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my child has silent reflux? Help!
Hi,
My child is 3.5 months old. I believe she has silent reflux but not sure. I did take her to GI ped. and he thinks it's silent reflux. He put her on 1 ml of zantac twice a day (been 4 days now...) My child refuses bottle when she sees it coming, even before she takes it. She does not throw up but refuses the bottle. So, it's very hard for me to feed her. The only time I can get her to feed is when she is deep asleep. Therefore, I can't feed her in the daytime. It's a very frustrating situation, because she is only taking maybe 10 oz in 24 hour period. I don't know what to do...do I need to tube feed her? I do not want to force her to eat when she refuses, because I'm afraid she might get food aversion and make situations worse. If you have any suggestions, please help me. thank you. Julie |
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my child has silent reflux? Help!
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#3
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my child has silent reflux? Help!
"julie" wrote in message
om... Hi, My child is 3.5 months old. I believe she has silent reflux but not sure. I did take her to GI ped. and he thinks it's silent reflux. He put her on 1 ml of zantac twice a day (been 4 days now...) My child refuses bottle when she sees it coming, even before she takes it. She does not throw up but refuses the bottle. So, it's very hard for me to feed her. The only time I can get her to feed is when she is deep asleep. Therefore, I can't feed her in the daytime. It's a very frustrating situation, because she is only taking maybe 10 oz in 24 hour period. I don't know what to do...do I need to tube feed her? I do not want to force her to eat when she refuses, because I'm afraid she might get food aversion and make situations worse. If you have any suggestions, please help me. thank you. Julie As the GI doctor for a different medication if you think the medication isn't working but you might want to give it another week or so on the zantac because it's one of those things that you're not going to see an overnight difference with. Zantac did absolutely *nothing* to help my daughter's pain from the acid reflux and her prescribed regimen of giving it 1/2 hour before meals and at bedtime was too difficult to follow given her strange feeding/sleeping schedule. Prilosec can be compounded into a suspension (but it's very expensive) and prevacid has a powder that can be mixed with water into a yummy strawberry flavor. Both only have to be dosed about every 12-24 hours. By the time my daughter was put on prilosec (she's now on the prevacid), she was over 3 and had developed a nasty case of corrosive esophagitis and was very averse to eating anything because of the pain she experienced shortly thereafter. NG-tubes work well int he short-run (she had one from 5mo-9mo then got a g-tube), but they can cause sensory issues in oral-motor development that are sometimes difficult to overcome later when moving on to table foods. (i.e., don't want anything coming near their face like a spoon or fork during feeding or becoming averse to toothbrushing, etc.) Other general tips for helping keep the acid down is to put the baby in a car seat or bouncy-seat for at least 1/2 hour after feedings to let the food get past the stomach so that the acid doesn't come up. Even carrying the baby around can exacerbate the problem during that first half hour. Leigh in raLeigh mom to Aaron (8yo, ADHD) and twins Edward (4 1/2) and Claudia (4 1/2, Down syndrome, reflux due to hypotonia) |
#4
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my child has silent reflux? Help!
"julie" wrote in message om... Hi, My child is 3.5 months old. I believe she has silent reflux but not sure. I did take her to GI ped. and he thinks it's silent reflux. He put her on 1 ml of zantac twice a day (been 4 days now...) My child refuses bottle when she sees it coming, even before she takes it. She does not throw up but refuses the bottle. So, it's very hard for me to feed her. The only time I can get her to feed is when she is deep asleep. Therefore, I can't feed her in the daytime. It's a very frustrating situation, because she is only taking maybe 10 oz in 24 hour period. I don't know what to do...do I need to tube feed her? I do not want to force her to eat when she refuses, because I'm afraid she might get food aversion and make situations worse. If you have any suggestions, please help me. thank you. Julie Call the doctor. Ask her what to do. |
#5
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my child has silent reflux? Help!
