Does anyone's baby have Acid Reflux?
MOST HELPFUL POSTS
Iridescent - posted on 07/21/2010
Acid reflux can mean a lot of different things. It can cause vomiting to the point where no nutrition is received from eating, aspirating which leads to lung damage, and esophagus erosion, but those are ALL the most severe level. When it's minor, it can mean it hurts (heartburn) and cause the baby to overeat, making the sphincter on the stomach weaker and worsening the problem continually. Even mild reflux should be treated for this reason.
Most babies outgrow reflux, but some do not. My daughter is one that has not - she is 3 years old now and it's a continuing problem. Sometimes reflux can be so severe it requires surgery to correct (Nissen fundoplication), and in those cases where it's recommended, it's usually best to accept it, but ask questions of the surgeon about his success rate and his rate of making the Nissen either too loose or too tight, causing a need for a second surgery to correct it. Usually with this surgery a g-tube is also needed to vent air, as the baby cannot burp, and some babies lose all desire to eat orally. This can cause the need for intensive feeding therapy and continuous tube feeds for quite some time (months or years). The Nissen can also "come undone" requiring it to need to be repeated at a later time. Illnesses such as the flu can cause extreme pain, and will require a trip to the ER for Zofran or other antinausea medications.
Milder reflux can be treated pretty easily. Feed in an upright position. Burp very frequently, regardless of age. If formula feeding, mix formula in 24 hour batches and keep them in the fridge to reduce air (fresh mixed formula has a lot of air in it). Use venting bottles (Playtex Ventair worked wonders for us). Keep the baby in a sitting position for at least 30 minutes after eating. Put a wedge under one side of the crib, or roll a quilt or some pillows under, so the baby is never lying flat. Give medications as ordered. Add rice cereal if prescribed, from as little as 1 teaspoon per 6 ounces all the way up to 4 teaspoons per ounce. Be aware that some of these treatments will cause either diarrhea or constipation, and may need treatment as well. Constipation will increase reflux, so prevent it if possible and learn how to check (feeling abdomen, not by counting time since last went). Even when not right after fed, try to keep in a seated position or fully upright. Realize that reflux will also increase as your baby becomes more mobile, usually dropping off after they are proficient at walking (15-18 months). Some reflux medications are long term - if you miss a dose, it might not be a problem immediately, but will later. These also take up to 2 weeks to be fully effective when starting. Others, such as Zantac (ranitidine) are very sensitive to weight changes, so if your baby gains 8 ounces you will need an increased dose if you see symptoms.
Cecily - posted on 07/21/2010
my son has reflux. i refused to put him on meds bc he is too little for all those chemicals, luckily my dr agreed. we did/do very thick bottles of rice cereal and formula. he still spits up a little at 7 months but he isnt puking anymore and he is very happy and healthy. 28 inches and 23 lbs!
Jaclyn - posted on 07/21/2010
Dont put cereal in the bottles try the formula similac sensitive RS (ready to feed). Both of my little one had really bad reflux and with my youngest we were almost out of answers until i took it upon myself to put her on this formula. At first it slowed down the reflux and spitting up and after a month or so it was very rare that she spit up.
Michelle - posted on 07/21/2010
Amy has pretty much broken it down into lots of details. I was never told to refrigerate my formula or premix it, nor was I told to use venting bottles. But those both sound like great ideas/solutions. I was told to put my daughter to sleep in her car seat to keep her in an upright position. When my daughter started showing signs of reflux her doctor at the time said it was nothing, that she just had an upset tummy and directed me to buy OTC tummy ease to sooth her tummy. Which didn't work. IT was to the point that at a month and a half old she would drink a 6oz bottle at each feeding, would burp (projectile) 95% of it back up, fall asleep and wake up screaming, starving to death. When I switched doctors her new doctor said what I posted earlier. She had lost so much weight that she was basically back to her birth weight at 2 months old.
He told me that the cereal in her bottles would help weigh down the formula and HOPEFULLY keep it in her stomach. Which did work for the most part. She still spit up, but nothing compared to what she was doing before hand which is why we put her on Zantac. I personally hate giving my daughter any kind of medicine, but did use the Zantac for a week.
