Posted By Posting
Apr 03, 2009
ljmom1409
New mom questions
My 3 month old daughter has spit up since she was about 2 weeks old. The doctor suggested Zantac early on but she wasn't terribly colicy and did not want to give her medicine unnessarily. This week she had dried blood in her spit up two days in a row and then 1 day of blood in her stools. My primary care sent us to a pediatric GI and he prescribed Prevacid compound. She has had completely normal bowel movements ever since that one day and her spit up is normal as well. It doesn't seem very serious, and so I wonder if she really needs the meds. But then on the other hand, I don't want the acid to cause more damage to her insides.

Any thoughts? We go back to the GI in one month.

Apr 03, 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!
I questioned the necessity also, and my dd didn't start to spit up until aout 3 months old. I fought doing the scope, and my reasoning was basically how much damage could there be in a 6 week old? I got my answer when I finally relented.

I definitely say that the meds may be needed and take time to build up in the body to work effectively. Our only symptoms at the time of diagnosis was crying and arching - no vomit, no blood, no food refusal, etc. The GI may want to do some testing. At least stick with it for a month and talk to the GE at your next visit.

Apr 03, 2009
jeddsmommy
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site: www.caringbridge.org/visit/jedd
If you are currently using meds and you are seeing an improvement in things I would definitely attribute it to the meds. Did that make sense..LOL

If the symptoms are lessening and things are going better then I would say the meds are doing there job and to stay on them for a bit.

The alternative isn't fun. :(

Apr 03, 2009
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.
is she breastfed? blood could come from your nipples. If she is milk intolerant? she may not show signs in screaming or puking or constipation but blood in stool is a sign. Even with normal b/ms she could have a fissure. These are just 3 other options that may not mean she has reflux.

if there is blood or continued blood i would ask for some sort of scope (endoscopy or colonoscopy) or a stool sample. sorry if it sounds a bit much i don't mean to scare you but when my dd was spitting up blood it was a problem.

if she is responding well to meds i would continue them then ask the dr when the earliest you could try a med wean. it is best to wean off meds and not straight discontinue. but just about everybody here can tell you, these meds keep GERD kids happy, you take the meds away too soon and you will see an unhappy kid.

i hope you have no more occurrences of blood and your baby stays happy and healthy!
Apr 04, 2009
ljmom1409
thanks all. My husband has a concern - prevacid prevents acid from being produced in the stomach. what if she doesn't have acid and its something else, will that cause problems in her stomach? I don't want to make her situation worse. I am very confused.
Apr 04, 2009
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.
previcid does not completely stop all acid production, just most of it. The only way to know for sure if she is refluxing NON-acid spitup is to do a pH probe test. The pH probe will be able to tell you if she is having episodes of acid reflux or not. this is done at most children's hospitals. there is another test called a impedance probe. this test measures the acid and non acid refluxate and tell how high it is reaching in the esophagus. this test is done at motility clinics.
Apr 04, 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!
If it does end up being something other than reflux, don't worry about reducing the stomach acid - it will come back to a normal pH when the meds are stopped.
Check with your
doctor first!