Help Relfux Question

7 Replies
Kel - June 5

Hi, my dd is 10 weeks old and at her 2 month appointment about 2 weeks ago, she was given Axid for reflux. Before she was given the meds, she was spitting up a lot and she was crying with her burps. After she would burp, she would act like she was hungry and take a couple of sips, but then start crying like it hurt. She's been on the med for about two weeks now and she seems to be better with eating, she not crying when she is burping or anything and seems to be a bit more comfortable but this past weekend she has started to spit up again. Do you think this is still the reflux and she needs different meds or do ytou think this spitting up might be a formula issue now that the reflux might be under control. I hate giving her meds so I'm wondering if with what meds she has now and a different formula she might be better? What do you think?

 

Bonnie - June 5

Hi Kel....First of all, ((((((hugs)))) to you...reflux SUCKS!!! lol As far as not liking giving her meds, let me set your mind at ease about reflux....All babies are born with a mild amount of reflux. Generally the tummy is not developed enough and the valve that keeps food down does not close properly which causes the spit ups. It's normal and no problem UNLESS your baby spits up so much that she loses weight OR she has pain. When they have pain, it's because they have high levels of acid in their tummies that come up with the food. This acid burns the esophagus and throat. I had this as an adult when I was very overwight at one point and believe me when I tell you, acid reflux HURTS. Enough so that I lost the weight! lol...Anyway...this burns the heck out of them. If it goes untreated, the burnign can eventually cause permanent damage to the esophagus and cause scarring that can lead to speech problem and surgery. Sp if she was crying from pain, she most definately needs to be medicated, youi are doing teh right thing. Axid is an H2 blocker which works by nutralizing the acid levels. It is VERY weight restricted on dose so if she suddenly becomes fussy the med probably will need to be upped. Allr eflux medications will NOT stop the spitting up though. That will go away with time. What they will do is neutralize the acid so that it is not painful or burning. So the spit up is okay, it's the crying and pain you want to watch............Also,,,,there are occasions where H2 blockers are not enough and you need a stronger med like Prevacid or Prilosec that shuts off the acid pumps all together. But it sounds to me that yours is doing just fine on the axid. Don't worry about the spit up, just monitor the pain. If she gets fussy again call the ped about upping the dose and if that doesn;t work then consider the PPIs. Most babies will outgrow this around 1 year. Hang in there!!

 

Kel - June 5

Thanks Bonnie. Your post made me put my mind at ease. But just one question, now that it seems that the reflux is under control (thanks goodness) do you think a gentilier formula might help with the spitting up?? She isn't on anything special right now, just Similac Advance.

 

Bonnie - June 5

It is certainly possible, but bear in mind that everytime you change formulas it wreaks havoc on their tummies and takes a couple weeks to adjust. I would call your ped on this one. Ask about possibly thickeing formula first. rarely it can make reflux worse but usually can help. The downside of it is that it adds a lot of calories. Mason was a very large baby and all the formula thickening took him out of the normal range. BUT, it can really help keep a lot of the formula down. You will need larger nipples ( level 3 or even y-cut) for the formula can get through and you are looking for the consistency of nectar or honey. Sometimes thickening with rice can cause constipation and gas in young babies as their tummies can't handle it. There is a product out there that we used called Simply Thick. theyh ave a Web site. This stuff is brilliant, hypo--allergenic and has only like 5 calories so it is awesome. The downside is that it is $$$$$$. You can check their web site out then ask your ped's opinion on the matter.

 

Bonnie - June 5

P.S. Kel, check out the forums at www.infantrefluxdisease.com I go there a lot (under Mirra).

 

Kel - June 5

Thanks again, Bonnie. I really feel better. I know the meds are working cause my dd used to SCREAM after burping and with every burp, she used to have some spit up come up. The spit up with the bupring has decreased a little, but it seems like I everytime I put her on her back to play or whatever, she spits up. I'm going to ask the ped. If you don't mind me asking, what formula did you use for your little one. Oh -thanks for that other website, you're the best!

 

Bonnie - June 5

The doc originally blew it off as colic because back then Mason had silent reflux (no spitting up). He switched us through a tone of different formulas including the scary-expensive Neocate. We finally put him back onr egular Enfamil which is what he's on now and is fine with. I would recommend that if she is not in pain and is pooping fine, don;t switch the formula. The spitting up part is okay. Reflux peaks at 4-5 months so expect it to worsen on the barf factor. Mason has now become a spitter since starting solids and he literally spits up every 5 minutes or so when he is awake. BUT....he is happy. So I have just learned to color-coordinate my clothes for what he is eating, rofl. I would sya to try a little thickening for now (if she is not too heavy). You can try it with rice cereal first and if she reacts bad, go to something like simply thick. One problem with any thickening is that it can trap air bubbles and cause gas when they were young so I just preferred to let Mason barf......If you really want to switch formulas...you can also try Enfamil AR. It is SLIGHTLY thickened. It's still evry runny and will work with a normal nipple, but it's just a little bit thicker and made for spit up babies. Call the ped first though since he is already monitoring the reflux.

 

Bonnie - June 5

P.S. I am glad you feel better. You should feel great actually. that medicine is saving her from a lot of future problems. ;)

 

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