Acid Reflux

Leslie - posted on 01/11/2009 ( 19 moms have responded )

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My little peanut was born at 29 weeks and in the NICU about 2 months. She has been home since day after thanksgiving. We are experiencing the acid reflux issues now. She is on Axid 1 ml a day. The medicine is helping with the uncomfortableness. She used to grunt so much while taking her bottle because the heartburn was there. Now she takes the bottle fine but afterwards is the problem. We have to keep her upright so long and she hasn't slept flat since. She sleeps on an incline. She regurges alot and I worry but so far she hasn't lost weight. i have read tons on the internet but I am curious as to others experiences. So far I hear we may deal with this for about 12 months.

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Carmen - posted on 01/18/2009

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Hi-I had twins girls at 26 weeks.  One of them a acid reflux.  While in the NICU they changed the baby formula to Enfamil AR Lipil.  This baby formula has rice in it...looks normal but when it gets to the baby's tummy it thickens so that she did not bring it back up.  That helpedmy little one. 

Janee' - posted on 01/16/2009

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My son was born at 26 weeks, he is now almost 11months old. He had a severe case of acid reflux and his doc was actually recommending that I put him on priolsec otc. I told her that there was no way I was going to put my little itty baby on adult medication. I researched everything natural that I possibly could and went to all the local health food stores. The things that they suggested were Gripe Water and infant probiotics. Those two things alone worked miracles. By the age of six months he was able to stop sleeping on an incline and he also stopped throughing after every feeding.

[deleted account]

My daughter was born at 33 weeks and has acid reflux also (super common in preemies).  She's been on zantac from about a week after coming home.  That did make a difference but Karen is right, it does just work on neutralizing the acid.  Katherine is on formula and we changed from Enfacare to Enfamil AR, which has a rice starch and makes the formula heavier.  That made a HUGE difference.  We went to see a GI specialist this past week.  They said to keep on the zantac and, if it gets worse (they say it's like a roller coaster ride), to use regular Enfamil and add one teaspoon of oatmeal cereal per ounce.  (The oatmeal is not constipating like rice.)  The next step would be the reglan.  I was also told that they are much stronger at 4 months and that a difference may be seen then. 



My older daughter, born at 29 weeks, had acid reflux but the zantac solved the problem.  She was on it for a year and then we were done.



As you read, all situations are different.  I hope you find one that works well for your little one.

Karen - posted on 01/16/2009

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Hi Melissa. My son was born at 28 wks 5 days and was in the NICU for 69 days. He was only taking 2 oz every 3 hrs when we left the hospital so his reflux didn't start becoming noticable until we came home and tried feeding him more. He would be so fussy, gassy & of course spit up (projectile at times). He was first on zantac and after 2 weeks didn't improve so he went on Prilosec. After a few days he was so content. He still had the spitting up but everything I read and was told by his pedi and my bff who is a pedi, said the medicine doesn't help with the spitting up, only with neutralizing the acid when it comes back up. After 2 months, his symptoms started again so we were sent to a GI who increased the dosage and also put him on Erythomicin (because son was spitting up 3 hours after feeding) . Anyway, it slowly did get better. We also started putting barley cereal in his bottle at night (to keep him from spitting up in his sleep) and that did help. We started seeing his spitting up decrease once we started solids but not fully until he was a year old. You'll hear & read lots of different stories, as I did..no 2 seemed to be alike and what works for one baby may not work for another. Good luck to you.

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Davonna - posted on 08/14/2013

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My son was born 35 weeks.! And he was in the NICU for a about a month.! And when he was released he was prescribed Enfmail Enfcare for premature babies.! And I personal think there is something wrong with their milk.!

Courtney - posted on 12/28/2012

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Hi my daughter is going through the exact same thing she was born at 30wks and weighed 3lbs 8oz she got out of the nicu a day before thanksgiving and was on neosure formula; however when we got her home she started crying and grunting even more and we knew something wasn't right. She would also spit up almost a whole bottle. We called the dr and scheduled an appt to make sure she was gaining weight and she is but the dr changed her formula saying she was allergic to cows milk protein (lactose intolerant) so now we are trying the Nitramigen formula with a medicine called Zantac that is supposed to stop the burn for a week. If that does not work the dr wants to switch her formula to Alluminten and Zantac for a week. And if that doesn't work she wants to schedule an urgent appt. hope this help I know we all hate to see our little ones suffer.

Amanda - posted on 01/18/2009

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Hi Leslie,



My son was a preemie and too suffered the dreaded acid reflux that often comes with prematurity. After my son was diagnosed with acid reflux, he was prescribed 1ml of Zantac and we also thickened his formula with rice cereal. Between the medicine and the thickening, the reflux improved dramatically. The only thing is that with the thickening of the formula you would need to switch to cross-cut nipples (otherwise the formula will be too thick for your daughter to get through a standard nipple) and the rice to formula ratio is 1 tsp of rice per 2 oz of formula. I hope you are able to find a remedy that works for you. To give you some encouragement, my son seemed to be "cured" of his reflux at 9 months, so good luck to you!

