N.O. asks from Canton, MI on April 02, 2009
Does My Baby Have Reflux??
I have an almost 4 week old baby. He's already on Similac Alimentum for the past week and a half because of him projectile vomiting and being extremely fussy and gassy. However, whenever he eats he groans and grunts almost the whole time like he's in pain. We stop to burp him several times but he still grunts. Then after he's finished he spits up alot and even sometimes after 2 hrs after eating he's still spitting up. He spits up after every feeding. I'm not sure if this is a reflux problem considering he's already on a hypoallergenic formula (my first son was on nutramigen and he never grunted and spit up this much when he was on that). Anyone have or had a child with reflux and does this sound like it?
So What Happened?™
OK so I got the upper GI today and yes he has reflux after all. Now I'm waiting for a call from the pediatrician to see what she wants us to do. Now I'm wondering if we need to be on the alimentum at all. the reason we were on it in the first place is because he was projectile vomiting and spitting up constantly along with what seems like tons of gas (same as my first son) but now if it's reflux, not sure if its' a milk protein allergy after all. WE'll see. Thanx ladies for all your responses!!
M.W. answers from Kalamazoo on April 03, 2009
we didnt have a special formula when my oldest daughter was little...and it wouldn't have helped...reflux she has has to do with the end of the gastric tube into the stomach not staying closed properly ( i cant remember the medical term for the body part) we found if we diluted her formula just a little extra when making it it seemed to help. she was with a gastrointenologist for 3 or 4 yrs...unfortunately when she was finally diagnosed she was older than 4 and we were told if diagnosed before then they may outgrow...so she has to watch what she eats the rest of her life. so you may want to look into seeing a gastro .
K.R. answers from Detroit on April 03, 2009
Get the zantac for the kid. My doctor fought me on even admitting my son had acid reflux (which he absolutely did) for 2 months. He kept telling me "babies spit up, it's no big deal" and "He's just colicky" because my son would scream for hours on end and nothing we could do would soothe him. Once we got him on the medications (he needed a muscle relaxer as well for a while to stop his stomach and diaphram spasming so much), everything improved a million percent. He was on the Zantac until he was 18 months, but now, at 3, he has no problems at all with any kind of food or drink and no longer bound to meds several times a day.
A.A. answers from Kalamazoo on April 02, 2009
It could very well be reflux. Usually with reflux there is discomfort and pain so maybe that is why all the groans and grunts. One of my sons had that and took some medicine for a while. The medicine helped with the discomfort, but he still spit up a lot!
One other thing to consider just in case is pyloric stenosis. It is a condition that occurs, more commonly in males, that causes severe vomiting in the first few months of life. "There is narrowing (stenosis) of the opening from the stomach to the intestines, due to enlargement (hypertrophy) of the muscle surrounding this opening (the pylorus, meaning "gate"), which spasms when the stomach empties." Both my brother and my mom had this as infants so it's something that I'm aware of. Projectile vomiting is quite common with this, but of course, there are also other reasons for the excess spit up.
Just thought I'd mention the above. Better ask your Doc and get to the bottom of it soon. Good luck!
A.N. answers from Detroit on April 03, 2009
Our son was on Similac Alimentum as well! He would stretch his little body backwards like he was arching and he would spit up (that's what we thought it was--although it was a LOT more than just spit up). He would also grunt and groan and it was difficult to feed him. He was hospitalized for 4 days because they found blood in his stool..(long story), but the did an endoscope, an upper GI, and a colonoscopy. Came back that they said he has a milk (possibly soy) allergy. That is when they put him on the Alimentum. Well, we were going through this thing on and off where he would vomit and have bad diarrhea (it smelled the worst smell!). Finally he went back to the GI doc and they did another endoscope and found that he has eosiniphillic esophagitis which means he has an allergy in his esophagus (food tube). They changed his formula to Elecare/Neocate and upped his baby Zantac to 3 times a day. He also had a blood allergy test (the RAST) and it came back positive for a milk allergy. Just recently we gave him a few small bites of a soy ice cream and went through the same vomiting/diarrhea routine and another trip to the GI doctor revealed that he also has a soy allergy. I would encourage you to have an allergist test your baby and/or go see a Gastroenterologist. Your baby could have a severe allergy that affects his GI system and doesn't present like a normal allergy with the hives. Poor thing!
