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9/22/2017 12:11:25 AM
Posted: 8/12/2005 10:18:14 AM EDT
Does anyone out there have experience with acid reflux disease in infants?

Our youngest is now 4 months old and is on Zantac and special formula because without it he barfs and screams like the devil himself is beating the child.

The kid eats like a horse and is already 20lbs.

How long does this last and are there any side effects to such a young child on Zantac?

Thanks

Kurt "ever-worrying father" Austin
Link Posted: 8/12/2005 10:26:15 AM EDT
What sort of diet is the kidster on? Enfamil & Frank's RedHot?
Link Posted: 8/12/2005 10:28:30 AM EDT
free bump for the
Link Posted: 8/12/2005 10:30:14 AM EDT
Not a doc, but a pharmacist.

Acid reflux is common in infants and isn't helped by the fact that they're on a liquid diet, but most outgrow it by 12 months.

Zantac is pretty safe in children and infants ( I think it has been studied in kids as young as 1 month). Mostly GI side effects (diarrhea or constipation, nausea/vomiting etc.). My God son was on it for a while. Hedidn't like the taste.
Link Posted: 8/12/2005 10:30:51 AM EDT
i can only suggest what i'm sure you've already tried. Give a few ounces of formula at a time and burp the child frequently. Don't smack 'em so hard their eyeballs fall out of their sockets, just tap firmly on the back. Also try a little pressure on the belly while burping. One way is to lay the child across your lap, with their belly over your legs while you pat them (and don't forget to support the head). There are also 'drops' you can get at the pharmacy (otc) which help eliminate gas in the stomach. I'm kind of assuming that the problem isn't entirely acid reflux, but perhaps is aggravated by gas pains. good luck. and remember you're getting advice off the internet.
Link Posted: 8/12/2005 10:40:44 AM EDT
He seems even better when we toss in the rice cereal now. I was just curious to see what some other dads/docs had to say.

Thanks
Link Posted: 8/12/2005 10:42:20 AM EDT
can't rember the correct name for the surgery my son had.
they took part of the stomach and wrapped it around his Esophagus to prevent acid from coming up.
that also means doesn't vomit either.it usually gives him a bad case of the runs.
it been 8 or 9 years.
it all was tied into other medical problems.
son had to have a emegency tract put in.
the acid wasn't letting his throat heal up and causing the scar tissue to swell and cut off his airway.
we tried the acid meds for awhile then had to end up with the surgery so his throat would heel and they where able to finally remove the tract.

this would be a worse case.
Link Posted: 8/12/2005 10:42:54 AM EDT

Originally Posted By sigarkar:
i can only suggest what i'm sure you've already tried. Give a few ounces of formula at a time and burp the child frequently. Don't smack 'em so hard their eyeballs fall out of their sockets, just tap firmly on the back. Also try a little pressure on the belly while burping. One way is to lay the child across your lap, with their belly over your legs while you pat them (and don't forget to support the head). There are also 'drops' you can get at the pharmacy (otc) which help eliminate gas in the stomach. I'm kind of assuming that the problem isn't entirely acid reflux, but perhaps is aggravated by gas pains. good luck. and remember you're getting advice off the internet.



Hey... I live for advice off the internet. What could go wrong taking anonymous advice from complete strangers that could be anywhere in the world?

Thanks for the suggestions

Kurt "Where did I put that kid's hot sauce" Austin
Link Posted: 8/12/2005 10:45:15 AM EDT
[Last Edit: 8/12/2005 10:46:01 AM EDT by Kurt_Austin]

Originally Posted By hanau:
can't rember the correct name for the surgery my son had.
they took part of the stomach and wrapped it around his Esophagus to prevent acid from coming up.
that also means doesn't vomit either.it usually gives him a bad case of the runs.
it been 8 or 9 years.
it all was tied into other medical problems.
son had to have a emegency tract put in.
the acid wasn't letting his throat heal up and causing the scar tissue to swell and cut off his airway.
we tried the acid meds for awhile then had to end up with the surgery so his throat would heel and they where able to finally remove the tract.

this would be a worse case.



OK...now I'll never sleep again.

Glad to hear your boy is doing well. I have Crohns disease and would hate for either of my boys to go through what I live with every day.

Signed

Kurt "just want the boy to be happy" austin

Link Posted: 8/12/2005 10:52:50 AM EDT
is his prescription formula Neocate? If so, I hope your insurance helps out here. Neocate, i believe, is more for allergies.
Link Posted: 8/12/2005 10:53:49 AM EDT
[Last Edit: 8/12/2005 10:54:31 AM EDT by hanau]
i assume you are seeing the doctor about this?
if it still doesn't get better go and see a specialist.

