Posted By Posting
Feb 17, 2013
3 month old with scary episode/diagnosed as reflux
Hi. My 3 month old daughter recently had a scary episode of being pale, unresponsive state, "out of it", and limp. We didn't know what was wrong with her so we took her to the ER. Doctors first suspected a seizure. All tests came back normal from EKG, blood work, and EEG. They briefly mentioned if being reflux. At her follow-up checkup with her regular pediatrician, he said she had acid reflux. They put her on Zantac 2 times a day, and also suggested I switch to Soy formula, as she may have a milk allergy they are suspecting as well. She had the same episode again 1 week later. I called doctor and now she is taking Prevacid solutab 15mg once a day. She has always spit up ALOT, had colicky symptoms for a period of time, and has ALWAYS been congested(cold symptoms). I don't see any change in switching her to the Soy formula. If anything I think she is actually more fussy and has more pains since we have switched. She was on regular enfamil before and now on prosobee. I have recently switched her bottle to Dr. Brown's and that has helped more than anything. I am a little leary about giving her the prevacid, but i am anyway. she has a checkup with her doc. this week but wanted to see if anyone else has had these symtpoms in their babies and can help me. I am wondering if we should try the A.R. formula for spit up or if we need to try the hypoallergenic formula. I just don't want to keep giving her these meds. It makes me worry. Another side note. Both times she had the episodes, she had been on her tummy quite a bit that day playing in tummy time. I don't know if there is any correlation. I am also still worried that it could be something else, like seizures, and its just not showing on tests.
Mar 06, 2013
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.
Sorry you didn't get a more prompt response -- this forum doesn't get as much traffic as the Infant one, so I forget to check it sometimes! How are things going at this point? Personally, I would want a more extensive look at the possibility of seizure activity than she probably got at the ER, though there are other explanations.

The two others that come immediately to my mind are, and obstructive apnea event (in which refluxed material either on its own, or as a result of inflammation from chronic frequent reflux, causes a temporary obstruction of the airway) or a central apnea event (in which the brain, detecting fluid in the airway, sends a message to the respiratory system to temporarily shut down to avoid aspiration) which in turn could lead to a dip in oxygen saturation adequate to result in the symptoms you describe. Most people only consider apnea in terms of sleep, but they can occur in infants during waking hours, as well, especially infants with GERD. The other possibility that comes to my mind is the third available response to a traumatic experience when "fight" and "flight" are unavailable -- and that's "freeze," also known as the immobility response. Reflux can be traumatic for babies, especially when it causes severe pain or interferes with breathing, and even newborns have the instinct to respond to trauma, it's just that their only option is usually immobility. I'd be happy to talk with you more about any of those if you feel they might apply.

Check with your
doctor first!