Posted By Posting
Jan 20, 2009
constipation and reflux
I was wondering if anyone else has experienced the 2 together. We are dealing with a 5 week old who is failure to thrive related to acid reflux. We started on Zantac now on Prevacid. Also thickening feeds, increasing caloric intake, elevating 30 min after meals, elevating 45 degrees when sleeping, Maalox before and after feeds, using Alimentum formula ( no breast milk tried to breast feed) a nd rectal stiming him 4 times a day to prevent vomiting. We aren't sleeping much he can"t lay on his back. I can't touch his belly he arches his back and screams. He"s hrd to burp all the time. He wakes up screaming from being gassy. The hard part is I am a pediatric nurse and can"t even fix my child. Very depressing. Anyone experienced the same???
Jan 21, 2009
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.
Hi there & welcome. So sorry you're going through this.

I know nothing about the formula you're LO is on but I have a couple of thoughts. First, Prevacid takes a while to work - 7 to 10 days seems common for most. You must administer prevacid on an empty stomach 30 mins before and 2 hours after meals. Prevacid and Zantac do not get along- dosing should be separated by at least 2 hours (according to my pharmacist).

Have you looked into milk/soy allergy or intolerance (mspi)? Reflux,constipation, gassiness, and extreme fussiness can all be symptoms. My LO is mspi and didn't have blood in her stool.

this board has helped me feel less alone and helped me put things in perspective. I hope it helps you too.

Jan 21, 2009
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.
My daughter had reflux and constipation as an infant. The constipation eased up a bit after we switched to Nutramigen. My pediatrician suggested pear juice which helped with the constipation but seemed to make the gassiness worse.

These early days are the hardest with no sleep the little ones haven't developed enough to deal with the reflux. I would give the prevacid a little time and watch the timing.

Jan 21, 2009
Pictured: G'mom w/3 kids. I'm mom to 1 angel Melissa (dec'd 11/92 - hypoplastic left-heart syn.)
2 healthy daughters (knock wood) Cory (16), Kim (11) & Eric (4) diagnosed with e.e. (scoped 8/08), GERD & severe food/seasonal allergies, asthma. Cried non-stop first 17 mths. of life Found out he is allergic to cow's milk, soy, eggs, and peanuts. Takes Prevacid, Neocate One Plus & Flovent.
Just a warning & believe me, we had a Children's Hospital, GI Dr., & our pediatricans miss this for well over a year. Our son was being treated for reflux the whole time & while that may have also been an issue, it was mostly a milk/soy allergy. Arching the back, reflux, trouble sleeping, bathroom issues, vomiting, & skin rashes are all signs. An elemental formula (Neocate or Elecare) was the only thing that helped our son. Good Luck. Ellen
Jan 21, 2009
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, this sounds familiar! My dd was about the same - at 16 months, we're still dealing with constipation issues, though not due to any allergies or MSPI/MPI. Prevacid took nearly 2 months to wrok, but I'm glad we waited it out. We tried Prilosec, Zantac, Reglan, Axid, and Pepcid, along with just about every possible formula.

I actually gave up burping my dd after about 3 months - she vomited the whole bottle if we burped her, so I told the ped I was going to stop and see what happened....guess what...she was a heck of a lot happier when I didn't force it, and she wouldn't lose the whole feeding.

Have you tried different bottles/nipples? I loved the playtex drop ins since you get get rid of all the air. Just a thought.

Can you try Maalox or Mylanta for the reflux and gas? If you do, find the ones that have aluminum/magnesium to increase intestinal motility - the ones with bismuth will make the constipation worse! I'd call the MD and see if you can use babylax or the like to empty him until you find something to get the intestines going.

There are some ways to make your life a little easier - baby sling for carrying, elevating the head of crib/bassinet to about 30 degrees, swaddling, infant massage, warm compress (think hot water bottle) against his tummy, holding him upright for at least 30 min after feedings, warm bath for the gas.......

Welcome to a touch of sanity here!

Jan 22, 2009
Adriane Reese 05/16/07; seemingly healthy when born; diagnosed with MSPI, severe Reflux, Apnea, Ashtma, Epilepsy, and severe food allergies(rice, corn, milk, soy, eggs, oats, wheat, beef, chicken, squash, pumpkin, avocado, etc.);On apnea monitor, seems to be tolerating RCF w/carbohydrate mixed in; on Zyrtec, Xopenex, Prevacid
Has he had any tests done? Some are less invasive than others but we had them done when A was about your son's age, maybe a little younger. Pyloric stenosis should be ruled out. Also, they should look for motility problems. Perhaps a barium swallow and/or ultrasound. We had both ruled out before having to be admitted and then diagnosed MSPI. We tried neocate and it worked for a while but not great but we were running out of options formula wise and I couldn't bf. We found a different formula that did work, as good as it is going to get is what the doc said, at least until her gi system matured. I think we are finally getting to that point and she is now 20 months old.

I'm not telling you that he will be that old or that you have the same problems. I think he could benefit from some additional testing if you haven't done any. The swallow and ultrasound are fairly easy on them at that age. The hardest part for A was the throwing up on the ultrasound tech when he force fed her some pedialyte. Which actually made me laugh because for once it wasn't on me. Good luck and keep coming around here for advice and support. This place is great! -Amanda

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