Questions for experienced reflux mamas!Kylie's 13 months old, and right now she has two enormous teeth coming in towards the back, on either side. I don't see that she's drooling any, but I've noticed she has been refluxing A LOT lately, like she hasn't done in 5 or 6 months - to where I can actually hear the liquid gurgling in her throat. This morning in the car I actually turned around to see if she'd spit up, something she hasn't done since she was a baby. (Her puking reflux turned into silent reflux when we switched to Neocate at 7 months.)
She's not sleeping that great either and has been restless at night.
Her teeth coming in look really painful. The one on the right just has two sharp shards of tooth sticking through the gum so far, and the one on the left is all purply-blue and bruised/swollen looking (it hasn't broken through yet).
She's on 18 mg of Prevacid per day and I have been thinking that the acid is under control. I know that if she's producing excess saliva (though I haven't seen any) with the teething and then swallowing it, this can exacerabte reflux. I know kids can still reflux, even if it's not acidic (and that this can be annoying and cause congestion, but it's not painful).
My first question: if you were me, would you be concerned about acid? Or would you assume the acid is under control with the relatively high dose of PPI, and that the reflux itself will calm down again once she gets through these teeth?
My second question: if you were me, would you assume the pain from the teeth is bothering her at night, or would you worry about acid? What is your experience with teething?
I am inclined to think her nighttime restlessness is due to discomfort from the teeth, mainly because last night I gave her some Motrin (I know, but it works better than Tylenol) at bedtime at 7 p.m. and she slept soundly till around 2:15 and then was a little restless.
If this all sounds par for the course with teething refluxers, ok. I just don't want to make the mistake of looking at this the wrong way and undermedicating her if she really is having problems with acid again and needs more PPI.
I know none of you are doctors...I have a call in to her doctor, but he's not always that helpful. I'm just wondering what you have done/would do in this situation.