K.T. asks from Denver, CO on February 17, 2009
Seeking Advice on Baby Reflux and Prevacid
I have an 8 week old baby girl with silent reflux. She was first put on zantac 0.8ml twice a day. This worked for two days she was a differnt baby. After the two days things started going down hill. Arching back when burped, couldnt lay her on her tummy even on my chest. Wnated to be held only upright i couldnt even carry her in a cradle position without her getting frustrated. I called teh doc and he decided to keep her on zantac for a full two weeks to make sure it really wasnt working. Mean while things kept getting worse. Eventually we were down to no naps. Night sleeping was still good but with a ot of grunting and cought and arching of the neck. So last Thursday the doc put her on Prevacid solutab 7.5 mg ONCE A DAY, we stopped the zantac as he asked us to. she was great for the first four days. I could burp her, she would realx while laying on my chest and awould not arch. SHE was sooooo happy.
Then yesterday she started to arch with burps again and would not lay on my chest and was becoming upset again.
My heart is breaking as iknow she is in pain
i know if i call the doc he will make me wait another 2 weeks to make sure its REALLY working. Is her dose too low? Should she be on 15 mg a day. Any advice from moms of refluxers would be very appreciated.
N.W. answers from Salt Lake City on February 18, 2009
Peppermint aggravates reflux.
My daughter, 7.5 months, was just put on prevacid. It's my understanding that prevacid decreases the amount of stomach acid produced. My daughter is on NJ feeds. Her reflux got worse so her pediatrician upped her dose *before* seeing her (he's really familiar with her case) and asked me to come in for a visit in a few days.
Her doctor is really good - Dallen Ormond. ###-###-####. He has worked up at PCMC. He's experienced with preemies - that's why my daughters go to him. His office is on 106th South and 13th East.
We bought a swing from Target. http://www.amazon.com/Fisher-Price-Rainforest-Open-Top-Cr...
my daughter sleeps in it at night. It's just the right incline for her. It's the only swing I've seen that can use batteries OR plug into an outlet. (We never attached the tray to it.) best $100 we ever spent.
J.S. answers from Salt Lake City on February 18, 2009
I hane an almost three year old dd who has been a diagnosed refluxer since two weeks. It is very hard to have a little one with it. we started on zantac as well but soon switched to prevacid. It takes time to really work. we also needed reglan for a while-but it made her a little extra crabby, but it did help. i cant remember her dose from wnen she was that little, but she is on 15mg twice a day. I know it is weight bases-Mallorie is 24lbs right now. we stll have times that are really bad. we stll contemplate surgery often. have her sleep with her head raised. eep her upright as much as you can. you may neec to give her half her dose of prevacid in am and half in pm. get into a pediatric gi as soon as you can. they will be a great help to you. feel free to ask me anything you want. we are no experts, but we do have almost three years of experience now. :)Good luck, and feel free to send a message for advice and support- reflux babies can be tough lil cookies.
T.M. answers from Cheyenne on February 18, 2009
Hi K. my oldest son dealt with this when he was born until he was almost 1yr old none of the meds the doc tried worked now with your child only being 8 months you would want to consult a doc be fore you do what im about to suggest but first try getting her to sleep in her car seat this is how my son had to sleep for the first 6 months because he also would not lay flat also try making he bottles thick like a milkshake so it is less likely to come back up just add rice cereal to her bottles and get the heavy flow nipples you will see your child gain weight but after a while she wont be in as much pain let me know how this works for you
J.L. answers from Denver on February 17, 2009
All 3 of my kids had reflux, not as bad as yours and they were all on zatac and it only worked for a few weeks too. With my last one, I tried Grip water and it seemed to work best. I know its not especially for reflux but it helped him. Also, know that they outgrow it before you know it, so hang in there...
K.K. answers from Denver on February 18, 2009
I feel your pain. My son was diagnosed with Acid Reflux at about the age of your daughter. At that point he was spitting up about 15-20 times a day, groaning when he slept, and at times screaming out in pain. The doc put him on Zantac once a day at .4... it didn't take long before we realized it wasn't working. He is now 8 months old and has been on Zantac 4 times a day at .5. I really think spreading it out through out the day helped. It is very similar to when you have heartburn. I know when I had horrible heartburn when I was pregnant, I counted down until I could take my next dose of Zantac. I would ask if maybe you could lower the dose and give it to her more times during the day.
Also, Someone else said this already but if you are nursing I would take all those acidic foods out of your diet. I know it stinks to have to do this but I know for me that my son was really affected by what I ate. I would stop having coffee, garlic, onions, anything with tomatoes, anything spicy, lessen the amount of dairy... anything that could make you gassy or have heartburn can make your baby have the same reaction.
Last thought, from about 8 weeks old we started having our son sleep in his car seat for all nap times and at night. We tried elevating his crib mattress but he just slid down. The car seat was a life saver... and he still sleeps in it. The doc recommended it because reflux is so much worse when you are lying flat on your back. Also, try to keep her upright for a good 30 minutes after you feed her. All of these things helped us.
M.I. answers from Denver on February 18, 2009
I would second the suggestion to try a chiropractor first. My oldest son was a preemie and had very bad reflux but I was hesitant to put him on any more meds. A friedn had her son so prevacid and even though it's supposed to be a temporary fix until they grow out of it, her son is 5 and still requires the meds because he got to accusomed to them.
My pediatrician said it couldn't hurt to try chiropractic adjustments and if it worked for him, great, and if it didn't, she would still write the prescription for prevacid/zantac.
The adjustments helped tremendously, and we never did have to put him on meds. I take both of my kids with me once or twice a month and they have stayed relatively healthy.
A.E. answers from Denver on February 18, 2009
I'm sure my advice is going to freak you out, just as it did when I was given it, but... when my 15 month old daughter was 1 month old, she started getting reflux. The doctor put her on Zantac which absolutely did nothing. Her reflux was horrible. She'd scream for hours and throw up bigtime after every feeding. Finally when she was about 3 months I gave in to the advice my sister (a pediatric nurse)was giving me and I took her to a chiropractor. The doctor specialized in infants so I felt better about that. She was in major need of an adjustment and no joke-she never had an episode after that. She would spit up sometimes as is normal with babies, but no more pain, screaming, or full-on throwing up. Our chiropractor is our hero! I hope this helps and good luck!
K.P. answers from Denver on February 19, 2009
My baby girls have reflux and they are both on Zantac and Reglan. This combination has really worked for them, occassionaly one of my girls still gets a lot of gas and will arch and cry and then we give her the mylicon drops also and she is fine. They started this medicine when they were in the hospital and the doctors said it would take about 5 days before they would be able to tell if it was working or not.
You know your child better than the docs, I would stand your ground against him if you really think it is not working.
K.M. answers from Denver on February 18, 2009
My son was on 7.5 mg of Prevacid at 6 weeks, so I think it's probably the right dose. He went up to 15mg (7.5 twice/day) around 5 months. The only other thing I can think of to suggest is to make sure you are giving her the medicine at least an hour before she eats so that it can be most effective. We weren't told this initially and happened to read it on the pamphlet the pharmacy provided.