C.E. asks from Toms River, NJ on March 12, 2008
Signs of Acid Reflux?????
My son just turned one month today. I think he may have some signs of acid reflux, but I'm not sure...we just changed his formula to Nutramigen. Does anyone have any experience with this? What are some signs I should look for? Any help would be appreciated! :)
V.K. answers from New York on March 13, 2008
My daughter had it for a long time, from 3weeks to the time she was able to sit up. It is very painful for the child, They do a lot of screaming after they eat, usually they spit up a lot. They have a lot of the same signs as a gassy baby
My suggestion is to First talk to the doctor and explain all the signs, and they make a medications that really help. I also had to put a tablespoon of rice in the formula to help keep it down. IT also helps to keep their head elevated, like in the car seat or a bouncy chair.
A.T. answers from New York on March 13, 2008
My youngest son had terrible reflux as a baby.He was very cranky, would cry after eating and would pull his knees up towards chest afetr eating, I could actually feel the bubbles moving upward towards his throat, always threw up. We switched his formula to Nutramigen and that helped along with Prilosec. Zantac did nothing for him. goo dluck and hang in there. My son outgrew it when he was around 12 months old and started walking.
J.S. answers from New York on March 13, 2008
One sign I didn't see listed in the responses was back arching. My LO would arch his back so badly and then he would projectile vomit. He didn't have true reflux, but he had reflux as a sympotom of a milk allergy. Keep food allergies in mind if after switching formulas and getting on meds and things don't clear up. Also, we found that each med stopped working for himafter about 6 months.
K.M. answers from Buffalo on March 13, 2008
My daughter had acid reflux at 4 months old. I noticed that she would vomit after every feeding. She was born 16 weeks early and was on Enfamil Lipil, which has more calories, to increase her weight. At first, I thought it was the formula, but when I mentioned it to one of her doctors, they set up some GI tests. The found that she did have acid reflux and prescribed her medicine for it. If your son vomits after every meal, that may be a sign of acid reflux. Ask your pediatrician, there is no harm in inquiring. I hope this helps!
K.L. answers from New York on March 13, 2008
My son also had signs of acid reflux at a very young age. He spit up ALOT after every feeding and cried way too much. He was never content. Well, what worked for us was soy formula (cheaper than nutramigin) and prilosec. We also added extra rice cereal to each bottle to weigh it down a little. All of this was the advice of the doctor. Talk to your doctor about the possibility of it being a milk protein allergy. If it is actually an allergy to milk protein, the nutramigin formula could be covered by your insurance company. We went through this with my youngest son. Good luck.
S.C. answers from New York on March 12, 2008
My 9 month old has reflux. Not only was he spitting up, but he would occasionally projectile vomit. It's such a terrible thing to watch... so much throw up coming from this tiny body. I recently read that ALL babies have reflux for the first 3 months and that many doctors are medicating babies that don't need it. When our baby started to puke more often, we brought him to the doctor and the nurse practitioner just blew us off. She told us that if he was throwing up after every feeding, or if the projectile vomit could hit the wall across the room, then she would be concerned. The following week our son saw the PA, who took us more seriously. She immediately sent him for an abdominal ultrasound to check for pyloric stenosis (testing positive would require immediate surgery). She also put him on Axid, which he still take 3 times a day (since he was 2 mos old). Amy is right, the doctors are more concerned if the baby isn't gaining weight, which wasn't a problem for us. I am still breastfeeding, but I have heard from other moms that the nutramigen is the best, but very expensive. Find out if your insurance will cover the cost. Some insurance companies will, but they don't want to advertise that.
Here's my advice: No one knows your baby like you do - trust your instincts. As far as excessive spit up, stock up on bibs and burp cloths. Expect to do lots of laundry. After my son threw up on the couch several times, we decided that I would always feed him in the same seat, "the spit up seat," which I kept covered with a sheet. Much easier to throw the sheet in the washing machine then to clean the couch!
It's been 9 months, and I still get stressed out dealing with this reflux. Most babies grow out of it by 6 months. Not our son. Now it's a little harder because he eats solid food and it isn't pretty when that comes back up.
If your son does have reflux, there are several different medications out there. You can google it - you wouldn't believe how many other people are dealing with this. Personally, I'd rather not medicate my baby unless it is really necessary. The axid that he is on doesn't actually stop him from spitting up. It lessens the amount of stomach acid that his body produces, so that when he does spit up, it isn't burning his esophagus.
Some of the signs that we noticed with reflux: he was sometimes fussy during feedings, or even after feedings when he should have been full and satisfied. He would arch his back from the burning feeling of the stomach acid. Obviously, the excessive amounts of spit up and throw up.
Try to keep your son upright for 30 minutes after he eats. This is hard to do if he falls aleep eating. We used to let our baby nap in his bouncy seat because he wasn't laying flat.
