Posted By Posting
Nov 29, 2011
lara
7 months still regurgitating is she under control
hi dear parents, i have some concerns and questions i would like to share. First my daughter is 7 months old and had reflux since 2 months old but was only treated at 3 months old with Prevacid 7,5 mg which i increased to 15 mg a month ago. She cries much less and accepts to breastfeeds most of the time (after having rejected the breast for several weeks even two months) but still cries in the car seat and some other times during the day for no obvious reasons + still regurgitates 30min - 1h post-prandial when i hold her (cause it seems to squeeze her belly when i hold her to keep her upright) but less then before - around 4-6 times a day. I wonder if the Prevacid dose is enough or if motilium or gaviscon should be added. Also when i look back i figured out that my son who is 3 years old had reflux that was never treated but that seemed to had improved at 1 year old. I still wonder if he is presently a silent refluxer since he is a picky eater and is very slow at eating small pieces (we have recently removed his adnoids and tonsils if it matters) ... any help or suggestions... i read almost all ur website but still have these questions, thank you a lot in advance.
Dec 01, 2011
dcd
My daughter's reflux never fully got under control until we upped her dose to 27 mg/day (split dose morning & night). She's 21 months old now and her reflux is much improved. We're trying to wean her off Prevacid and she currently takes 21 mg/day. If you feel like your daughter is doing better but not as well as she could be, I would consider trialing a higher dose. Are you careful to give it to her on an empty stomach, at least 1 hr. before a meal?

Have you considered trialing a PPI with your son to see if that helps with his symptoms?

Dec 02, 2011
lara
Hi dear, when infants are under control with Prevacid, do they still regurgitate. because with 15 mg Prevacid she stopped the non stop crying but still regurgitates although much less, does it necessarly mean we have to increase the dosage. we are currently trying Motilium with the Prevacid. also, for my son, he does not seem to have any pain and i don't want to overmedicate, but he is a slow and picky eater and used to have an untreated reflux. What do you suggest.
Dec 02, 2011
lorenzomama
Lorenzo b.4/25/07 1 week in NICU w/ aspirate pneumonia from a reflux episode; diagnosed GERD at 9weeks; Used Zantac for 5months. Currently using Chinese Medicine and Craniosacral Therapy. GERD, Obstructive Sleep Apnea, Sensory Processing Disorder. Ask me about breastfeeding a refluxer! Pic: day 5 in the NICU.
Neither the H2 blocker nor PPI's are designed to stop the regurgitating/spitting up. They are designed to limit (in the case of H2 blockers) or eliminate (in the case of PPI's) stomach acids, thus reducing/eliminating reflux pain. For some, that also seems to reduce the frequency of spit ups, but not for all.

It may also be helpful for you to note that even non-acidic reflux can cause discomfort and can also cause many of the side effects of reflux (like frequent ear and/or sinus/respiratory infections, enlarged/inflamed tonsils and adenoids, feeding issues, sensory issues, apnea episodes, etc.), though this is not the case for every child.

Dec 04, 2011
lara
in what case should we see a GI pediatrician and in what cases should we be scared of surgery or compx of reflux like barett oesophagus and others. we are presently trying motilium to decrease spit ups. it's been 4 days she is taking the med and still no improvements. only prevacid decreased the pain associated with the regurgitation. she is gaining weight but i still stress when putting her in the car seat and going out cause she cries all the time and regurgitates (although less than before). i breastfeed her and she sometimes refuses it although better than before because she used to reject my breast...any tips for breastfeeding... also coming back to my son who is 3 years old now, when i look back i figured out that he had reflux that was never treated but that seemed to had improved at 1 year old. I still wonder if he is presently a silent refluxer since he is a picky eater and is very slow at eating small pieces (we have recently removed his adnoids and tonsils that might have been caused by reflux maybe) ... i asked a general gastroenterolog if i should try prevacid now and he said no but i wonder if it could help him eat better...not sure if it is all post trauma side effects of reflux or that he is still refluxing...although he sleeps well now and does not complain ( whereas always cried as a baby, never sleeped, cried all the time)...but maybe he got used to reflux who knows and that he is not refluxing no more, thank you a lot in advance.
Check with your
doctor first!