Friday, August 5, 2011

Reader Reflux Questions

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KJackson213 said...




plowmanators, I got your comment and I regret to say!!, that the zantac was awful. It worked for the first 2 doses (when I posted the comment about it), and then it made her 5 times more irritable. She developed this new screeching cry Id never heard and she seemed much more irritated when trying to go to the bathroom. She didnt go for a couple days. I took her off the zantac and she went like over 10 times after the meds were out of her system. It makes me sad because it really helped for a short bit. I am going to take her back to the dr tomorrow to get her something else. It just stinks because she wont eat more than 3 minbutes of food every hour right now. I am having to feed her hourly and her schedule is just completely gone. I am going to have to start compoletely over. It is also harder to assist her in sleeping and shes been waking up every 2 hours, as where a couple weeks ago she was sleeping for 5 hrs and then another 4. Waking up once. Now its like 4 times nightly (her reflux started acting up around 5 weeks, shes now 7). Shes gradualy gotten worse. I just feel sorry for the poor thing and I want my sleep back!!

Has anyone had this experience with Zantac?? Also, does anyone have meds to recommend that helped?

I will let you know how things go after tomorrow.


Plowmanators said...




KJackson, Zantac doesn't work for most, and for those it does work for, it doesn't work for long. A PPI blocker is better. I hope you got a better med.







GoBucksKB said...




My son is 8.5 weeks old and has silent reflux. He takes Prevacid (suspension), but after a week and a half, hasn't experienced any real miracles. He is formula-fed (Good Start) and has been growing at a steady clip. He takes in about 32 oz a day over the course of 7 feedings. We are on a 3 hr schedule, starting at 6:30. We DF at 12:30 am and he is "good to go" until morning. His night sleep is pretty peaceful until the early morning hours. He has a lot of gas and grunts then. Our main problem is daytime sleep. We are recovering slightly from the fact that it worsened when we started Prevacid, but he will still scootch around a lot, cry with the paci in and wake 3-8 times in a 90 +/- "nap". Perhaps I am being selfish with him wanting to have good naps, but I also think it is good for development, too! Can you tell me how you applied some CIO strategies to your reflux baby?

Also, a huge thanks for your blog. You are a very on-top-of-it mommy! You can pray for my jealousy of you!


GoBucksKB said...




PS What are your thoughts on the paci? We used it with success with our first son. It was a way to soothe him before (and during) bedtime and it also was cue to him that it was "time". With 2nd son, I've used it b/c that is what I know and the additional SIDS "protection" (don't tell, but he sleeps on his belly) and b/c I heard that it creates "juices" that help calm the reflux. Having said that, I am forever putting it back in. Don't know whether his wakings are a result of the reflux or losing the paci. I guess I know the answer- it is up to us, but if you want to weigh in on this, I am all ears (uh, eyes).


Plowmanators said...




GoBucks, Are you sure he has a large enough dose? Prevacid is based on weight, so be sure of that. Is suspension the liquid? I have read that doesn't work as well (though that is what my daughter took). You have to have a really good pharmacist who can do it right. You can get pills that you disolve in breastmilk and then suck up in a syringe.

My daughter did well with CIO, but I never did it during a nap. See this post:

Waking Early From Naps/Won't Fall Asleep For Naps: http://babywisemom.blogspot.com/2008/01/waking-early-from-napswont-fall-asleep.html

Until his meds are worked out, I would be cautious about CIO with him.


Plowmanators said...




Go Bucks, Honestly, I am not a paci fan. I think it quickly becomes over-used and abused by parents. If you are aware and careful, you can make sure you don't let it become a problem. Most parents don't do that. I prefer a soothing method the child controls because then it will only be used when really needed rather than when the parent thinks it might be needed. There is a paciifer post for more on that and for tips on using it successfully:

Pacifiers : http://babywisemom.blogspot.com/2008/04/pacifiers.html







S & K Nielsen said...




