Posted By Posting
Nov 03, 2011
yanina
How can I tell if Omeprazole is working as it should?
Hello, I have been trying to find answers in other posts but I decided to just go ahead and ask. I need to get to sleep ASAP, since my son Gian hasn't slept more than 90 minutes for the past 4 months. He is on 20mg of Omeprazole daily, and nursing constantly. During the day has more like a sipper, and during the night he goes for longer periods. We co-sleep, which is the only way I found to survive the nights and still be able to function in the morning for the rest of my family. When Gian wakes up at night, he shows signs of discomfort. Not in pain, but uncomfortable. Before the Omeprazole I could tell it was real pain, because he cried screaming and had this ugly scary episodes of back-arching... but now I'm not sure what's going on... I'm thinking the Omeprazole only treats the acid levels and the esophageal burns but not the reflux itself, so he might still feel the fluids coming up his throat and wants to nurse to help keep them down. Or maybe he needs a higher dose of meds? Any thoughts? Thanks!
Nov 04, 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
You are correct... the PPI only takes the acid out of reflux so the burn is gone. The constantly puking and swallowing is still very bothersome to any person.. especially a baby. That could certainly be your issue. Do you keep your baby elevated at all times?
Nov 04, 2011
yanina
Hi Karen, thank you for your reply. Yes, he sleeps on an inclined bed and most of the day he is upright, since he is sitting up and trying to crawl now. He has always been a happy boy during the day, it's the nights that seem to be harder on him. I read your Story and I relate. If my son just brushes his ear I think he has an infection. So far, so good, but I'm always watching.
Nov 04, 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
So one more thought... fluid in the ear, even if it is not infected, can really hurt at night. I can speak from personal expirience. I have never had an ear infection but had fluid in there once. Wowza! It was annoying and didnt feel very good. A regular ped cant see the fluid. An ENT uses a tympanometer to check for fluid. Tubes would keep the fluid out of there. Worth looking into. You will likely get the response of "he doesnt have an ear infection so he doesnt need to be seen by an ENT" to which you can respond with "Just humor me and give me the referral. I am trouble shooting this and it seems like a resonable thing to investigate." Dont ask.. tell and check any emotion at the door. Its a business transaction. Some swear by tubes and others totally swear by cranial and chiropratics. I dont have a passion for one over the other. Its a personal choice.
Nov 07, 2011
yanina
Good Tip. Thank you!
Nov 08, 2011
dcd
I also swear by tubes for my reflux/MSPI baby. She's 21 months now. She got her tubes at 8 months and has only had one ear infection since.

Karen's right - even without an infection, the fluid can be troublesome.

Nov 08, 2011
dcd
Also, how are you dosing the Omeprazole?
Nov 25, 2011
yanina
Hi dcd, I used to give him half a pill (crushed) at 8 am and the other half at 6 pm. Then I switched to giving the full dose at 6 pm. His bedtime is 8 pm. The past two weeks have been worse so I'm going back to the first schedule... I asked the ped and she said I could play around and see how it turned out. So far, I would say Gian's body has gotten used to the PPI and we need to up the dose but apparently he is already at the highest amount his weight allows. Right now, I could not care less about my own sleep deprivation, it's just seeing my baby in discomfort every night that makes me worry.
Check with your
doctor first!