Posted By Posting
Sep 08, 2008
babymomma1
Mom to Peter - 10 months old with reflux on prevacid and dairy allergy
Sleep Training
Mom2coy suggested that I ask the group about sleep training. I'd love everyone's input. Our son got on a bad jag of sleeping about 6 weeks ago when his reflux flaired up again which reasulted in more feeding issues and HUGE problems with burps resulting in him waking up screaming multiple times after being put down. We ended up cosleeping, which I said I'd never do (never say never) as a last resort when we couldn't get the burps out. It comforted him enough to sleep through the pain. Now, however, it's become a thing and all of us are losing sleep!

We'd like to get him back on his nap and nightime sleeping schedule with an appropriate 1-2 nighttime feeds after 8 or so hours of sleep, but we're not sure what the best thing is. He's doing better, but he's still having trouble with his reflux. And the burp issue has not resolved. He still wakes screaming every time he has a burp and we have to get him upright and really work to get it out of him- sometimes through multiple awakenings. We don't want to let him cry it out in case he's in pain/needs to burp, but we need him to learn to sleep on his own.

Our first GI appt is still 2 weeks out and we need a solution to sleep ASAP as we're running on fumes. I've been reading Healthy Sleep Habits, Happy Child which is great, but doesn't exactly have a section for dealing with this exact issue. Any ideas on how to balance needing to teach your kid to sleep without your help while still being responsive to them with their needs having GERD? Thanks.

Sep 08, 2008
helen lai
Mom to Matthew, 01/16/08, GERD baby, has been on Zantac since 2 mos. Aidan, his twin brother, no GERD. Max-ed out on Zantac at 1ml-3 times/day, and switched to Prevacid 15mg split tab 08/20/08. Switched again to 20mg Prilosec 09/18/08 due to Prevacid's restlessness/headache side effects. Reflux was out of control again and had to switch to 10mg Nexium 02/11/09. Good result so far.
I'm in your boat. Matthew was throwing up when we tried letting him self-soothe so my husband and I take turn to walk and hold him until asleep, hold him for another hour or so, and then put him down to his crib next to our bed. When Matthew's reflux was under control, he could nap and sleep fairly well. It's getting harder now while we are switching his med to Prevacid. He's also teething at the same time. My husband is often on business trips and I'm physically exhausted. I have another twin to tend to. I would love to hear other moms' idea on sleep training.
Sep 08, 2008
lorenzomama
Lorenzo b.4/25/07 1 week in NICU w/ aspirate pneumonia from a reflux episode; diagnosed GERD at 9weeks; Used Zantac for 5months. Currently using Chinese Medicine and Craniosacral Therapy. GERD, Obstructive Sleep Apnea, Sensory Processing Disorder. Ask me about breastfeeding a refluxer! Pic: day 5 in the NICU.
I think you'll find a lot of us in your boat -- or ship, as it must be, given how many of us mama's are up all night long with our little ones! Personally, I think that if there is any question of pain or serious distress, CIO has no place. We've been sleepless around here for 16 months -- not one single night in his whole life of good sleep. If someone had told me that would be the case 16 months ago, I would have said, "no way -- I'd die..." It turns out that we human, and especially us mamas, have a lot more elasticity than we think we do... I'm running on fumes, and my brain is shot, but you just do what you have to do, KWIM?

I just posted about sleep apnea, and I have to say, our experience has really made me leery of sleep training for children who are not yet old enough to talk. I was so tempted, so many times, even though I thought I would never (there's that word!) want to, to try CIO, but my heart told me it just wasn't the right thing. Turn out, it certainly wasn't, since it appears that my son's sleep issues stem largely from reflux and sleep apnea. I guess what I'm saying is, you have to really just understand yourself, your child, and listen to your instincts...if it doesn't feel like the right thing to be doing, DON'T DO IT! If, however, you are truly at your wits end, and there are no alternatives, no improvement and no sense on your part that there are underlying health issues, then maybe sleep training would benefit all of you. It's such a hard decision...and it really needs to be made from your own heart and instincts, in my opinion.... (and if none of that makes sense, I plead extreme sleep deprivation :) !)