I am so impressed with this blog and have spent many hours finding new information! So THANK YOU!

My 6-week-old was diagnosed with reflux about 2 weeks ago. He is now on Zantac and a hypo-allergenic formula (he had a food allergy to normal formula and couldn't nurse because he was tongue-tied.) He sleeps pretty good during the night from about 10:00 to 4:00 or 5:00 with a few times in there that he needs a little "comfort". Our trouble is during the day. He really struggles with naptime. He falls asleep really easily about 1 hour after his awake time. Unfortunately, he struggles to stay asleep. I can pinpoint the time (around 25 minutes into his nap) that he starts fidgeting and by 30 minutes he has woken himself up. If by chance he gets passed the 30-45 minute mark, I can tell that he still struggles with his light/deep sleep transition each time after that as he grunts, groans and moves around during that time interval.

I am very curious as to whether this is a reflux issue or a sleep issue. Could it be his stomach that is bothering him during this time? Zantac seems to be helping...he used to cry during his feedings, but no longer does that and seems very content during his wake time and the first part of his nap. He just can't seem to get through the sleep cycle very well. Any suggestions on how I can weed out the cause of his naptime struggles? Any suggestions would be greatly appreciated!

Thanks again!


S & K Nielsen said...




I am totally new to blogs so I'm not sure how you respond.

Thanks again and congrats on the pregnancy!


GoBucksKB said...




s&k nielsen- that is exactly what my son does! I have no advice yet, but wanted you to know that you aren't alone. My son cannot make it (usually) past that 30 minute mark in anything- the swing, carseat, carrier, crib. Can't wait to hear the response!


Plowmanators said...




S & K Nielsen, It could be either. It might be reflux, it might be sleep. There is no way to know for sure at this point, which is one thing that makes reflux hard.

Sleeping propped up usually helps with discomfort. I would suggest you look through troubleshooting naps post and if all of those issues are resolved, I would assume it is a reflux issue:

Naps: Troubleshooting: http://babywisemom.blogspot.com/2007/12/naps-troubleshooting.html







Taylor'sMommy said...




I also want to be another to say thank you for your blog! My daughter is 13 weeks and has silent reflux. I am sort of at a loss because my pediatrician has dismissed it, saying she is gaining weight so well that she is fine. There are days where is it hardly noticeable. Then days where she can't soothe herself for a nap and I have to rock her to sleep and then lay her in her crib. She is also not STTN. I don't want to push anything, but her 4AM feeding, leaves her not hungry for her 7AM feeding, then starving for her 10AM feeding (sometimes becomes 9:30). The last week we have let her cry it out and the fourth night she slept on her own, but then has woken up each night after that (we've done if for 8 nights). We have given her a pacifier to avoid feeding her, then we let her cry 15 minutes back to sleep another night which worked. But nothing seems to get her to STTN on her own. Anyways I don't know if this is due to her reflux and whether or not we should push for medication. I am really worried to give such a small baby medication. So my question is should I just start feeding her in the night again and wait until she naturally starts sleeping through the night (just in case it is due to her reflux)? AND are there horrible side effects to the medication?


Plowmanators said...




Kaitlyn also had silent reflux. One of my best friends had a baby with reflux a year before Kaitlyn was born, and she really encouraged me to push for the meds. My doctor wasn't going to do it, but he is the type to listen to the parent and their thoughts. So we did prevacid. We didn't see any negative side effects.

The problem with silent reflux is that it comes up, burns the esophogus, then baby swallows it back down, which burns it again. When it comes out, it is actually better for the esophogus.

A woman who lives close to me had a 19 year old son at the time of Kaitlyn's birth. I remember her telling me to watch the reflux. When her son was a baby, he also had silent reflux, but they didn't treat because it "wasn't a problem." He has ended up having to have regular visits to the doctor to open up his throat due to scar tissue. He almost choked to death in elementary before they realized he needed these treatments. Because of this, he couldn't leave the country to serve his mission because he needed to be close to doctors who could do this.

