Posted By Posting
Dec 19, 2008
tigger
Looking for some advice
Our 7 week old was diagnosed with reflux 5 weeks ago after a scare that required ambulance attention and a night's stay in the pediatric unit. We introduced Zantac at 2 1/2 weeks old and it seemed to work well up until one week ago (already had one dosage change with her weight gain). I was pumping exclusively as she wouldn't latch on and I honestly didn't have to give to nursing with a 3 1/2 yo in the house. Over the past 2 weeks I have backed off on the pumping and introduced Enfamil Gentlease. Her bm's were AWFUL and she had horrible abdominal pain. Two days ago we switched to Carnation Goodstart and Prevacid. She seems to be doing better on the new formula and her bm's are 10x better! My questions are: How do you mix the Prevacid? (open to suggestions!) When to exactly give the Prevacid? We got the RX change over the phone and haven't seen the ped. to discuss. How to deal with tummy time? I'm sure I'll have more questions later, but this is a good start. BTW, this board seems like a great resource! Thanks in advance, Mary
Dec 20, 2008
emibug
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.
my youngest Audrey is on gentlease too and i was under the impression by the pedi it was supposed to be great, but really i think it is a big factor in her belly pain. I have been thinking of switching her to carnation good start as well, let me know how your daughter does on it! Some kiddos are tricky and they do well on a new formula for a couple weeks then bam! it disagrees with them. There are many refluxers that are able to tolerate milk protein formula or even soy formula but in my experience there are a majority that just don't. milk and soy proteins aggravate reflux. you could switch to a formula like nutramigen or alimentum until the reflux cools down, and then switch later like a month or two.

which prevacid do you have, solutab, granules(pills), suspension?? with a baby that does not eat off a spoon suspension is best, a baby that eats off a spoon you can dissolve the solutab in a bit of water on a baby spoon (i do this for my almost 2 year old) with granules the same thing spoon fed babies do these better. ALL PPIs (prevacid, nexium, ect) work better given 2 hours after a meal on a empty stomach AND a half hour before a meal.

tummy time... with Audrey we do tummy time on my bed, or lay her tummy down over her boppy. with emily i didn't really know about this board until she was 6 months old so i left her on the floor to scream through tummy time b/c the pedi told me it was important... now i know quality of life is much more important. i'm sure other moms will have some good ideas.

welcome to our little reflux corner on the web glad you found us but sooo sorry you have to be here, you are amongst good company! i wish the best for you and your little one :)
Dec 20, 2008
isobel'smamma
Sara, Mom to Isobel 10/01/08 Dx Silent reflux @ 6 wks. Prevacid 22.5mg split in 2 doses. Pepcid .5ml twice a day. Diagnostically confirmed milk protein, egg and cat allergy. Suspected corn, pea and squash allergy. Trialed Alimentum and Elecare without success, currently on Isomil Advance RTF with moderate success. Barium Swallow and UGI 3/08 Pondering a ph probe and endoscopy.
Prevacid

I had the same questions about how to dose Prevacid. I mean how to actually get it into my infant. We use the Solutabs so.........

Prevacid makes a dosing syringe that they give out to docs. Ask your doctor if s/he has any to give you. If not, I would go to a med supply company and order some 3cc or 5 cc slip tip (tuberculin) syringes without needle. I say 3 or 5cc because they have a big enough opening when you pop the plunger.

As for actually using the syringes, pop the plunger out, drop in the pill, replace the plunger and draw up 2cc's or so of distilled water and presto-chango, you're ready to go. Just shake the granules down to the tip as you administer.

I hope this helps, this is how we do it. As far as tummy time, my LO screams when we attempt. I wear her all the time in a Sleepy Wrap so she's getting the opportunity to strengthen her neck muscles. I also lay her on my chest and recline in my glider - she pushes herself up and looks around that way.

Good Luck!