Sep 08, 2008
slimfast13
This is our dd, Alessandra. Dx with GER 10/07. Ran the gamut with meds and now done with them (crossed fingers). Using magnesium, probiotics and prebiotic supplements. With the exception of teething and general sassy attitude, all is well now. They really CAN grow out of it!
Oh my - I remember the days of NO sleep at all far too well. We did not to CIO until the reflux was under control, and we went slowly even with that. It took until Allie was about 9 months old to sleep through the night, but we could lengthen the time she slept with dreamfeeding. However, if your son is vomiting at night, I'd ask the MD for some suggestions before you really try anything.
Sep 08, 2008
babymomma1
Mom to Peter - 10 months old with reflux on prevacid and dairy allergy
Thanks for the thoughts. We're not planning anything aggressive for sleep training as I don't think CIO is the right thing for him. He, thankfully, is not throwing up at night. Just cases of burps/screams. However, he's gotten so used to being able to come into bed with us I think that sometimes when I put him down after feeding him at night that it's not burps that wake him up but the abscence of us. He pops up immediately when he gets put in his crib and doesn't seem to be in any distress. He just wants us to be there. I'm not sure how to fix this, but we don't want to continue cosleeping. I don't need a no-cry solution (I don't think that's realistic, my boy is stubborn and can throw a fit when he wants to :), nor do I want to cry it out as he just gets more air in his stomach which makes his GERD worse. We're looking for a reasonable middle of the road twoards the less crying end in order to get us all a little sleep and sanity. I can only imagine that if I'm sleep deprived, exausted and feeling crummy that my son is in the same boat and even with his GERD it would be best for him to learn to sleep better.

BTW - Lorenzomama - you amaze me! Twins? No sleep for 16 months! You're supermom. Give yourself a uge pat on the back for being there for your little ones through some difficult times.

Sep 08, 2008
mom2coy
Coyle Eagan. One Year Old. Doing well on Cow's Milk flavored with juice :) Drinking two bottles of Go&Grow daily. Eating solids better but still have rough days. No More Silent Reflux-that I can hear anyway.. but puking again. Zantac 2ML 2X daily.
One book I recommend is Good Night, Sleepy Tight but Kim West. The "sleep lady" http://www.sleeplady.com/. While I don't agree on many of her ideals (such as sleeping thru the night w/o a feeding @ 3 mo ) what I did get out of her book was the importance of *routine*, *schedule*, and *consistency*. Prior to the onset of serious seperation anxiety @ 9 mo. of age my son was a fairly good napper and a good sleeper @ night.

His schedule was sleep from 7 p to 6 a. Nap from 8 a to 10 or 1030 then nap again from 1 to 3 or so. during the seperation anxiety phase his naps were totally off (we had to resort to driving around again) and he was waking twice a night. Since was was low-birth weight I consulted with our pedi about night feedings. I continued to feed him @ night and he gained well because of that. Lately, he is back to a good schedule. sleep from 7:30 to 6:30 or 7. Nap from 9/930 until 1030 or so. and then another 1.5 to 2 hour nap in the afternoon. When he wakes at night-I feed him-but i plan on stopping this by 15 mo. if he does not stop it on his own. Disrupted sleep is not good sleep.

Since you are starting at 7 mo. (or are they 8 mo. now?) he is painfully aware of his surroundings. Laying him down asleep and bringing him into your bed can't be down anymore-unless ofcourse you are truly committed to the *family bed*-but it sounds like you are not.

To "sleep train" you have to get on a sleep schedule. It is sometimes much easier to start with naps for two reasons 1. if they are well-rested during the day nighttime won't be so bad 2. you wont be as frustrated at night either 3. it is easier to stick to your *plan* during th eday instead of the middle of the night.

so, the 1st thing you have to do is start a wake/eat/sleep log. if the eating isn't down then the sleeping won't be down either, kwim. so, say Peter wakes up tomorrow morning @ 6 a.m. no later than 7:30 you need to start the nap routine. i'm giving it only 1.5 hours just so you can be sure you can start to identify his sleep cue(s) (my child grunts when he starts to get tired, if i get him in the room before he yawns then we are golden)...read a few books, sing some songs, play *got your nose* whatever. if you are going to nurse during this time do it @ the beginning of the routine (however, i suggest training him to eat upon waking so you dont have to worry about holding) then when he is drowsy lay him in his crib, kiss him, and leave the room.