I am not trying to present scare tactics to you, just let you know that there are real reasons for meds with silent reflux. I remember researching it when Kaitlyn was first born and reading one woman's recommendation that if the doctor wouldn't do meds (and many don't believe there is a reason for it with silent reflux), get a new doctor.

I would recommend you look into it and express your feelings with your doctor.

As far as the night, I wouldn't do CIO with her having reflux. She could easily be crying and/or waking because of pain. I would personally just feed her until you either get her on meds or her reflux is gone and she does it on her own.







John and Andrea said...




I have a 4 month old baby boy who was just diagnosed with reflux. We've been doing babywise since birth and have great success with naps during the day but night time we are still getting up 1-2 times. We are on a 2.5 - 3 hr schedule and the dr. recommended that I go off all dairy for 5 days before I start meds. She also recommended feeding him less milk every 2 hours. Any suggestions on how that would look with babywise?


Plowmanators said...




If you fed every two hours, you would have to have a short waketime followed by a short nap.

Honestly, I find feeding every two hours unnecessary at that age. Obviously you are with him and know what is best for him--and that goes both ways. You know better than the doctor if two hours is a good thing or not. If you don't find it necessary, I would do 2.5 hour schedule. It will be easier to fit in the E/W/S cycle that way.







Autumn Castillo said...




I am a first time mom and your blog has been a blessing in helping to implement BW.

My son Aiden is 12 weeks old and recently has been diagnosed with reflux. He was born 3 weeks early at 5 pounds and started spitting up around 3 weeks old. Prior to being diagnosed, naptime was horrible! Aiden could CIO for the entire supposed naptime. He would get so worked up and we couldn't figure out why he couldn't fall alseep. We tried everything (swing, shushing, paci, burping) and nothing would work short of us picking him up and holding him.

One day after he only slept for 45 minutes the entire day, I picked him up, laid him on my chest and laid down. He burped, passed gas and then fell asleep right away! I then moved him off my chest and he continued sleeping for 2 hours!!

Since then, we now put him down for his naps and wait 10 minutes. He starts crying and we then turn him over to his stomach. We then leave him there for 10 minutes until we are sure he is alseep and we turn him back over. Doing so, he sleeps for 1.5 hours for naps.

We want him to be able to self- soothe but we also don't want him in pain and missing out on important sleep. We know that CIO aggravates his reflux. We are hopeful that this will pass as he gets older and bigger.

Question 1: Do you have any suggestions for self-soothing to sleep for our situation?

Question 2: His schedule is 7, 10, 1, 4, 7, 10 with 1.5 hour waketime and 1.5 hour naps between each feeding. After being put down he sleeps until 3:30am for another feeding. We have never had to awaken him for a DF as he awakes on his own. Does this mean that he is not ready to drop the 3:30am feeding? Is he sleeping too long during the day?

Thank you very much for your support!


Plowmanators said...




Autumn, I would suggest you get The Baby Whisperer Solves All Your Problems. She has methods for self-soothing without CIO.

I don't think he is sleeping too long in the day. Be patient with that night feeding. I think reflux babies need it longer than others.


Autumn Castillo said...




Thank you for your comment.
I am happy to say that Aiden dropped his night feeding and has been sleeping 11-12 hours a night since 13 weeks.

He is currently on Prevacid for his reflux and we are praying for healing and strengthening of his little stomach muscles.

In regards to putting him down, we noticed that he was able to sleep but that he would flail his arms and keep himself awake. We discovered the SwaddleMe and Aiden CIO for maybe 5 minutes and sleeps peacefully for 1.5 hours.

Parenting has its surprises......and great rewards!


Plowmanators said...




I am glad to hear things are going well Autumn!







