How do pediatricians diagnose babies for reflux?

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Shamika - posted on 02/03/2009

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MY SON HAD GOT BARBARUM SWALLOW(LIKE AN X-RAY) ITS SOME KIND OF FORMULA THAT THEY GIVE THE CHILD U DRINK IT AND YOU SEE THE FORMULA CUME RIGHT BACK UP THATS HOW MY SONS PED TESTED MY SON

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Elizabeth - posted on 02/03/2009

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Hi - I am a mom of 2 kids who had reflux as infants. I know that both of mine had excessive spit-up, sometimes vomiting, and cried after eating.  Another common symptom, which is sometimes missed, is frequent hiccuping.  Once both kids had Zantac they improved quickly!

Jaela-Rene' - posted on 02/03/2009

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me and my siblings could not handle the full formula and my mother used the called for water but only half of the formula and we were then ok. when my daughter was put on formula she kept spitting up almost all she took in. i cut her formula by half and she stopped puking.

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My son was initially diagnosed with reflux at around 3 weeks old - by observation. We propped him, and it helped to calm him down. I wasn't totally convinced though (still gaining well & not many chucks), till he spent 3 nights flat on his back over Christmas, and was inconsolable until we got him home where he was propped, and he calmed down over the next 3 days.



We started medication Ranitidine (Zantac) around 12 weeks, and he was like a new baby. We just upped the dose a couple of days ago (he started off very low) when I noticed some of his symptoms recurring - crying after a burp, a different type of cry & wanting to feed more regulary (he's BF - so no thickening of formula).

Paulette - posted on 02/03/2009

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Hi Courtney, I have had two children who have had acid reflux. Their symptoms varied but with my first the doctor sent him for a upper g.i. and the reflux was up to the top of his throat. They had him drink a bottle during the test. He was vomitting after almost all his feedings. Was not comfortable nursing or bottle fed. Slept more comfortable on our chests. With my daughter and son they both did not sleep well, they would wake after only being asleep 20-30 minutes. Both would curl their legs into their chests, trouble latching on due to the acid coming up.  So when the doctor learned all of the symptoms and our daughter was the second one they felt no need for a g.i. They both were on liquid zantac. I used Enfamil AR to help with acid in their stomaches and it helped them sleep too.

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My daughter didn't actually throw up that much.  She cried literally around-the-clock.  When she was put down, she would make a gagging noise.  She also had a stuffy-sounding nose and almost constant hiccups.  She ended up being diagnosed w/ "silent reflux."  I took her to the ped. at 9 weeks, and she was prescribed Zantac.  She stayed on it until after her 1st b-day.  She will occasionally have hiccups and will throw up small amounts, even at almost-2. 



The doctor said if she didn't respond within a few days of first starting Zantac that she would need further testing.  She stopped crying within 2 hours and was a new baby.

Staci - posted on 02/03/2009

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Quoting Courtney:

How do pediatricians diagnose babies with reflux?



My daughter had reflux until about 8 months old, she's now a year and no longer suffers, but did BADLY. She was diagnosed through experimentation with formulas and also a stool sample. Upper GI's are used as well. She did well on Elecare formula, perscription only, and slowly introducing foods - avoiding soy based foods like rice!



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My son would throw up huge amounts constantly even though his formula had been changed two or three times.  He ended up in the hospital at 5 wks. old due to dehydration.  Thereafter, he had an upper GI series which showed his stomach was emptying slowly and caused the reflux problems.  We fed him really small amounts in his bottles frequently with varying amounts of rice, and we had to hold him upright most of the time.  When he was in the hospital, they propped up his mattress at the head with a pillow underneath, and that really helped once we got home and tried it ourselves.

Lynn - posted on 02/03/2009

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Labs will be ordered first and formula changes will happen.and then they will send you to a GI specialist :) It's crazy how many babies are being diagnosed with reflux now. Very sad :(

Amanda - posted on 02/03/2009

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My 7 month old daughter has severe GERD...but it's getting better with age. My daughter also has a lactose allergy. My daughter was vomiting a lot and choking where she had formula coming out of her mouth and out of nose and could not breath. We actually thought she was having seizures at 2 weeks of age. She was admitted to a Children's hospital, where they did the following. An Upper GI, Ph Probe, Muli-Channel Scan, Abdominal X-ray, and an Endoscope. It showed that she had GERD and Lactose Allergies.