I used rice cereal and she was fine with it. However, she did have a problem with constipation on occasion and I was told to give her a bottle with some Caryo syrup in it which would help with her constipation or watered down prune juice. Both helped alleviate the constipation, but I also did abdomen massages.
EDITED: MY daughters PEDIATRICIAN was the one who recommend cereal in her formula. SHE has never CHOKED or had any bowel problems with the exception of constipation as a baby. ALSO my daughter's pediatrician did his residence at Bridgeport Hospital which is part of Yale's medical program and was Chief resident during his time there. SO I trust his expert advice. HE is also specializes in Pediatric and Internal Medicine.
Iridescent - posted on 07/21/2010
Oh - and at the appointment where they check for reflux, they just give her a bottle to drink with radio-opaque dye in it, and scan her as she drinks it and watch what it does from there. Really simple, easy, not painful.
Acid reflux is a very common thing with babies which generally lasts from birth to 6 mths of age..exceptionally it can continue longer too. my daughter had it till she was 6 mths and it really aggravated when she was 4 mths...her pedi said it was normal...so we didn't give her any medicine but had one prescribed so that on any day if it got too worst we could use it. thankfully we used it only a couple of times. puking out a part of milk that they drink is pretty normal since their digestive system doesn't function properly...but if its too bad then u definitely need to consult the doctor. but most of the time it does get worst in the 3rd and 4th month before subsiding.
Dawn - posted on 07/22/2010
My son was diagnosed with Reflux at 3 months...he was very fussy, always spitting-up, hardly finishing a few oz bottle and arching his back. After being deemed "failure to thrive" and a month of working with different solutions (adding cereal to bottles, colic formula, Prevacid..) we finally found what worked for us: Enfamil AR (rice starch already added), Zantac 2x daily (as mentioned above, this is based on weight so needs to be adjusted often to remain effective, and also needs flavoring added...horrible mint taste!!!), and I inclined his crib mattress. Once my son started eating solids more frequently and began standing and cruising (7 months), I weened him off the medicine and haven't had problems since. As Amy stated there are many versions of Reflux, some more serious, but it is fairly common in the 1st year. To be on the safe side, I would ask your ped. for a recommendation to a GI specialist.....mine was great and I truely credit them for my son's rapid turn-around. Good luck!!!
Michelle - posted on 07/21/2010
well IMO you should just feed her what she likes, unless she is allergic to it. But my only question for the formula change is did you wean her off of one or just switch her cold turkey? That could cause more of a problem with colic and constipation. SO I was just curious.
Peita - posted on 07/21/2010
My little girl was diagnosed as a 'happy chucker' by her doctor lol! She would bring up huge amounts of milk and food, but was still gaining weight and didn't seem too worried about it!! I switched her to S26 Reflux formula which has a thickening agent in it and she did get a little better, she is 9 months old now and still brings up small amounts, but I think it is something that she is going to have to grow out of! If it is ACID reflux, it generally hurts your babies throat when they vomit because of the acid in it, but my girl had just bad reflux, no pain or acid! The medication is a good idea to bring acid reflux under control when the are that little, it not a good idea to put cereal in the bottle, 2 months is too young to start giving food unless your doctor recommends it! Good Luck!
Michelle - posted on 07/21/2010
My daughter had acid reflux at that age. We waited to put her on medicine until after we tried alternate ideas. What worked the best was putting cereal in her bottles. 1 part cereal to 1 part formula. After a month she was doing great, still spitting up a little, but nothing like before. So we continued with the cereal and put her on meds for about a week. That was all she need and the reflux went away. Good Luck.
Natasha - posted on 07/21/2010
My son had acid reflux from the time he was a month old to six months. We gave him a medicine once a day and it seemed to help a lot. We never really had a problem with his medicine and he was definitely a happier sleeper when he had it! Once we started cereal and foods the reflux seemed to go away.
Kara - posted on 07/21/2010
Babies can have different symptoms with acid reflux. My son had it terrible from newborn to about 15 months. He was throwing up non stop everything we fed him. It was messy and stinky but he was happy! Didn't seem to bother him like it did us!
Then my nephew had acid reflux where it hurt all the time like heart burn! He just had to take some medicine once a day every day until about 9 months old! As long as he took his medicine he was happy! Hope this helps!
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