Stephanie said...




plowmaster,

Hi. I have found encouragement in your Blog. I never read babywise, but have gotten advice from those who have. With my first son, I scheduled during the day and it made nights a piece of cake by the time he was 2 months old. He STTN by 3 months (12 hours). However, I have a four month old that is bringing me to tears almost everyday. I am doing my best to keep him on schedule despite having severe reflux.

He was one week early and delivered via c-section due to a uterine infection. He was in the NICU for one week on strong antibiotics...he was a fighter and got to come home one week after birth.

I fought hard to breastfeed...and despite huge issues (he wasn't allowed to eat for 2 days due to conditions at birth and was only allowed to nurse ever so often because of his breathing.)we succeeded. He nurses great now and all our latching issues were over by 2 months. I am giving him zantac (I was told that was all he could have until 6 months). I can't see a huge difference, but he is definitely not worse. Also, he does not cry anymore with the spitting up (more like projectile vomiting!)He is a really happy baby.

However...I am not a really happy momma right now because he wakes up constantly through the night. His eat/play/sleep schedule is every 3 to 3.5 hours right now. He seems to do pretty well for naps... usually a one hour nap in the morning, a 1.5/2 hour nap in the mid-day and a 1 hour nap in early after noon. I do have him elevated. He usually goes to bed at 7:30 and wakes around midnight. I have been feeding him then. (I felt like he needed an extra feeding because he wasn't gaining as much weight as he should due to the excessive spitting up). After midnight, he will sleep another 2 hours and wake up. I just keep going in and putting a passy in his mouth because I don't want him to cry to much and make his reflux worse plus he has a 2 year old brother in the same room. (the 2 year old does well with some fussing but I don't think he's going to get great sleep if the CIO goes on for an hour or so.)Sometimes Graham (my 4month old) Then from 3:00 am on...its every hour. I don't feed him until 6:00, but it's like he just keep getting woke up.

The frustrating thing is that at 2 months, he was sleeping 6-7 hours,eating, and then sleeping another 4. When his reflux starting getting worse, so did his sleep. What should I do? Should I just let him CIO? It's been two months of chaos at night. I'm exhausted. Like I said, he's doing great during the day with feeding and naptime. And yes, he's putting himself to sleep for naptimes. HELP!
-Stephanie


Plowmanators said...




Stephanie, the first thing I would do is try go get his meds right. You said reflux got worse and then sleep did. Has he had his dosage increased ever? It is weight based, so as he gets older he will need his dosage increased.

Also, many find that zantac works initially but then loses effectiveness. I would talk to your doctor about alternatives so you can find something that works for him.

I would also try to think about what is different about night and naps. Is the room colder at night? Since naps are good, I would think that there is something about night that is rousing him. It might be the brother in the room, in which case some white noise in the room might help block each other out.

You might also want to consider seeing if he can sleep well without the incline once meds are right. I think the incline is good and necessary, but I think it is best to take it away as soon as you can because they slide down it and just have a hard time getting comfortable sleeping that way.







LEM said...




My 5 week old was recently diagnosed with reflux. I believe it to be a mild case though because her sleep is bot affected too much and she has already slept 7 hours at night twice. She cries at almost every feeding though and is miserable through her short wake time. We just started Prevacid, 1/2 tablet once a day. My question is how did you give Kaitlyn her meds and still follow the eat, wake, sleep cycle? I was told I have to give them 30 prior to eating. I chose to give it to my daughter before her last feeding of the day since I'd rather ruin the last nap of the day. At this age I may be able to get her to fall back asleep but I know this will be difficult as she becomes more alert. If I can't get her go back to sleep then she will be awake for 30 min, then eat for 30, which will then be all her waketime messing up the cycle.

Here is my schedule: feed at 630,930,1230,330,630 then dreamfeed at 10. She usually wakes around 3 or 4 am although she has slept through untill 6am twice! After our 630 pm feeding I give a bath a 7pm then bed at 730. She has 45-60 min of waketime. So right now I have to give her meds at 6pm but she won't always fall back asleep leaving her with 1.5 hours of waketime. I am curious how you did this with Kaitlyn and what suggestions you have for me. Thanks!


