Posted By Posting
Dec 16, 2008
Reflux flare - Omeprazole increase or constipation?
Hi, I am a newbie here My baby Alice 7 months has been on Omeprazole 6.5mg for the last 4 weeks and it has been a dream, changed out lives. She has silent reflux but now she can eat a little solids and eat more generally and sleeps better and has stopped crying all day long. But 5 days ago she got very constipated and though this is somewhat resolved (she is going again but it is a bit too solid), she has had a total return of her reflux symptoms. Despite getting the poops out, her reflux is back and I'm wondering, is it because she gained weight and the drug stopped working, or can it take that long for the reflux to settle again after getting constipated? How long should I wait before I know what it is? Our doctor said we could up to 10mg for Omeprazole so I tried that this morning and will see what happens. All I know is her breath has come back all acidic again and I can hear the refluxate whizzing up and down inside her esophagus. I probably fed her too much apple sauce and banana :( She was doing so well it was like I forgot there was a problem but now we are back to square one and the poops still aren't right. Can I feed her fresh papaya to get her going more again? Or will this cause too much tummy pain? Thanks for any input or advice anyone has.
Dec 16, 2008
Kathryn, Pager Volunteer and mommy to Emily Mia 02/04/07. 3 years old with GERD. 30mg Prevacid and Pepcid AC. Mylanta needed for flares. Failed prilosec med switch. Tried and failed many med weans but GERD and pain are well controlled. Functional constipation. Reoccurring SBBO. Suspected IBD or autoimmune disease. Resolved issues: MSPI, CSID (acquired), Stage 2 kidney reflux, Chronic diarrhea.
Audrey Meadow 06/20/08. born 34/35 weeks. Still b/f and eats everything! ftt and chronic constipation.
i do remember reading that omeprazole is weight sensitive to i would talk to your dr. about it. I am glad she was doing so well, isn't it nice to get your baby back!?!

apples and bananas are pretty constipating and you are right, constipation is an aggravation of reflux. i would give it a couple days after you get a good bowel reginmine to see reflux flares to settle too. has the dr told you about using mylanta or maloxx??

i remember hearing somewhere that P foods were good to keep things moving prunes pears and yes papaya. i am not to sure about tummy pain though. There is a website most of us use to gauge the acidity of foods the lower the Ph the more acidic it is an more likely to cause tummy aches. I don't have time to look up papaya on there but i will gladly give you the website:
Dec 16, 2008
ethan's mom
Mom to Ethan, born 4/23/08. Diagnosed with Reflux at about 1 month, started medicating with Zantac, which wasn't helpful for us. At about 2.5 months, we started on Prevacid, twice a day, and that is working much better.
Ethan is breastfed and has a few solids that he is enjoying very much.
I haven't personally tried it, but have read that papaya is good for a sour tummy, but haven't heard much about constipation. We also have good success with butternut squash purees for constipation, and they don't seem to affect reflux, in our situation.
Dec 16, 2008
PAGER Volunteer Services Coordinator
Melina 7/24/02 now reflux free!!
Ella 5/3/05 GERD, asthma, hypotonia, food intolerances, esophagitis, IBS //
Ava 5/3/05 asthma, food allergies
Pic: My girls! They are getting so big!
Well, I can tell you that constipation made my girls' gerd much worse. I think Melissa (Maggiemom) used papaya to help her daughter's constipation so maybe she will weigh in on that one in a sec. I would def lay off the bananas and applesauce until it resolves. I (personal opinion) would try to get the constipation resolved first and then see if the reflux flare improves. If not you may need to discuss with your pedi whether the acid controllers are an accurate dose for your child's current weight. Did they mention any medicines to help with the constipation?
Dec 16, 2008
Thanks for the information everyone. Greatly appreciated. So Jen, could I ask, do you mean that Omeprazole at a higher dose could make the constipation even worse? Oh dear, I hadn't thought of that. We have been given Lactulose which is a sugar based osmotic laxative. It didn't really work the first 48 hours we tried it, so I'm afraid I resorted to brown sugar with a bit of water and that seemed to work. But I feel I can't give her sugar every day :( I'm based in the UK and they don't seem to give babies Mylanta which is such a shame. I asked the doctor about giving her 1ml of a similar product here in the UK and she said "Oh no, I have never heard of that" yet I'm sure it could really help little Alice. It's just horrible, I've got her writhing around my lap, squirming and whining and so uncomfortable and once again I can hear her gulping and gulping, it's just awful not being able to help them :(
Dec 16, 2008
Julie - I have three children. My youngest Katie is my refluxer. My first Ben was very colicy and is ADHD. My middle Jakob is pretty easy going. Katie had it bad as a baby no sleep for two years. She was on Nutramagin, Prevacid and Zantac. Thought we were through it but after age three it came back big time. After her scope she was put on Prevacid 45mg a day and mylanta as needed. Scope was in Sept. Showed damage in stomach and espophogus. It took about 7 months of medication and Reflux diet for her to start feeling better.
Mineral oil always worked well with Katie. Sometimes even the mylanta helps her to go.

Sorry she has flared up. It is so frustrating. I would give it some time after her bowel movements are regular for the reflux to subside.

Dec 16, 2008
Thank you Kubicki5, yes it is so disheartening and frustrating to see her flare up when things were looking up so much. You think to yourself that it is all under control and you can start to be just a little bit like everyone else and then it's like you're back to square one again. The poops are still solid so something's still not right - she's never been like this, so I guess it's going to take some time to get it all back to where it was before. I have bought a papaya and it's now nearly at a nice yellow ripe stage, so keeping my fingers crossed a little of that tomorrow will do the trick! Pear puree which used to keep her going really well seems to have stopped working. Oh well, it's a never ending journey of discovery... Hope to post some good news soon. Thks again to everyone
Check with your
doctor first!