Link Posted: 8/12/2005 10:56:33 AM EDT
More milk, less juice.
Link Posted: 8/12/2005 10:58:43 AM EDT
My wife and I have a bib for the lil girl with the saying "Spit Happens"

Our child (6 months) spits up alot, but the frequency is decreasing as she gets older. It also decreased when we started adding rice. I'm also told it'll go away after 12 months. I think the reflux is probably more common than you may realize, and that you're worrying over nothing.

I know the problem is common in premmies (which mine is) but only in the worst of cases is surgery warranted.
Link Posted: 8/12/2005 10:58:53 AM EDT
My daughter is now almost 14 months and had the same problem. She's still on the Zantac efferdose. The stuff works great. The doctor has said we should just let her outgrow the dosage.

The reason that rice cereal in the formula works is that it adds density to the stomach contents and makes it less likely to squeeze through the sphincter into the esophogus.

Unfortunately we conld never get her to take a bottle. She was the biggest damn breastfed baby you've ever seen, but she's back on the chart now. I think they eat a lot in order to put fresh "non-acidic" stuff down the gullet to wash it out and reduce the pain.

Don't sweat it. Just keep him on the zantac and he'll feel better...sleep better, etc. Oh and ask the doctor about sleeping him on his stomach. Believe it or not the American Pediatric Ass'n recommends sleeping "reflux babies" on their stomach. The risk of SIDS is outweighed by the risk of aspiration in serious cases. Our daughter slept face down from 2 months old and lives to this day. (Don't get me started on this overblown SIDS jihad load of crap)

Cabby

PS now go get some sleep.
Link Posted: 8/12/2005 11:05:43 AM EDT

Originally Posted By Hokie:
I think the reflux is probably more common than you may realize, and that you're worrying over nothing.




There's a school of thought that the vast majority of "collic" cases are actually reflux based. There were no child safe drugs to treat it up till recently, so they just chalked it up to a normal condition. Now we can treat it, so they get a diagnosis.

I'll bet you dollars to donuts that within the next 5 years "Dateline" or some such TV program will do a special on the "ALARMING RISE OF REFLUX IN CHILDREN", when all it is a renaming of collic.

Cabby
Link Posted: 8/12/2005 11:06:03 AM EDT
Our daughter had mild reflux when she was and infant. The effects were lessoned by formula choice. We tried several different kinds, per our doctor's recommendations, and finally found one that seemed to work the best. I don't remember the brand now. The reflux never completely went away.

Our daughter is now five, and (remember this years from now) we just now realized that her recent complaints about a tummy ache, were actually reflux related. Her stomach didn't hurt, but she didn't know how to describe it any other way.

I suspect that it will be a continuing problem, so keep an eye on it even well past the age at which your child can speak. Later on, try to reduce acidic food intake.
Link Posted: 8/12/2005 11:13:50 AM EDT
[Last Edit: 8/12/2005 11:30:13 AM EDT by Gloftoe]
Our first had reflux as a baby too. She was on Zantac and Reglan, and we had to mix rice cereal (1Tbsp per ounce I think) into her bottles. She got over it after maybe 6-8 months.

Edit: sorry, we also had her on some special formula.
Similac Alimentum I think was it.
Link Posted: 8/12/2005 11:16:09 AM EDT
Daughter #1 couldn't keep formula down at all and I was getting pretty damn worried and we tried Pro-Sobee I think and no more problems. I'll ask wifey after she is here.
Link Posted: 8/12/2005 11:26:39 AM EDT
My ten year old had reflux until he was fully on solid food. We tried a few things, and I even had a colleague scope him to rule out anatomic abnormalities, but what worked for us was switching to soy based formula, and one trick we did, that made a huge difference.

Take a pair of sneakers, and put the legs of the crib on the head end into the sneakers so the head end is raised a couple of inches. He did much better whenever he slept at a slight angle. Harder for the acid to come up when he was napping or down for the night. Please try it.
Link Posted: 8/12/2005 11:38:02 AM EDT
There was a girl at my mom's daycare that had reflux extremely bad. When you talk about screaming like the devil is beating the child, I know what you mean. Her parents kept her on what the doctors gave her, and hoped for the best. Eventually she grew out of it/it went away, and she was a mellow/normal/healthy/quiet baby. That's all they could do, but she also didn't have something chronic that required surgery.
Link Posted: 8/12/2005 11:42:08 AM EDT
Hurricaine Allie had it and outgrew it by a year old.
Link Posted: 8/12/2005 12:40:39 PM EDT
Mrs. Bald Monk here:

Zakk had it and was on Zantac and soy formula. The Zantac helped a ton but he got much much better when we figured out he didn't tolerate dairy well and switched to soy. He still has problems if he has too much dairy and we give him some homeopathic drops and that help his tummy (I know how that sounds but it is the only thing that worked for him, mylicon didn't help the gas pains at all).