LEM said...




I also wanted to mention that from 730 when I put her down untill dreamfeed she cannot settle herself. She will cry from the second I put her down. Her paci calms her but she will cry every 10 min when it falls out. Maybe the reflux maybe witching hour? I'm not sure but I've thought about waking her at 6 pm, give meds, give bath, feed at 630, then put straight to bed at 7. But this seems to go against everything I know about bw!


Plowmanators said...




LEM,

I was actually never told to administer the prevacid 30 minutes before eating, so I always did half of the does in the morning after breakfast and half in the evening before bed.

Many moms do the 30 minute thing, though, and some even say the baby goes right back to sleep. You kind of administer it like you would a dreamfeed.

You should also see the post "Eat/Wake/Sleep cycle". You can feed a baby up to 30 minutes after waking and be okay.

I think your giving it to her in the evening to be a smart choice, except for some reason I am remembering giving in the night to be the worst time of day to give it since acid production is reduced in the evening...again, I did give it to Kaitlyn in the evening.

I think there is a good chance you are having witching hour in the evening. If that is the case, then it is the perfect time to do meds.

I would probably go with your plan and see how she does. If her reflux bothers her, I would stop and try something else (a different time of day). If it works, then great!







Natalie said...




I am not sure how this works, and when I will see a response...does the response get emailed to me??

anyway, my question is this. My 2nd child, a son, is 4 weeks old this saturday and has reflux. We are trying some "Homeopathic" meds first before going with a prescription. we are going to see the doc. on monday for more advice....

My question however, as a babywise mom, is, the sleeping elevated approach... Is my son going to become depandant on that? I am so diligent on wanting to do babywise, i think i stress myself out on how perfect i try and make everything. So needless to say, i am freaking out that everything i have worked for so far up to this week is going to get messed up with the reflux.

Should I not let him sleep elevated? will he never be able to sleep regularly again if I let him do it for now?

or can i let him sleep elevated for every nap and night time sleep, until the reflux goes away??

will it ruin my babywise attempts?


Plowmanators said...




Natalie, the response is emailed if you check the "email follow-up comments" box.

No, he won't become dependent on that. He will prefer to sleep flat--it isn't the most comfortable to sleep up like that.

It won't ruin babywise. It is important to do what you can to help him be comfortable--even if that would mean sleeping in the swing for a few months. You want to avoid long-term damage to the esophagus. My middle child had reflux and was/is awesome so far as BW is concerned, so it can be done.







Cat said...




Hi my name is Catherine just found your blog,my son has horrible acid reflux its a hard thing to deal with, My dr is a big advocate of babywise and i was able to use some of the babywise tips but cio went by the wayside due to my son choking on his reflux during cio during naptime we had to rush him to the emeregency room. I am trying to get my blog going and want to reach out to reflux moms and get tips from moms who have been there so it was good to find your blog on such various topics. My blog is titled as we go along,if you want to visit.


Plowmanators said...




Cat, you might find this website helpful: http://refluxrebels.com/. The founder is a babywise mom.

9 comments:

Rachel said...

Hi Val!

It is so interesting that you are having reflux issues posted today. We are having issues w/our 16 month old on medication & I have been dying to ask you about it. She has been on Prevacid since she was 2 weeks old and it has helped her ENORMOUSLY. She was definitely slower to reach milestones (didn't sleep 8 hours/night consistently until 13 weeks and didn't sleep 12 hours until 6 months). But for a long time I thought we had "figured out" the reflux thing, but now I am wondering- will she ever be ready to stop taking the medicine?