now, you have several options here. CIO/pick-up, put-down, there are several out there. I've kind of morphed them into my own. I let Coy roll around in there, play, whimper, etc. If he gets *hysterical*{which is rare now} i go back in, pick up over the crib or rock for no longer than 2 minutes, then put him back down. 9/10 he falls to sleep on his own. this happens if i miss the sleep window or if we have company. otherwise, he rolls around for 15-20 minutes and plays by himself then falls asleep. i firmly believe it is because i've remained consistent with the bedtime routine. when i fell off the wagon during seperation anxiety it took 4 days to get him back to where we were.. anyway, this is terribly long and i should be scrapbooking. pick up that book and get started reading. ask more ?s if this sounds good to you.
Sep 08, 2008
mom2coy
Coyle Eagan. One Year Old. Doing well on Cow's Milk flavored with juice :) Drinking two bottles of Go&Grow daily. Eating solids better but still have rough days. No More Silent Reflux-that I can hear anyway.. but puking again. Zantac 2ML 2X daily.
oh, and do let you both know my son vomited for several months and then had terrible (uncontrolled) reflux for several months too. just recently (in the past 2 weeks) has it started to slow down. but he still, at one year, has reflux. so, don't despair in my opinion you should be able to get them to sleeping good.
Sep 08, 2008
ethan's mom
Meridith, mom to Ethan born 4/23/08. Ethan was diagnosed with reflux at about 1 month. He has been on Zantac (unsuccessful) and Prevacid. He is currently taking 7.5 mg of Prevacid 2x per day, with good results. We also suspect MPI, though this hasn't been confirmed by a doctor yet.
Ethan is mostly breastfed, though we are doing one bottle of soy formula each day. We also do some homeade "solids' including, so far pears, avocado, sweet potato, and peaches.
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We are working on Sleep Training with Ethan now, as I feel fairly confident that his reflux is controlled enough not to be causing pain. The book I found was "The SleepEasy Solution", which cautions against trying the sleep training when reflux is an issue. However, it doesn't give any solutions for what to do to get you through until medicines/age/whatever, helps him to feel better.
The book does give a lot of solutions for helping them get back to sleep in the night without mom or dad. They suggest a "lovie" that the baby could be conditioned to associate with you. We have been giving Ethan a little blanket with a stuffed animal head to hold while he nurses, so that he associates it with good, comforting things, and it is starting to work.
Other options might be a small fabric square of the same fabric as your blankets, or as your nightgown. The book says that if it is less than 1ft by 1ft it is okay for kiddos older than four months.
I hope something in here helps.
Sep 08, 2008
ethan's mom
Meridith, mom to Ethan born 4/23/08. Ethan was diagnosed with reflux at about 1 month. He has been on Zantac (unsuccessful) and Prevacid. He is currently taking 7.5 mg of Prevacid 2x per day, with good results. We also suspect MPI, though this hasn't been confirmed by a doctor yet.
Ethan is mostly breastfed, though we are doing one bottle of soy formula each day. We also do some homeade "solids' including, so far pears, avocado, sweet potato, and peaches.
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I had one other thought that could be relevant. . . He might be missing the warmth of sleeping with you guys, and that may be causing some of the trouble with sleeping on his own. Maybe a warmer set of jammies would help him out. Just a thought.
Sep 08, 2008
nicholas'smom
Feeling your pain. Nicholas is almost 5 months old and had been showing some promise with sleep going a 7 hour stretch a few nights a week but now he's back to 3-4 hour stretches only. I know he is teething and hope it gets better after they come in-of course, considering how much teething they do the first two years--ughhh. Anyway, I go back to work next week and it's going to stink being this tired there. He still sleeps in his own crib but in our room and I want to move him to his own room before he gets much older. Hope things get better for you.
Sep 08, 2008
babymomma1
Mom to Peter - 10 months old with reflux on prevacid and dairy allergy
Thanks. GOod idea about the warmth. Our son always sweats when he's in bed with us and so I figured he'd be more comfortable not as warm, but maybe you're right. We always dress him cooly for bed as he runs hot and generally doesn't like to be overheated, but maybe he's grown acustomed to it. Regarding your 5 month old son - that's when we moved our son to his own room. It went great! He slept much better because he'd become so aware of us in the room that it was disrupting his sleep. It went great for a few weeks/month until his reflux flaired again, which is how we ended up where we are. But I just wanted to encourge you about moving your kid. I remember having very mixed feelings and telling my husband "I miss my baby". But within 2 nights his sleep was so much better that I never looked back (I mean, except the whole cosleeping fiasco we have going now :)
Check with your
doctor first!