L.M. answers from Detroit on April 03, 2009
The grunting and spitting up two hours after a feeding sounds just like my daughter at 4 weeks old 8 weeks ago. She has reflux and the doctor put her on zantac which when i asked the pharmacist is really a low doasge of liquid tumms. She is much better, rarely spits up does not groan and is much happier. She is on soy formula and i nurse her part of time.
At first Iw as nervous about medicine at sucha young age but it has made a world of difference
A.L. answers from Grand Rapids on April 03, 2009
My baby never had reflux so I am not sure if that could be it or not, it sounds like too much of "spitting up" for that to me though, but this could be another option. After my third was born he started gaining weight like normal but after another week or so starting spitting up, more and more each day. By the time he was four weeks old he was spitting up and projectial vomiting at least 90%, very gradually higher each day. He then of course started losing weight. I had been on the phone with the doctor several times in the week, changing formulas, doing mixtures of half formula, half pedi-light, some water, it was a crazy time. Just when I had enough the doctor told me to go to the ER. He had pyloric stenosis (sp?) a valve between his stomach and intestines had grown too big and wasnt letting him get his food. Simple surgery fixed it and hasn't had a problem snice. Simple ultrasound to diagnois too. My advice is to watch the baby's weight and try to estimate how much goes in compared to what comes out then talk to your doctor. I was surprized to learn about this and that it is very common in boys and in first born boys too, although that was not the case for mine being the third, but he has been my extraordinary boy all around anyway. Good Luck!
C.L. answers from Grand Rapids on April 03, 2009
It sounds like reflux but just in case let me give you another unlikely possiblity...it also sounds like something my son had....agiain, I will say it is unlikely but its worth ruling out. My son had those symptoms and it was from something else that didn't get caught. These are the other symptoms my son had....
He stayed dry for a long time... and then flooded his diapers.
I never had the issue of having him "squirt me" while changing his diapers that moms talk about.
He never had that fresh baby smell....even after baths. When he came home form hospital he had a high billirubin (sp)
He was very thirsty as a toddler....
My son had something called posterior urethral valves which didn't allow him to empty his bladder unless he had intense pressure. Therefore. his bladder became distended and eventually backed urine into his kidneys which caused kidney damage. The fix was a simple surgery to remove the valves...unfortunately it didn't get caught until my son was 3 and by that time had permanent kidney damage. The doctor assured me he was fine for three years. If you think something more is wrong but the doctors won't check...switch doctors.
K.M. answers from Detroit on April 03, 2009
It sounds like reflux to me. I would take him off the similac. I personally hate that brand. If your gonna have to deal with it comming back up get something thats isn't gonna smell as bad. It will smell but gees quit torching yourself. Put him on nutrigamin and see how he does. I have three out of 4 had to be on that. I would go see the pediatrician so he can either recommend something or give you a gasternologist number to see and they will determine reflux and tellyou what you need to do. Number one thing feed him sitting up in a sitting position and let him be like that for almost 2 hrs after he eats will help. He is probably gassy so get the drops that help with it an dgive them through the nutrigamin. Also ask your pediatrician if there is something maybe better or cheaper you can get for him to eat. There was with my last daughter a formula we had given her that wasn't nutrigamin. It was something similar and it was more like breast milk. But it also wasn't milk based. Some babies can't handle milk based stuff its too much. so you might want to check into that tooo maybe switching the baby over to something not milk based. That might work too. Good Luck
A.A. answers from Saginaw on April 03, 2009
My name is Jennifer and my daughter at about 4weeks old was diagnosed with reflux/Gerd. She would do the same things as your baby but she would also chock so bad on her own reflux that she would stop breathing. I was absolutly terrified. After running her to the emergency pediatric doctors a couple times, they finally diagnosed her with reflux and did the following. They changed her formula to Enfamil Lipal AR, the AR part of it is inportant as it has added rice starch which weighs down the formula to keep it down. Look it up on the computer. It is a wonderful product. They also put her on liquid Zantac and gave me these following instructions. After feeding wait about 30 minutes before lying her down, after lying her down make sure she was not lying flat. They told me to elevate her mattress by putting something under the mattress or to allow her to sleep in a bouncer. I bought one from K-mart for $20.00 that had an adjuster for different levels of uprighness. It also has the toys that hung above and a music and vibration level.
She grew out of it after about 7mths. But that just varies by child so don't let that scare you.
I hope that this info is some help to you. Good luck with your baby as I know it is a scary experience for any parent to go through.