Posted By Posting
Apr 22, 2011
loveaft
new with gerd
My now 4 month old son was diagnosed with reflux at 2 months. he was throwing up most of his bottle everytime he ate and would cry during his feedings and for about an hour after his feedings. first we tryed soy formula and he is now on enfamil a.r. and taking 1.3 ml of zantac twice a day. seemed to help for a bit but he has become very cranky again. although he does not vomit anymore while hes eating he thrashes his head from side to side and when he swallows he cries like he is in pain. he also cries after the feedings and is not happy unless he is being held and walked around the house. the only other time he is happy is if he is swaddled very tightly with his pacifier in his swing. having a baby like this is very frustrating but i also have a 15 month old son on top of it all. they were less than a year apart. Any suggestions on what else i can do with my son? how can i help him? when will this let up? he was born 4 weeks early, could having reflux be connected to being born early?
Apr 22, 2011
vigilantmom
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
Your son needs more medical help. I would skip the Zantac and change to a ppi like zegerid or prevacid. Not many Babies find relief on Zantac. Go to www.Marci-kids.com to learn more. I would start with that for 14 days. If you don't see significant improvement I would change the formula to a gentler and more allergenic formula that is easier to digest. The AR isn't doing anything for him any way as it needs stomach acid to thicken up in the stomach.
Apr 25, 2011
dcd
I agree with Karen. PPIs like Prevacid or Zegerid (or Prilosec or Nexium...) are considered the gold standard in treating reflux because they actually stop the acid production from happening in the first place. H2 blockers (like Zantac) merely work to "neutralize" the acid once it's already there - and the body can quickly build up a tolerance to H2 blockers and they will stop working. Please do go to Marci-kids.com and read everything you can to learn more about the different classes of drugs and how they work.

I also agree that Enfamil AR is not the answer. Thickened liquids may "stay down" better - but it's not the act of spitting up that is causing him pain (which you know, now that he's stopped spitting up but is still having pain). It's the acid IN the spit up - and the acid burning his esophagus even when he doesn't actually spit up - that is causing the pain. You need to address the acid. Until that is under control the Enfamil AR will not help.

If he's still suffering once he's on a PPI (make sure it's an appropriate dose and that you're administering it correctly either on an empty stomach 1 hr. before a meal - or by using Buffer Babies or Caracream from Marci Kids), please look into the possibility of MSPI (milk soy protein intolerance). It's not an uncommon problem in infants less than a year old. Often reflux and MSPI go hand-in-hand...and it's difficult to tell which one you're dealing with, or if you're dealing with both, because the symptoms mimick each other.

To rule a protein intolerance in or out, you'll have to do a trial of Enfamil Nutramigen or Similac Alimentum formula. The proteins in these formulas are partially broken down so as not to cause digestive upset/reactions. If your son is particularly sensitive, he may even need Neocate or Elecare - specialty formulas in which the proteins are COMPLETELY broken down. These formulas are basically guaranteed not to cause reactions. To learn more visit Neocate.com and read everything under the Parents tab.

Keep us posted on his progress. Hope you can get him feeling better soon!

Apr 25, 2011
dcd
p.s. You should also get a referral from your pediatrician to see a pediatric GI doctor. They are more equipped to treat reflux. Getting a good doctor on board is key. Of course, unfortunately, some of us here were never able to find a doctor willing to help us so we just educated ourselves, learned from each other, and did it mostly alone, keeping our doctors in the loop but not relying on their help. :/
Check with your
doctor first!