Posted By Posting
Aug 26, 2011
elizabethandthebear
I'm new and have some questions
Hello, my name is Elizabeth and I'm a mom to a 3 year old and a 3 1/2 month old. My 3 year old, J.J., was diagnosed with reflux at about 8 weeks old. He was one Prevacid (1/2 a solutab 2x a day), which worked great, until he was a year old. His ped took him off at a year old. I thought his reflux was over and all was good. He started getting chronic diarhea and malabsoring pretty much everthing. He was diagnosed with bacteria overgrowth caused from the Prevacid and given antibiotics, which firmed up his stools. During the course of trying to find a diagnoses for the chronic diarhea, he had an upper gi and a small intestine biopsy. The upper gi shown signs of chronic reflux and was put on Nexium, which he is still on (for about a year and a half now). I had no idea he was refluxing and he didn't show any signs of reflux other than when he would overheat in bed at night. I notice that when he was hot and sweaty (he would sleep in a sleep sack), he would reflux. Ever since I figured that out, and dressed and covered him appropriately, he hasn't had a reflux episode (it's been over a year). Other than the overheating thing, he never showed signs of reflux. I'm not sure if those overheating episodes are what caused the signs of chronic reflux or if he was refluxing at other times as well. How do I know when I should take him off the Nexium? The doc says that kids get used to the pain and sometimes don't know when they're really hurting. My 3 month old Garrett also has reflux. He's been on Zantac once a day since he was 5 weeks old, which is not working very well. I was told to up his intake to twice a day, but he doesn't seem to reflux at night that much, which used to be the worst time for J.J. Would giving him the second dose at night help him during the day, or is that dose meant for getting him through the night without refluxing. The reason I ask is because the doc gave me the option of giving him Prevacid (1/2 a solutab once a day), and I know Prevacid works. But, I'm afraid that Prevacid might give Garrett bacteria overgrowth too. I believe the bacteria overgrowth gave J.J. multiple food intolerances, which he is now getting over after being on digestive enzymes for a year. So, if giving Garrett Zantac twice a day would help him during the day, I might rather do that then give him the Prevacid. Or, do they both have equal chances of giving him bacteria overgrowth? I hope I didn't confuse you.
Aug 26, 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
Quick response and then I will be back. Bacteria overgrowth is just at possible with Nexium as Prevacid due to the fact they are both PPI's and stop the acid production. I am a strong believer in using a good probiotic daily when on PPIs and also adding digestive enzymes if needed too. I used both with my son.
Aug 26, 2011
elizabethandthebear
What about Zantac? It's not a PPI, so is there still a chance of it causing bacterial overgrowth? I read on one website that Zantac is not as likely to cause bacterial overgrowth because it doesn't completely suppress the stomach acid. Also, I've tried giving both of my kiddos dairy free probiotics, and they both don't tolerate them very well. It makes them fussy and disagreeable. Can you recommend a dairy free brand? I've tried a few different brands with no luck.
Aug 26, 2011
elizabethandthebear
I also wanted to ask if you thought that giving a PPI only once a day would cause bacterial overgrowth? My son was on it twice a day and got bacterial overgrowth, maybe just once a day would still allow a little acid production to keep the bacteria at bay? Another question, (sorry to bombard you)- My 3 month old seems to have mucous in his stools when he takes the Zantac. It's usually in the next poopy diaper after taking the Zantac. Is that normal?
Aug 27, 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
For probiotics I really like Florajen4Kids. http://www.florajen.com/products-florajen4kids.shtml I get it from my local pharmacy behind the counter in the fridge. Dairy and Gluten Free and less expensive than many.

Zantac- You can try it. I have found few bad refluxers that find relief from it though. I don't know of one person on this board that had luck with it.

I really like the Yo Baby Soy yogurt. Yogurt is wonderful for helping keep the good bacteria alive and well. Both my kids get yogurt every single day.

Nighttime Dosing- I always split Ryans PPI into 2 doses due to how fast they metabolize meds. I gave a morning dose and another dose around 6 pm. Zegerid has been my favorite PPI so far. I never dealt with Bacteria over growth. I don't know if that was just him or if it was the probiotics, digestive enzymes and yogurt.

Zantac and mucous- I am hoping someone else will chime in on this one. I never used Zantac. Ryan's reflux was severe. We skipped right over it.

Aug 28, 2011
elizabethandthebear
Thank you for the suggestions. I think he is also intolerant to soy- because he was really fussy after having asian food 3 times in one week. Is it more common for reflux children to be "intolerant" and not "allergic" to dairy? I'm wondering if the mucous is from being intolerant to trace amounts of dairy or soy. Also, his poo has also been green. His reflux doesn't seem to be bad if I have trace amounts of dairy, like in bread. But, maybe that's what's been causing the mucous and green poop. Thank you for your help!
Aug 28, 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
They can be allergic or intollerant. MSPI, milk and soy protien intollerance can display as reflux. Once you eliminate the soy and milk completely the reflux disappears. For other... like my son... their GI tracks are immmature for whatever reason and so they are sensitive. Ryan could handle milk based formulas but it had to be lactose free. His GI tract just could take the added stress of digesting lactose. I had him on Lactose Free Similac Sensative. When I changed him to whole milk I used Lactaid Lactose Free Whole Milk or the Walmart equivilant. Regular 1% milk never bothered him. Wierd.... I know. So the key is finding out what bugs them and avoiding it. Really watch it with the cereals and baby foods. What doesnt bother one refluxer will make a mess out of another one. I really believe that probiotics and digestive enzymes really helps with that though.

I know its is really hard to know what the right thing to do is. Its a guessing game. Best advice I can tell you is to document, go slowly and give anything new you try 2 full weeks before you abort mission. Also, try not to do too many things at one time or you wont know what worked and what didnt. Also remember that every child is different... even siblings. They like to keep ya guessing.

Sorry I cant be more help with the green mucous poo. I was able to trace Ryan gross diapers to the lactose. The change in formula took care of that. Hopefully DCD checks in. She is the resident expert on food allergies.

Aug 29, 2011
elizabethandthebear
I'm thinking that he is intolerant and not allergic if he's anything like my 3 year old. My 3 year old's skin prick test and blood test came out negative for allergies. But at one time he was intolerant to eggs, soy, wheat, nuts and dairy. This is so hard!
Check with your
doctor first!