On Sat, 15 Nov 2003 18:35:44 GMT, "Leigh Menconi"
wrote: Other general tips for helping keep the acid down is to put the baby in a car seat or bouncy-seat for at least 1/2 hour after feedings to let the food get past the stomach so that the acid doesn't come up. This sounds like a good idea, as does the idea of strapping a child onto a wedge at night, but I've read two studies that demonstrated that at best it does nothing, at worst it makes reflux worse. I can get the citations next week if you like. PF |
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my child has silent reflux? Help!
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#7
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my child has silent reflux? Help!
"Kathy Cole" wrote in message ... On Sun, 16 Nov 2003 02:00:24 GMT, (PF Riley) wrote: This sounds like a good idea, as does the idea of strapping a child onto a wedge at night, but I've read two studies that demonstrated that at best it does nothing, at worst it makes reflux worse. I can get the citations next week if you like. Those sound very interesting (not to mention counter-intuitive). I'd like to see those, especially if they also say anything with respect to keeping the kid vertical as opposed to partially horizontal for that half hour. Thanks PF. The thinking is that many of these bouncy chairs and car seats allow the kids to slide down in them and become "smushed". When you see one of these kids in this position it is not hard to imagine that the intra-abdominal pressure is increased. Presumably, something that keeps the head elevated and the back straight, without folding over the middle, would be better. -- CBI, MD |
#8
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my child has silent reflux? Help!
On Sun, 16 Nov 2003 19:01:05 GMT, "CBI" wrote:
The thinking is that many of these bouncy chairs and car seats allow the kids to slide down in them and become "smushed". When you see one of these kids in this position it is not hard to imagine that the intra-abdominal pressure is increased. Presumably, something that keeps the head elevated and the back straight, without folding over the middle, would be better. That makes sense; the wedge part not helping doesn't make sense to me, but I'd like to look at the studies. My youngest had what I understand to be typical preemie reflux, and his isolette allowed his head to be elevated, plus we used a firm wedge at the head of his crib mattress for a while. |
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my child has silent reflux? Help!
On Sun, 16 Nov 2003 14:39:17 -0500, Kathy Cole
wrote: On Sun, 16 Nov 2003 19:01:05 GMT, "CBI" wrote: The thinking is that many of these bouncy chairs and car seats allow the kids to slide down in them and become "smushed". When you see one of these kids in this position it is not hard to imagine that the intra-abdominal pressure is increased. Presumably, something that keeps the head elevated and the back straight, without folding over the middle, would be better. That makes sense; the wedge part not helping doesn't make sense to me, but I'd like to look at the studies. The wedge part would make sense if you presume that gastroesophageal reflux is largely influenced by gravity. I honestly think it is not. PF |
#10
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my child has silent reflux? Help!
"PF Riley" wrote in message
... On Sun, 16 Nov 2003 14:39:17 -0500, Kathy Cole wrote: On Sun, 16 Nov 2003 19:01:05 GMT, "CBI" wrote: The thinking is that many of these bouncy chairs and car seats allow the kids to slide down in them and become "smushed". When you see one of these kids in this position it is not hard to imagine that the intra-abdominal pressure is increased. Presumably, something that keeps the head elevated and the back straight, without folding over the middle, would be better. That makes sense; the wedge part not helping doesn't make sense to me, but I'd like to look at the studies. The wedge part would make sense if you presume that gastroesophageal reflux is largely influenced by gravity. I honestly think it is not. PF I do think it is largely *influenced* (not caused) by gravity since in many cases, the problem is the immaturity or hypotonia of the sphincter between the stomach and esophagus. A child whose sphincter closes off properly after feeding would not have problems in a horizontal position. In my daughter's case (hypotonia related to Down syndrome), her entire digestive system is slow due to the hypotonia so the acid remains in her stomach even longer than most (which is why she suffers from constipation on the other end). I agree that an improperly seated child (car/bouncy seat) could slump down and this slumped position could exacerbate the problem; proper positioning and propping up with rolled up towels to prevent that solve that problem. Leigh |
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