Cassie - posted on 01/17/2009

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My son also took Reglan in the NICU but I took him off it immediately after coming home after reading about some serious long-term side effects it can have.

Cassie - posted on 01/17/2009

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My son was also born at 29w and stayed in the NICU exactly 8w. He came home on liquid Xantac for reflux. He had it really bad. One day in the NICU they set his feeding too fast when he still had the NG tube and he did the biggest projectile spit up I have ever seen. We kept him on the Xantac for the first 9-12 mos. The dose with it had to be adjusted with weight gain so check on that with the Axid. The pediatrician kept telling me that he would grow out of it and he did around 12 mos. He's 3 now and every once in a while he will still "spit up" but nothing like when he was an infant. I also found out later on that the extra calorie formula we were using to supplement my breast milk was possibly causing/contributing to it. The richness of it is just like an adult eating a very heavy, fatty meal.

Leslie - posted on 01/16/2009

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I would be reluctant to use Prilosec also. The only other med my dr mentioned was reglan..but he said I didn't want to go that way.

Leslie - posted on 01/16/2009

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I think I am going to try the cereal route. I have a dr appt Monday so I am going to ask. I think she has to gain more weight first..so one of the nurses mentioned to me.

Leslie - posted on 01/16/2009

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Thank you all for you stories! I am so surprised by some many different diagnoses and remedies everyone has come up with. I will certainly taken them all into consideration. And it really helps to know I am not alone in this venture. I wish all of you ladies the same luck!!!!

Doreen - posted on 01/16/2009

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My daugher was born at 35 weeks and she is almost 9 months old. When she was first born she slept in the car seat until nearly 4 months old. After that she slept on an incline until 6 months old. Around 6 months was when I really noticed a change in how much she spit up. One of my friends has a 4 month old and her Dr. has her mix some cereal in with the milk and that has really helped her. You want to check with your Dr. though before you do that. Abigail was also on meds but we stopped them at 6 months because she no longer needed them. Best of luck to you and every baby is different, so hopefully it won't last long for you.

[deleted account]

Noah was born at 30 weeks (3lbs exactly) and from quite early I suspected he was reacting to the breastmilk and calories that we were giving him in intensive care, once home I tried lactose free formula only to find out it really isnt comletely lactose free!. After 3 different doctors telling me his pain was ok, and his sleeplessness from having a sore stomach all the time would work itself out I finally found a dr who would listen to a first time mum. He put Noah on Elecare formula. literally from the first bottle he improved and by day 3 was sleeping through the night - he was only14 weeks (from date of birth) old. he has never looked back and in fact to see him now you would not huess he was a premmie. Much success to you

Katrina - posted on 01/16/2009

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my son bryce was born at 25 weeks and came home with the same problem i found a food thickener at my local chemist that realy worked.. it is manly for bottle feed babys and it is put in with the milk and when it comes in contact with the stomic acid it sets preventing the ability to be able to spit it back >>> if you are unabout to find it at your local chemist or you would like more infomation about food thickener please feel free to e-mail me at trinamun@live.com and i will be more than willing to help in any way i can

Keli - posted on 01/16/2009

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My son was born at 34 weeks and is now 18 mths old. He was diagnosed with reflux at about 2 days old and ended up losing about 15 % of his body weight. We were put on Gavascon and up until he ws 7 mths old it was with every feed. He'd projectile vomit within minutes of finishing a feed.



He only now gets reflux occasionally and usually if he's eaten something too acidy or spicy.



He still sleeps on an incline but thats due to his asthsma, diagnosed at 10mths, I was told it was partually caused by the reflux.



I found that by giving him bread or something similar before a feed it helps to bulk it up and was less likely to come back up.



I wish you all the luck....

Kelly - posted on 01/11/2009

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My daughter was 7 weeks early. 3 weeks in NICU. When her reflux set in I sought alternative medicine help. I didn't want her on the prescriptions because there seemed to be no ending date for them. I ended up taking her to cranio sacral therapy. The therapist worked on her esophageal muscles and within 2 weeks, nearly all symptoms were gone. I never had to medicate her. I've referred several friends whom I've met with preemies as well. All have had great outcomes with it.

Please search for it and see if it is an option for you. We took my daughter to 3 sessions and then 2 more follow ups several months later! Best of luck and may she be on her way to getting comfortable when eating.

Melissa - posted on 01/11/2009

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My daughter was born at 35 weeks and is now 10  1/2 months old ... she still spits up constantly and is on Axid twice a day, although I am not really sure it helps.  I cannot wait until she outgrows the spitting up and I can get my carpets cleaned.  :-)   I am not sure if it has anything to do with it or not, but my daughter is fairly small and is not even on the growth charts yet.  She can't have more than 4 oz. of anything at a time or she is worse.  However, she loves to eat and doesn't know when to stop, so this probably doesn't help with the spitting up issue.  Good luck and hopefully she will outgrown it.

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