I really feel that my son's reflux is one of the reasons that I have had a hard time adjusting to being a mom. I would get so upset when he threw up, even though he usually looked relieved after it. I would call up my mom crying and ask her to come help me (and I DO NOT ask for help!) Things have gotten better, but it was tough for a while. I know how stressful it can be, especially with your first child. If you ever feel overwhelmed, feel free to contact me. I hope some of this helps you - sorry, I tend to ramble once I start talking about this! Best of luck and Congratulations!
PS - If it gets to be too much, ask someone to watch the baby for a bit, and do something for yourself. You will feel better, and it will make you a better mom!
L.H. answers from New York on March 13, 2008
Don't worry about it. My Ped. said all babies have that, because their digestive tract is short and not fully developed yet. Just remember to hold your son up with his head elevated for 1 or more hours after feeding him.
W.M. answers from New York on March 13, 2008
I feel your pain. My 5 month old didn't get diagnosed until she was 3 months, but we had done some things before that stalled the need for meds.
The first things doctors will tell you to try is adding 1/2 tsp of rice cereal to his bottle and 1/2 tsp of Maalox or Mylanta. If you see that he has some relief from that, it is most likely AR. Do you have a sleeping wedge in his bed? It doesn't cure things, but it does help some.
Burping becomes instrumental in helping them feel better. I still stop every 2 oz to burp. There are times when we have to put our daughter on her stomach on our knees and wiggle her hips and pat her back for a bit and then when we lift her up, she will release a burp. Other times, we distract her with a small toy to hold (rattle, keys) so that she relaxes enough to let go of the burp. Do not lay your son down right after he eats (I know such a pain for night feedings), instead you have to keep him upright for a bit and make sure all burps are out. We have found that that our daughter can have a sneaky one that comes 15 min or so after she eats after we thought we had gotten all burps out.
Things we noticed with our daughter was that she was crying and fussing through feedings and then she stop sleeping (first naps and then at night). She would wake screaming and we couldn't figure out why. She also was eating too much (I think to try to sooth her GI track) and very quickly. She was spitting up much more after and during meals. Is your son turning his head from side to side a lot when trying to sleep or during meals? Arching his back? That's what we were seeing and didn't immediately think of AR. We thoght she just had gas/a lactose issue. Your changing of formula is smart. If the Enfamil version doesn't work, try the Similac one. We preferred Nutrimigen, but we tried Alimentum first (it had come very recommended). It seems to depend on your child's preference/needs. I think the allergenic formulas just allow yor child to do less work so they produce less acid.
Try to keep a record of what your seeing in behavior, eating, and sleeping patterns so that it is easier to explain to your doctor. Most seem to expect to hear this at some point. I have been told that it appears to be a result of back to sleep (they move less so gas builds more) and waiting to start solids. I also personally believe that the early immunizations are also contributing to irritating their GI tracts.
Hope that helps and good luck!
B.B. answers from Glens Falls on March 13, 2008
my name is B. from Vermont, my cildren are now 7 and 5. They both had reflux as infants. As they were eating and always after they ate they would plit up or projectile up all there formula. This went on for quite a long time for us. Both of my children were on 5-7 formulas each then both ended up on the soy. Good luck and let me know if I could help with anything else. Congratulations on your little one!
A.A. answers from New York on March 13, 2008
I have a 5 month old who is a "silent refluxer." We found out he has a significant reflux only because he had to have an endoscopy for a problem that doesn't really matter to this discussion - but the ENT doing the test actually found some burns and irritation to his esophagus. My boy fusses and arches only a little during feeding and not every time so it wasn't anything you'd even really note, and he NEVER EVER EVER spits up. In his 5 months of life he's spit up 3 times that I can remember. My point is - to all moms reading this - it's incredibly important to treat. Left untreated it can cause vocal cord damage, speech delays, recurrent ear infections, and damage to the esophagus. Our little boy is on Zantac now and will remain on it until he's a year old because that's when babies typically outgrow this... since he has no outright symptoms it'll be hard to tell when it resolves which is why we're just going with the norm. Zantac doesn't stop him from refluxing, but by cutting the acid that he refluxes it minimizes the damage it does. GOOD LUCK to you and your boy - and good for you for watching out for this so early. You're preventing a lot of problems by watching out!
K.E. answers from New York on March 13, 2008
My daughter had reflux as well. She didn't have the vomiting, but would cry all of the time, did not sleep (20 minute naps), was extremely gassy (I could feel it going through her intestines) and would sometimes arch her back after feedings. We had her on Nutramigen and eventually Prilosec (which really made the biggest difference). Some suggestions...burp more often during feedings, hold him upright for a while after feeding him. If he is crying a lot, we found that the sound of the dryer seemed to calm our daughter.
Our pediatrician diagnosed our daughter and put her on Xantax, but it did not work. I requested to see a gastroenterologist and that was when she was put on Prilosec. We were able to wean her off the medicine when she was about 10 months. Hang in there..it will get better.