Dec 20, 2008
emibug
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 forgot all about the syringes! i didn't know prevacid made their own that's kinda cool. I had the worst time with the prevacid and syringes, and your way sounds much easier. i never thought to do it that way. i was told to dissolve the tab in water then suck it up with a syringe, too hard!
Dec 20, 2008
kubicki5
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.
I always stuck it in her cheek before a bottle. It melts pretty quick. Although I don't know if that is in line with the empty stomach rule.
Dec 20, 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!
We did the gamut of formulas as well, and the Good Start was the best for us. As for PRevacid, it needs to be given on an EMPTY stomach (at least 1 hour, better if closer to 2 since last feeding) and at least 15 min before next feeding. As for dosing it, we did the syringe and water for a while, but at 4 months, it was much easier to hold it in her cheek to dissolve.

Tummy time - my lo loved tummy time, and her ped gave the go-ahead early since she held her own head up at 2 weeks. We used a flattened (ie-old) bed pillow so her whole body was supported and just played with her for a few minutes at a time. Also did a lot of laying on our chests and over our torso sideways.

Dec 21, 2008
tigger
Thank you for your help girls! We gave the Prevacid 30 min before her feeding tonight (2 hours after her last feeding) and it seemed helpful. She was so smily and alert after. Hopefully things will continue to improve. I will definitely be asking for a syringe. Do you think the pharmacy would have one? We are in the middle of a snow/ice/windstorm so it will have to wait until driving conditions improve. Thanks again!
Dec 21, 2008
isobel'smamma
Sara, Mom to Isobel 10/01/08 Dx Silent reflux @ 6 wks. Prevacid 22.5mg split in 2 doses. Pepcid .5ml twice a day. Diagnostically confirmed milk protein, egg and cat allergy. Suspected corn, pea and squash allergy. Trialed Alimentum and Elecare without success, currently on Isomil Advance RTF with moderate success. Barium Swallow and UGI 3/08 Pondering a ph probe and endoscopy.
Syringe
My Walgreens didn't have any syringes (other than insulin) in the pharmacy department. What they DO carry though is Wellements organic gripe water (GREAT for stopping wet hiccups instantly) and it comes with a 3cc slip tip syringe. Hope y'all are staying warm.
Dec 24, 2008
eamonn's mom
Administering Prevacid, dosage
Hello, all. My little guy is 5 1/2 months old and we've been on 1/2 a 15 mg. solutab once daily for about two months now. I noticed a reduction in the amount he spits up within about a week. Now that I'm reading your posts on how/when to give the dosage, I realize we've been giving it probably incorrectly since the get go. Our problem is that my husband and I both work and leave the house by 7:45 am. We have a day care provider who comes to the house between 7:30 and 7:45. She's wonderful but foreign and while she speaks great English, she sometimes doesn't understand everything we tell her. We prefer to give him the meds before we leave for the day since this was hard for us to do, too, and would certainly be difficult for her. If he wakes up for a morning feeding around 6 am or later, we give it before or after that bottle. If he's been up a few hours before that, we usually have to wake him up before we leave to give it to him. He may or may not be close to the next feeding at that point. For us, it's nearly impossible to give it on an empty stomach unless we did it in the evenings. The latest development is that he has the weird posturing (neck turning and back arching, staring) that is typical of Sanifer's Syndrome (not sure if any of you all have heard of or been diagnosed with that one). He's never been a calm feeder, always gassy and trying to push things out both ends while eating. He's gotten worse lately and feeding him a bottle on one's lap is like wrestling a baby zoo animal. I've often said to myself, "Geez, it's like he needs to be restrained or something!" Trying to reposition him is impossible because he's so rigid. Our pediatrician just recommended we increase his Prevacid to the whole 15 mg pill every day for about two weeks to see if the symptoms lessen some. You can check Sandifer's online-- there's a bit of info out there about what it actually is. Just a reaction to the pain of reflux and anticipation of that pain which makes feedings stressful. We had trouble with the syringe dosing at first with the pill refusing to completely dissolve. As one other writer noted, we put the pill in the syringe, pop in the plunger, and draw in a bit of warm water. I shake the liquid around and then make sure the little pink particles settle into the bottom of the syringe before giving it to him. I try to leave a little bubble between the plunger and the liquid since if I don't, the particles stick to the plunger like glue. We figure he's getting most of it this way. Cutting the pills in half doesn't work well and some of it always crumbles away. We just do the best we can. I think maybe trying to stick to the empty stomach rule might improve the effectiveness. Will try this. Good luck to all who are dealing with reflux!
Check with your
doctor first!