Posted By Posting
Mar 23, 2009
momma of 2 refluxers
New and need advice
Hi I have a 2 month old son with severe acid reflux. We were told at his 2 month check up that he's not thriving, even though he's been medicated for reflux since he was a week old. Our older child had reflux but not as severe. I've had to stop breastfeeding due to reflux and had to stop pumping because he had a severe allergic reaction to my milk (even after eliminating dairy). He is now on Nutramigen and handling it well, we've been adding thick it to his bottles but he is still spitting up often (4 out of 6 feedings the majority comes up). Yesterday we tried adding rice cereal, he was very full and happy with no spit up, unfortunately he now has diarrhea and eczema. We are now back to formula with only thick it added, he's back to spitting up and not eating as much with crying. Do you have any suggestions? Could he be allergic to rice cereal or is it the reflux? Help!!! 2nd question: He's on Prevacid now but does anyone have any suggestions on how to keep the medicine in his stomach long enough to work. He seems to always spit it up. Thanks for your time!
Mar 23, 2009
momma of 2 refluxers
Another question!
Has anyone used the guardian sleeper or the tucker sling? My son has only slept in an infant seat but is now outgrowing it. He can't sleep unless he's at a 30 degree angle and won't sleep at all in his elevated crib.
Mar 23, 2009
mommato3
I'm so sorry your having to go through this. I have a 4 month old that has severe reflux that is affecting his growth as well. He projectile vomits most of his food as well. My son is on Reglan (It can have some big side effects-but so far my son tolerates it great) and it is the only thing that helps him from vomiting. Without the Reglan he vomits so much that he has become near dehydrated. We also take Prevacid. I'm sure you know this just give it to him on an empty stomach and wait 30 minutes before feeding. He can be allergic to rice. Some people use oatmeal but my son could not tolerate either. I use Simply Thick to thicken his bottles. Thick It is made with corn starch which some babies can't tolerate. Simply Thick is a great product that most babies can tolerate. If he has a milk allergy, although he may be doing nutramigen well he may need elecare or neocate (super hypoallergenic). Nutramigen/Alimentum still have some proteins that will build up over time. Also my son is gaining weight for the first time in a long time on Elecare. He is not taking in any more ounces but my nutritionist says that it is so much easier for him to digest that he is gaining weight. It may be worth a try. Also I would definetly see a pediatric GI. They will give you a wealth of information on meds, etc. Has any testing been done? If not and it is affecting his growth I would at least request an Upper GI to rule out abnormalities, etc. We are in the process of scheduling a lot of tests for my son. You will get a lot of great advice as well as support on this forum.
Mar 23, 2009
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 used oatmeal cereal actually in the formula (skipped rice entirely.) It seems many of these kids can't tolerate rice very well. I'd ask if that's an option to using ThickIt. Also, adding it to the formula instead of ThickIt or Simply Thick adds calories. If allergies are suspected (MPI or MSPI) and you want to try cereal, stick with Beechnut - no soy is in there, like there is in Gerber. I'd also ask about Neocate or Elecare, once again if allergies are suspected.

We had the same trouble with spitting up the Prevacid. Are you using the tabs or compound? Tabs are so much easier - we tried dissolving it in a syringe, but it didn't work out very well, so we help the tab in her cheek to let it dissolve. If it's compounded, it needs to be done every 2 weeks and at a compounding pharmacy.

As for sleeping, we never tried a sling and my dd was a wiggler, so we aksed the ped if it was okay to prop her on her left side, which did wonders.

Many times the vomit is just there - my dd could lose most of her formula every day (I used to measure to be sure) but she was gaining fine, so I didn't worry too much. Meds will not stop the vomiting, unless you're on them for DGE, which would be Reglan. (Erythromycin used to be used and is now only given in special cases)

HTH - the moms on here are great.

Mar 23, 2009
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!
meant to say "held the tab in her cheek"
Mar 24, 2009
momma of 2 refluxers
Thanks for your help. He's on the tabs so I will try putting it in his cheek. He already sleeps on his side in the infant seat so he doesn't aspirate, however, once in the crib he won't sleep. My daughter had slept on her side and did much better but my son seems to be in a league of his own. Thanks for the info on the cereal. I'm very happy to have this support, I couldn't have found you guys at a better time.
Mar 24, 2009
zack'smom
Zack born 09/28/07 @ 31 weeks. Dx silent reflux @ 6 mo. Now not so silent. Switched to Elecare @ 9 mo. On Prevacid 15mg 1x daily. Looking to stop the puke and gain some lbs.
Puke stopped about 24 months and he's learning to eat...very slowly.
Still on prevacid and periactin.
My son is a projectile vomiter...rice cereal made him worse. Thick it or oatmeal was better. Also, the tab in the cheek didn't work for Zack. I give him the Prevacid dissolved in a 1/4 ounce of water or gatorade. Unless he has a coughing fit, it usually stays down. Good luck!
Mar 24, 2009
bethe'
Trying everything before surgery.
Gatorade?? I am just thinking about the stains lol. What ever works though:)
Mar 25, 2009
momma of 2 refluxers
Question to Zach's mom, Do you give the 1/4 ounce water w/ medicine in a bottle? Does it clog in the nipple? Also when did you try giving the oatmeal cereal? Is 2 months too young to try that type of cereal? Speaking of stains I soaked all of Tre's bib's in oxyclean last night and still the spit up stains are everywhere. Anyone have advice on getting the stains out???
Check with your
doctor first!