stockton on January 29, 2008
My daughter has severe acid reflux as well. In mid December the combination of acid reflux and sleep apnea caused her to stop breathing long enough to turn her lips blue. after days at Sutter Childrens Hosp in Sacramento, she is now on an apnea monitor (to make sure she stays breathing). We have tried several medications for the reflux (including Zantac which didn't seem to work either)and finally found that 1/4 a 15 mg tablet 2X per day of Prevacid SoluTab seems to really be working for her. The tablet dissolves in water and can be given in a medicine dropper. Additionally, I took it upon my self to try infant GasX after her last feeding before bedtime. That also helps her sleep at night without much of a reflux/gas problem.
Also, she did receive relief when I switched her to Similac Isomil Advanced Soy Formula (Pink and White can). I was breast-feeding at first but with being in and out of the hospital and having tubes and cords attached, it was hopeless and switched to straight formula when she was around 6 weeks.
She is really doing much much better with these changes that I've implemented in the last month.
R.C. answers from San Francisco on December 24, 2007
You can try the rice cereal in the bottle thing, but it didn't work for us.
Chiropractic care can also be beneficial. I understand that being adjusted can help the digestion.
I hope this helps!
* Of course, now it comes out that there's BPA in those cans, which is an issue.
C.S. answers from San Francisco on December 24, 2007
Taking care of a baby with severe acid reflux is exhausting! Our son was in a similar situation, and though the Zantac helped (4x/day), he started to develop seizures as a result--this is extemely rare--even the pediatric neurologist hadn't heard of this reaction, but my sister who is an MD, dug up research that found that Zantac trials pointed to some rare reversible central nervous sytem reactions.
Obviously, we took hime off Zantac and then turned to craniosacral therapy and, most successfully, to homeopathy for help. Our homeopath cured the reflux. I recommend her entirely--Mary Gordon (likewisehomeopathy.com)
best of luck, C.
E.B. answers from Sacramento on December 24, 2007
Looks like you have gotten a few responses. One of my preemies had severe reflux. I strongly recommend a Pediatric GI doctor. Ours in Sacramento is awesome. The treatment for our daughter is Zantac (.8 ml 2x day) and Nexium (20mg 2x day). Nexium is the newest med being used for infants. Also,our GI doc switched her to GoodStart formula as it is the easiest to digest and we mixed it to a higher calorie level. We had weight gaining issues as well. Due to the higher calories, we use Miralax for constipation. Our GI doc told us that most infants out grow reflux around 18 months. As parent who has dealt with in virtro, twin preemies, one with health issues, I can understand and sympathize with your concerns. Again, I recommend getting a Pediatric GI doctor, even it is just to relieve your fears. Good luck!
K.L. answers from San Francisco on December 23, 2007
My baby also had severe constipation and acid reflux - keep up with that zantac, and 3-6 months, he will grow out of it and be just fine.
First of all, put him to sleep in an "upright" position: put him in his infant seat or in a baby swing to nap and even sleep in during the night if he is happy with it. That sitting up position really does wonders as it keeps the acid down in the tummy instead of creeping up the esophagus as he sleeps laying down. My daughter slept in her baby swing for the first 4 months of her life - neither of us would have slept if not for it. And she wanted that swing on the highest speed, so I felt compelled to ask my doctor if all that swing could hurt her, and he assured me that it doesn't harm the baby in any way (and to use it if it worked!).
My daughter also had anal stenosis (where the skin of the anus actually grows back over opening partially) along with sever constipation, so I know just as much about this issue (the reflux and constipation go hand in hand). We tried every silly home remedy in the book, but the baby still couldn't pass her own stool, I would have to remove it for her while she bled and screamed - it was terrible. The ONLY thing that ended up working was suggested by the ped - plain old original Phillips milk of magnesia. We put 1/4 to 1/2 teaspoon of it (depending on how old she was at the time and how much she weighed) into her bottle once a day..... and POOF. It was like a different child. Since milk of magnesia is not a laxative but a stool softener if just softened the poop enough for it to come out all on its own - saved my LIFE and her's too. Please try this - there is absolutely NOTHING in the milk of magnesia that is harmful to even a newborn, I did my research. Within the same 3-6 months timeframe, my baby also grew out of the constipation as well as the reflux (mainly because of the introduction of solid foods).
K.G. answers from San Francisco on December 24, 2007
I'm sorry to hear you're going through this. Our son had really bad reflux, too. Our pediatric GI (at UCSF) had us spend a fortune on Alimentum (and stop with breast milk, which he had been taking for four months). Apparantly breast milk is not always better than special formulas designed for digestive problems (I'm begging the breast milk police to please, please not hassle me; it was tough enough as is). Nutramagen (sp?) also works, but it's vile, and our son ate a lot more w/ Alimentum. I was upset to stop with the breat milk, but the Alimentum did help, and my mom found it for a less atrocious price at WalMart, though I hate to promote thst place :(. We switched from Zantac to Prevacid (disolved pill in a little water and then added it to anything he was drinking -- we just had to be we gave him an amount of liquid he would finish!). He didn't have to take the Prevacid as many times per day as the Zantac, btw. To regulate his GI tract, we went from Reglan to milk of magnesia (which might be enough for your child -- add to bottle as previous poster said) and then finally to Miralax powder. That really worked best. I was so bummed to be giving him meds, but they really helped to decrease the spit-up and horrible pain he was experiencing. As the earlier milk of magnesia poster said, getting poops to come out more easily made a huge difference in decreasing spit-up an pain. If he didn't have a solid poop, though, and seemed to be in pain (sometimes poop made liquidy by m.o.m. can seep around a larger stool in the bowel and it seems like you child is pooping), we had to give him a glycerin enema. They make children's ones, and we only gave him half. He did NOT like getting these, but they were totally miraculous. We only used them in the worst situations (under doctor's orders). Our son had to stay on Prevacid until he was almost three and Miralax until about three and a half. He's totally fine now (he's four and a half). We watched his poop carefully (and had to ask his preschool to do so, too -- that was cute!) so that we could adjust his Miralax for the next day. Most kids grow out of GERD by one year old or so, but not our son. Perhaps it was because he was born 11 weeks early. We also had him sleep in his infant car seat on his bedroom floor (strapped in) for months to keep him more upright. His head was pretty pointy from being born so early (vaginally) with such a soft skull, so while the car seat did flatten is head a bit, it only flattened it to a more typical shape. He slept much better in his car seat. He transitioned easily to his crib and his twin sized bed later own. Not to be alarmist, but I highly recommend you brush up on choking procedures for babies or toddlers, depending on how old your child is. My son once aspirated on his own spit-up about a half-hour after finishing his bottle (Dr. Brown's -- great for reflux, but a huge pain to clean and apparently not so much for the plastic; didn't know at the time; worked better for his reflux than Advent). Luckily, after spending so muh time in the pumping room at the NICU, I had seen the CPR/choking video dozens of times (every time a family took their baby home), and I was able to help him quickly, though I also called the paramedics. I was so glad I had seen that video so many times.
I hope some of this helps and that your child's reflux improves soon. As he/she transitions to solids, the reflux should diminish as well. It didn't go away imediately for us, but our son did FINALLY grow out of it. I agree with others that it feels very uncomfortable to give too much in the way of meds. Personally, I'm a huge fan of acupuncture, herbs, etc., and our son did have cranial work done by a fantastic osteopath However, meds were what worked for our son. Good luck and don't feel guilty about the meds. You're doing what you need to do to keep your child comfortable and gaining weight.