Reagan was born early and is a reflux baby, too. She sleeps on her tummy and was on Zantac and Reglan. She is not taking either now but I know the reflux seems to be aggravated with growth spurts and so she may end up back on the Zantac again. She is 4 months old now and seems to be outgrowing it but is still on Nutramigen formula. Keep them propped up for about 20 minutes after a bottle, and prop them up when they sleep. She screamed and screamed and screamed at night - the doc finally gave me a prescription for Levsin for the gas, cramps, colic symptoms. Might want to ask the ped about that....
Good luck and hang in there!

Mrs. Bald Monk (aka The Mekong Wild Child, celticmama)
Link Posted: 8/12/2005 1:30:58 PM EDT

Originally Posted By fish223:
My ten year old had reflux until he was fully on solid food. We tried a few things, and I even had a colleague scope him to rule out anatomic abnormalities, but what worked for us was switching to soy based formula, and one trick we did, that made a huge difference.

Take a pair of sneakers, and put the legs of the crib on the head end into the sneakers so the head end is raised a couple of inches. He did much better whenever he slept at a slight angle. Harder for the acid to come up when he was napping or down for the night. Please try it.



Hell..that's a great idea. I was thinking blanket under the mattress, but that's a hell of a lot easier.

Thanks
KA
Link Posted: 8/12/2005 1:32:31 PM EDT
Thank you all for all your suggestions.

Kurt "Ever Grateful" Austin
Link Posted: 8/12/2005 2:26:14 PM EDT
My little girl tried Zantac and it only sorta helped. She's now on Prilosec and we'll see if that helps. Another new thing I've heard about is a chair called a "Bumbo". I'm going to order one and give it a try. It's suppose to help w/ reflux and babies supposidly love to sit up in it. Good Luck!
Link Posted: 8/12/2005 4:18:31 PM EDT
Another thing - Dr Brown bottles. They have an internal vent system that helps reduce the amount of air the baby swallows. They have worked well for Reagan.

Mrs. Monk
Link Posted: 8/12/2005 4:37:15 PM EDT

Take a pair of sneakers, and put the legs of the crib on the head end into the sneakers so the head end is raised a couple of inches. He did much better whenever he slept at a slight angle

Agreed. That and feeding them a longer time before they go to sleep are the only two things I've seen work.z
Link Posted: 8/12/2005 4:57:00 PM EDT

Originally Posted By sigarkar:
i can only suggest what i'm sure you've already tried. Give a few ounces of formula at a time and burp the child frequently.



+1
Link Posted: 8/12/2005 4:58:26 PM EDT
switch to tit milk
Link Posted: 8/12/2005 5:03:27 PM EDT

Originally Posted By Kurt_Austin:
Does anyone out there have experience with acid reflux disease in infants?

Our youngest is now 4 months old and is on Zantac and special formula because without it he barfs and screams like the devil himself is beating the child.

The kid eats like a horse and is already 20lbs.

How long does this last and are there any side effects to such a young child on Zantac?

Thanks

Kurt "ever-worrying father" Austin



Over eating a liquid diet and not being properly burped. Try some buttermilk as a sub for 1 feeding daily. Helped me tons when I was diaper pooper.....WAAAAAAAAAAAYYYYYYY back when.
Link Posted: 8/15/2005 2:30:54 PM EDT

Originally Posted By hanau:
can't rember the correct name for the surgery my son had.
they took part of the stomach and wrapped it around his Esophagus to prevent acid from coming up.
that also means doesn't vomit either.it usually gives him a bad case of the runs.
it been 8 or 9 years.
it all was tied into other medical problems.
son had to have a emegency tract put in.
the acid wasn't letting his throat heal up and causing the scar tissue to swell and cut off his airway.
we tried the acid meds for awhile then had to end up with the surgery so his throat would heel and they where able to finally remove the tract.
this would be a worse case.




It's called a laparoscopic Nissan Fundoplication. Surgery that has been discredited in recent years because it often loosens up and allows the acid reflux to continue. But, hey, it's an easy 5k-10k in a surgeon's back pocket, so they ain't gonna complain. Lots of negative side effects are caused by this procedure, BTDT myself, and in my case they stitched me up so tight I couldn't swallow liquids for weeks.

The inability to vomit can be deadly. After my surgery, I got food poisioning. My body violently, uncontrollably, tried to vomit, ripping apart the lower esophogus, expelling blood, stomach acid and vomit for several minutes. I was so physically beat I couldn't get off the floor to call an ambulance. If a friend hadn't been nearby, I'd have died. Another trip to the ER/hospital. Great fun.

I'd have never had that surgery if I knew then, what I know now.


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