Posted By Posting
Mar 23, 2011
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.

Mar 23, 2011
Hi! So glad to hear the neocate is working? Did you win the battle with your insurance company to get it covered? When you are talking about saliva I hear aspiration of the extra saliva because of teething. This can cause the gurgley sound along with congestion. Also are you using orajel or anything because that can make her salivate more. Have you tried a frozen washcloth?
Mar 24, 2011
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.
I think you've done exactly the right thing...i would check her breath in the evening before can smell acid EASILY...I think you're probably on the right amount of meds, but the teething is just HAVOC for puker puked WAY more when teeth were coming in. The thing that helped Zacky was an ice cube or popscicle piece in the mesh feeder...he LOVED it...he'd go through 10 ice cubes in an afternoon! I totally agree witht he motrin at night too (tylenol to me is a capful of nothing...does nothing for my headaches, so I cant imagine it working for Zacks)...Is she elevated at night at all? I had Z sleeping on a wedge til he was well past 2. Good luck!
Mar 24, 2011
Ryan was born May 20th 2008. 9 lbs 2 oz. Ryan’s magic bullet was 30mg of Prevacid capsules mixed with Caracream from Marci-kids (I am forever indebted to the team at Marci-kids), Claratin for the mucos, and Mirlax for the constipation. Within 2 months of this combo he jumped from the 6% to the 50% for weight and continues to climb. Be strong, listen to your instincts. Read his story for more specifics that just might help you too - Karen
Booo.. Those molars are a drag!! If you are still using the caracream I wouldnt think twice about using the Motrin. She needs it for the pain and the caracream will knock out the acidic effects. The reflux will calm down after the teeth come in. If you are worried, you can up the dosage a couple of ml till the teeth come in. I always did that. I didnt want acid damage on those new teeth.

Some people swear by teething tablets. I never had huge success with them but every kiddo is different. Maybe they will work for her.

Mar 25, 2011
Thanks ladies! I think we're on the right track. I upped her PPI just a little, which is easy since we're using Buffer Babies, and I'm still giving her Motrin at night before bed. I'm feeling confident the increased reflux and restlessness is due to the teeth and pain from the teeth, because she sleeps great after the Motrin, until it wears off many hours later. Then I give her a dose of Tylenol and she sleeps soundly till morning.

Molars suck! But overall we're in a good place. The last year has been difficult and confusing but I've had some clarity lately about Kylie's really is just as simple as MSPI (which I'm hoping she outgrows soon) and regular old reflux. She does NOT have food allergies or sensitivities (except for milk) - we've been giving her a higher dose of Prevacid and we've been more consistent about it, so now we see that we were habitually underdosing her before, and any "reactions" to foods were just the foods flaring her reflux (which makes sense...her body is used to Neocate which requires almost no digestion, so of course the reflux is minimal unless you start adding foods into the mix.)

We spents months wandering down the food allergies path after a BAD doctor told us she had 30+ allergies...multiple doctors since have refuted this, but by that point I was so mixed up. Now I feel like I'm seeing clearly and I'm just relieved. She's doing so great! Just gotta get through these molars!

Check with your
doctor first!