Posted By Posting
Sep 26, 2010
satiyasmommy
Newly diagnosed 6 week old baby...Qs about Zantac absorption & sleep!
Hi there. I found this website after many sleepless nights with my new daughter Satiya, who was diagnosed with reflux and put on Zantac this week. Her symptoms pretty much from birth have been: -Several spit ups after and during each feed (sometimes an hour or more after) -Pulling up her knees and arching her back as if in pain -Crying most of the time when not feeding -Constant nursing and seemingly unsatisfied despite taking large amounts -Slow weight gain. She was 7lb 3oz at birth. Now 8lb 7oz. (We has 2 hospital readmissions for jaundice & dehydration so that also affected her weight gain). The Zantac has had no effect yet. I have my concerns that she doesn't absorb her dosage because she usually spits up within minutes of taking the medicine. Anyone else have this problem? Also, sleep...Satiya becomes so uncomfortable in her bassinet and always ends up writhing around and spitting up. Every time this happens I have to re-feed her as she seems to get relief only from feeding. I have the bassinet raised several inches but it seems to make no difference. For the past 24 hours we have basically not put Satiya down. We have been shifting her between myself, my husband and mom-in-law. I just seems insane to be doing this! But she will sleep for 3-4 hours on a chest and I know she is tired and needs her rest, so I want to give her that. I just don't know how long we can do this for. I sleep on & off all day (waking to pump or feed and eat) and then sit up all night with her. It is pretty lonely and my life has fast become far from normal. Being a mom is not what I expected it to be. One last thing, Satiya actually spat up a small amount of something yellow (bile?) today for the 1st time. Anyone else had this? Any advice/support is much appreciated. These forums are just about keeping mr sane!
Sep 26, 2010
lorenzomama
Lorenzo b.4/25/07 1 week in NICU w/ aspirate pneumonia from a reflux episode; diagnosed GERD at 9weeks; Used Zantac for 5months. Currently using Chinese Medicine and Craniosacral Therapy. GERD, Obstructive Sleep Apnea, Sensory Processing Disorder. Ask me about breastfeeding a refluxer! Pic: day 5 in the NICU.
((HUGS)) to you....and are definitely not alone, in any of this. My son is 3 1/2 now, but I still remember clearly those early months, that feeling of exhaustion and desperation, confusion and disappointment that being a mother was turning out to be such a far from what I had expected.

About the Zantac, how much and how often are you currently giving it? Sometimes changes to how and when it is given can make a difference, but it is also true that, for some babies, it just doesn't work. It is an H2 blocker, so its purpose is to reduce the acid. PPI's, which often work for babies for whom Zantac does not, eliminates acid in the stomach, and for some, that is what is needed to provide comfort. Just FYI, neither H2 blockers nor PPI's are designed to reduce the occurrence or frequency of spit ups -- although for some they help -- they are only designed to reduce or eliminate the acid.

Sleep is a common problem for babies with reflux, for lots of good reasons. For some, the mere fact of pain interfere with sleep. That can usually be helped a lot with medication. For some it is the existence of fluid in their esophagus, the reaction to its presence that is problematic, and that may be helped by medication and/or elevation, but not always. My son slept in a wrap or a carrier on my body, at all times, until he was about 6 months old, and even then he slept poorly, as elevation has never had an impact on reflux for him. There is also the possibility that something in your diet is difficult for her to digest in your milk - the usual offenders are dairy, soy, acidic foods like tomatoes and citrus, spices, caffeine, and cuniferious (sp?) vegetables like broccoli, all of which can cause gas and digestive discomfort in the breastfed baby. Also, babies who have been hospitalized early on (not the only reason, but a common one) can become highly sensitive to sensory input. For us, what seemed to work best was for me to wear him most of the time, and avoiding overstimulating environments (I often discovered these by trial and error).

And finally, given her weight, I highly recommend wearing her and learning to nurse upright, and nursing on demand, if you don't already. My son nursed A LOT -- about every 15-30 minutes for about 5 minutes -- but since I was wearing him all the time, it wasn't nearly as exhausting as it sounds.

Hang in there, and I am very glad you found this site. There are an abundance of knowledgeable and experienced reflux mamas here....

Sep 27, 2010
satiyasmommy
Thanks for the reply to my message lorenzomama- it lifted my spirits. Satiya is on a 3mg dose of Zantac twice per day. We increased it to 3 times per day today and she has been a bit more sleepy but no other changes. Still, it has only been 4 days. She has been extremely gassy today and her gas seems to bother her. I started a cow's milk elimination diet today, so we'll see how that goes. I also find that Soy bothers me, so I've cut that too. I do nurse on demand and in an upright cradle hold. I also have a sling, which my daughter loves but I am intrigued as to how you nurse in a sling. I have tried it but found I couldn't burp her in it. Without a burp, she just spits up. Also my sling holds baby more in a cradle...I think I need to get an upright one. Thanks again. It's good to remember there's a light at the end of the tunnel.
Sep 28, 2010
meredithy
Sleep
Hi! I am also new to this forum but I wanted to let you know that my son also struggles during sleep time! He can only fall asleep on our chest or being swaddled! Being swaddled has its down falls! He fidgets so much that he can pull his hands out and then it wakes himself up with his arms moving around. My husband and I were taking turns sleeping with him on our chest! That was until we bought the Nap Nanny! It is the best! He sleeps in it for 2-4 hours. Check it out! We found it at buybuy baby and it was the best $126 spent. It is in between my husband and I when we sleep and he sleeps on his side in it. I just don't know why my son fidgets and wriggles soooo much! If he is not swaddled he will wake up in 20 minutes! I feel your pain and want you to know you are not alone!!!
Sep 28, 2010
dcd
Meredithy - My Kylie was also a very restless, fidgety sleeper. I know now this is because she is allergic to the milk protein and corn in regular formula and breastmilk (she wiggled so much because her stomach hurt.)

P But when swaddled she would sleep soundly. If you're having trouble keeping your son from breaking out of a regular swaddle, I HIGHLY recommend either The Miracle Blanket or The Woombie. Both are amazing!

Nov 27, 2010
trish2492
(((BIG HUGS))) I went through heck with this reflux, all kinds of formula changes, wrong diagnosis. 40+ hrs no sleep, If I may suggest, I know you are brestfeeding, but would it be possible for you to give that last night time bottle, and any middle of night bottle of Enfamil AR with a teaspoon of rice cereal? You will need to use a "fast flow" nipple. I know..RICE before 4 months!! LOL YES. the advice came from my baby doc (God love her) and its been a God send, also I moved baby to crib, put a couple books under head of matress to elevate her just a bit. The Zantac is the "starter" med, if its not working after a bit, and they have increased the dose, talk to baby doc about Prilosec, a lot of others have better luck with it. Also If the Zantac is coming back up, try getting it in before feed, it can absorb in about 20 mins (feed slow LOL) I know you prob heard this already, keep baby upright 20-30 mins after feed. If all else fails, let baby sleep in carseat (padded with blanket is comfy, or swing with you close by. Good luck to you!! YOU ARE NOT ALONE!! At night when you feel as if you are, Just remember Trish (thats me!!) is right there giving you silent support!!!
Check with your
doctor first!