First, I have read that keeping your child on prevacid longer than a year is not healthy. There are some side effects that can happen (wont go into detail- not trying to scare ppl). My dr seems to agree. He suggested weaning her off a quarter of a pill at a time, but for the last two weeks on 3/4 of a pill, she seems to be eating less and less and her sleep seems more and more disrupted. (I also wonder though, if we are hitting a wonder weeks time frame?)

My question is- what age did you wean Kaitlynn from the prevacid? Was it a difficult process? If anyone else has experience with this I would love to know what ages you weaned your child from meds also? I'm just not sure if I should be worrying that DD isn't ready to come off it yet. The dr. mentioned that we might need to see a specialist soon if she is not getting better as she gets older. So I would love to hear what some of the "norms" are out there.

Thank you so much!

Trying not to worry,
Rachel

Marysol R. said...

Glad you are featuring this today.

IDEA for every mother trying to convince a doctor. We took quick videos on our phone of a bad feeding episode and showed that to our doctor. She immediately said "Ok, now I can be sure."

ashley said...

Rachel - I am just weaning my son (13 months today) off of Prevacid. He started with zantac when he was 6 weeks old, the switched to prevacid a few months later when it wasn't working. Around 9 months we had to increase his dosage to a half a pill twice daily as his reflux got worst. To wean him, I started by only giving 1/2 a pill once daily for 2 weeks, then every other day for two weeks, then stopped. I tried this at 11 months and his reflux came back, but now he seems fine.

He seems to be having a lot of the same side effects as your LO too -- eating next to nothing, disturbances in sleep, and all around crankiness. I thought it was just teething, but it's been going on for nearly 2 weeks now. I don't know what the side effects of being on the medication for too long are, but my Dr. felt strongly that the medication was pretty harmless and if it was working to stick with it. She even called a pediatric gastro while we were there at his 12month visit to ask his opinion on if he thought it would be wise to keep him on the medication longer. He thought there was no problem or risk with doing so (although I decided to try weaning again just cause I was sick of dealing with the meds).

HTH!
Ashley

The Hunts said...

My name is Carole and my little girl had reflux also, starting at around 6 weeks old. We also tried Zantac first, and after several days she was in pain again. Our pediatrician switched her to Prevacid, but our insurance wouldn't cover it unless we tried an over the counter medication first. (This was before Prevacid was available OTC) We used Omeprazole (the generic version of Prilosec) and she did great on it. I think most days I would give her half in the morning and half in the evening. I would crush the pill, pick out the outside covering, dissolve it in breastmilk and give it to her in a syringe. It had a very bitter taste, but she never seemed to mind it. She seemed to get much better once she was able to sit up on her own and didn't spend as much time on her back, and once she was fully on solids. I weaned her off of the meds around one year old.
So the Omeprazole/Prilosec worked well for us!

The Hunts said...

Forgot to mention above--I also talked with a lactation consultant about the reflux, and she said that sometimes with breastfed babies, if you have a very strong letdown, the force of the spray at first can actually cause reflux. The baby gasps and drinks so much milk so quickly and then it can come back up. So she suggested getting in a position where baby is on top, so that gravity will help slow things down, or to unlatch baby when you feel the letdown until the spray is not as forceful, or to pump for just a couple of minutes before a feeding.

Rachel said...

Coming back to leave an update! It seems my sweet little girl is just taking her time to wean off the meds. She needs about two weeks (or 3) on each smaller dose before we can move on. The first one seems to be rough- interrupted sleep and more fussiness in the day, but by the second week she seems much more normal. We are currently in the middle of week #2 of 1/2 a pill. (I will probably keep her on this dose for 3 weeks). We are taking it slow and steady though and things seem to be going better. Thanks to everybody who left a comment for me so far!
-Rachel

Plowmanators said...

Rachel, I weaned her when she was 12 months old. I don't have experience taking it past a year old at all. Good luck with it! If you would like, I can post this as a "help a reader out" post.

Plowmanators said...

Marysol, excellent idea!

Plowmanators said...

Rachel, glad to hear the update!

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