 



My daughter was switched to Neocate formula. You can not buy it in a store, you can order it online or through a pharmacy, because some insurances will now pay for it. For your sake, I hope they do, because it's around 40 dollars per can.



We also, thicken that formula with rice cereal. We add 1 tablespoon to 2 ounces of formula. Please do not forget to cross cut the nippe or go to Babies R Us and buy them.



 



My daughter also takes 7.5mg of Prevacid daily. It is important that babies with reflux remain in an upright position for approximately 30 minutes after a feeding. With our daughter, we also had to elevate her crib. We did this buy raising the head of the crib to the highest position and the lower half at the lowest setting.



 



I hope this helps. If you have any questions, please contact me!

Ann - posted on 02/03/2009

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My Ped. thought my son had Reflux b/c he throw up after every meal, after a couple days we went back and her tricks/advice for him (keeping him at an angle, have him sleep in his car seat) didn't work & he had no dirty diapers, we found out it was something major, Pylornic Stenosis. Love my doc, she got him to the local children's hospital and we had a Doc talking to us rather quickly.

Sarah - posted on 02/03/2009

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My son was also diagnosed with acid reflux at 3 months of age. At the pediatrician appt, our dr. only had to observe our son for about 3 minutes to make the diagnosis. The dr. noticed that our son spit up a lot more than what is normal in those 3 minutes. Our son is also on ranitidine and it worked amazingly. We noticed a big difference after 2 days!
Before the medication, our son would cry so loud after every feeding when he had to burp and had two bad cases of vomit (we took him to the ER both times).
Hope that helps!

Lori - posted on 02/03/2009

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My son was diagnosed at about the age of 2 weeks he was losing weight and vomiting everything he ate.  His pediatrician told us to start mixing cereal in his formula to thicken it up.  And we had to have him sleep straped into an incline for approx 6 months.  He out grew it and hasn't had a problem since.  He is now 14 years.

Charlotte - posted on 02/03/2009

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Quoting Courtney:

How do pediatricians diagnose babies for reflux?      hi my youngest son was diagnosed with reflux at only 1 week old and the symtoms he had was not feeding at all when i brestfed him and then being violently sick after every feed when moved on to formula.  he also cried all the time when he was laid down, he is now 7 months and is on ranitadine which is an antacid and carobel which is a thickner, it does help slightly and eases the pain the little one is in xx



 

Charlotte - posted on 02/03/2009

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Quoting Courtney:

How do pediatricians diagnose babies for reflux?      hi my youngest son was diagnosed with reflux at only 1 week old and the symtoms he had was not feeding at all when i brestfed him and then being violently sick after every feed when moved on to formula.  he also cried all the time when he was laid down, he is now 7 months and is on ranitadine which is an antacid and carobel which is a thickner, it does help slightly and eases the pain the little one is in xx



 

Cathrin - posted on 02/03/2009

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I always thought that it was the latest name of collic which is still a mystery. Some babies respond to the antacid and some do not. My baby was diagnosed with reflux just because she cried every night for about an hour. Nothing we gave her really fixed it. She just had to grow out of it at about 6 months.

Sandy - posted on 02/03/2009

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My Dr diagnosed my daughter by symptoms only.  At 3months she was crying every time I tried to nurse her and wasn't gaining weight.  She wasn't vomiting  but was turning her head to "avoid" the acid when she was reclined to nurse.   She responded to the prescription medicine quickly so he felt no further testing (upper gi) was needed.  Hope that helps.  She's 2-1/2 and has outgrown the problem and the need for medication.

Angie - posted on 02/03/2009

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Well basically the only symptom is the baby puking with most of the bottles.  The treatment for this is usually thickening the formula.  There are a couple of different ways to thicken the formula.  The most basic one is to add rice cereal to it.  Start adding a little to see if it helps.  maybe 1 scoop tio 2 ounces of formula to see if it helps.  Dont forget to cut the nipple open slightly.  The other stuff is called simply thick.  This is a clear tastless gel.  It is expensive and you have to order it on the web. 



Hope this helps.  If the baby is still gaining weight many physicians will wait to see if the baby gets better with age.

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