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Sandifer's Syndrome
 InfantReflux.Org Forums : Special Topics : Sandifer's Syndrome  
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hellbennt
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Quote hellbennt Replybullet Posted: 05 November 2003 at 3:27pm

hi holly,

i'm glad you found this website, too, bcse i know how i felt when i found it!

has your dr. ever mentioned carafate? this coats & soothes their poor little throats & tummies...i'm sure there's a thread about it...it has helped jonah in 'times of need.'

we also used zantac along w/ the prilosec (& now the prevacid!).  yes, the usual full dose; you just have to space out the doses at least 2hrs a part. ask your dr.  also, i give the zantac w/ mylanta- there's a thread about this,too.

yes! jonah does those abdominal crunches! i know nothing about it.  however, it could be a way of moving their bodies to adjust themselves to tolerate any pain/discomfort they may have- that's the theory behind sandifer's- that the movements help them to deal w/ pain...

i finally go places w/ jonah bcse for the most part his reflux is under control, thank goodness! i make sure i always have zantac & mylant w/ me (i just fill up a syringe full of each, roll them up in a paper towel, tape it shut & stick it in my purse. i administer the syringes by 1st getting him started sucking on a pacifier, then pulling it out of his mouth, then squirting some in, then back w/ the pacifier,etc, until he's gotten his meds...i'm always prepared that we may have to cut an outing short & just head home if he starts shrieking...he's actually really good in the mornings, so that's when i try & get something done. just these past coupla weeks i've joined a moms group & an infant massage class. i feel so brave, lol.

i posted these posts about 'babywearing':

http://www.infantreflux.org/forum/forum_posts.asp?TID=358&KW=baby+wearing

http://www.infantreflux.org/forum/forum_posts.asp?TID=381&KW=hellbennt

hope this helps!

~laura

ps: when's Sierra's birthday? could you put it in your signature? i can't keep track & i'm always curious about the ages of our babies!

 

 

 

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!
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Holann
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Quote Holann Replybullet Posted: 05 November 2003 at 10:22pm
Oh my god!!! I have gotten more from this email than I have from any Dr since this all started! Thank you for your speedy reply! It really helps! I have been sooooo worried about the crunches and so glad to know you know what i am talking about! My husband is releived too!
The one thing that is wierd about Sierra is that she does not cry even though I can see and here her reflux episodes. Does Jonah reflux often through the day? Does the car seat bother him?

Sierra is 15 weeks...her birthday is July 15th 2003. I will put it in my signature too.

Thank you for the medicine hints...you have been a terrific help to us!!!!

How old is Jonah? when can we expect our little ones to outgrow this horror?

also...Sierras episodes of Sandifers movements have decreased alot I gues that means shes feeling better?
oops I forgot to ask...did Jonah ever have times when eating ws a discomfort?

Hope you had a good day
Holly
Holly /Mother to Sierra 7/15/03 /Silent reflux /Sub glottic Hemangioma
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Quote hellbennt Replybullet Posted: 06 November 2003 at 10:55am

holly,

our little ones are 2 days apart!

if you find anything out about the crunches, let me know! i just thought it was gas, or him straining for a bowel movement, or just flexing those neck & stomach muscles. who knows?

you're lucky she's not crying! oh my god, jonah shrieked & shrieked, we used to say,"who's boiling the baby!?" he'd go on for HOURS and he even made himself hoarse once. it was pitiful. that's when i got on the phone & asked for more meds- he was on only zantac at the time (after being on pepsid & reglan).

now that he's been on the PPIs i haven't really noticed as much reflux that bothers him, unless it's an "attack." then, he screams in pain. he's actually quite a happy baby when his meds are working. it's sad but i really didn't see him happy until he was on the prilosec- he started aug. 23rd & on sept. 4rth we had a new Jonah. i know though, from this board we're some of the lucky ones...

now as far as reflux, that doesn't bother him, yes, i do notice it. it's what my husband & i call "glunks." it may be what others say is a 'wet hiccup' but, to us, we hear this wet sloshing sound deep in his belly and it sounds like "glunk." In the past, w/o the PPIs, the 'glunks' would send him off into a FIT no matter what.  Now, when we hear them we get worried bcse they may or may not send him off into a fit.  when they do, that's what i call an "acid attack."

lying on his back for to long can make him have an acid attack, as can crying too much. or, he can just have one out of the blue. it's too bad they can't realize that if they could just calm down, they'd feel better...but they're babies... & so he'll cry, get all 'glunky' then cry even more bcse it hurts & then it just escalates from there...that's when i pop him in the pouch, stick a pacifier in his mouth & just walk around...

eating as a discomfort: luckily, not too much, really. he'll whimper on the breast from time to time & then pull off, but he gets back to eating.  eating soothes him. he can eat a lot.

Sandifer's: from what i understand it's a result of the pain. so, if they're feeling better, they shouldn't exibit those behaviors. i haven't seen any back arching in quite a while! i use the sandifer symptoms as a barometer to see if he's doing ok. those, & the acid attacks!when i ask for more meds i mention that i see sandifer symptoms, more than i had when he first stared the original dose...currently i see him do his 'tic-dance-trance' after eating very rarely. it scares me, not bcse of the neurological aspects, but bcse i think "oh no, here we go again...time to adjust meds... and, in the meantime, how many hours of screaming will we have to face?"

outgrowing this: who knows? at birth they said, "oh 3 months or so" but i think that's just to calm us down! then comes "6 months or so."  it depends on the each individual. i'm prepared to have this go on for quite some time, BUT with the knowledge that it can be managed. yay for this board!!! (my husband is convinced it will magically go away at 6 months, so i don't argue...i just say something like whatever it is, we'll make sure he gets the right medication...)

To wrap this up:

IT DOES GET BETTER!!!!!!!!!!!

~laura

 

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!
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Quote Holann Replybullet Posted: 06 November 2003 at 6:13pm
WOW I cant believe our babies are two days apart!
Your email was so thorough..thank you. Again I cannot tell you the peace of mind I have gotten from this site and especially your emails. i went from dr to dr and noone could talk to me with info that was helpful! My husband is grateful too!

Yes the glunks! Sierra wakes from them at exactly one hour aftre she falls asleep. Sometimes she can swallow through the attack and stay sleeping. She has then throughout the day and swallows alot.
Is Jonah hoarse from his reflux ..Sierras throat surgeon said her larygnx is red...could her relfux be aggravating her voice. She does not talk like normal 3 month baby. Her vocal cords work according to Dr and before the steroids caused her reflux to get bad she had a beautiful little coo! I can see her try to talk to me but she coughs or makes a funny face.

Does Jonah ever cough or sneeze from a reflux attack. Thats also how I know it is happening. i know she would be crying if it werent for the meds!
Sierras eating has improved today! She is back to nursing..we also pulled her of the Nutramigen Lipil and her reflux seems to be a little less often? Could also be my imagination!


Guess what...the woman who makes the Kangaroo Korner slings lives about twenty minutes from here...I knew I should have gotten one awhile ago. Time to call her!
Holly
Holly /Mother to Sierra 7/15/03 /Silent reflux /Sub glottic Hemangioma
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Quote hellbennt Replybullet Posted: 07 November 2003 at 11:00am

holly,

i'm glad to have info to help others, as others have really helped me here!

you know, funny how the mind works, but i realized while in bed last night that our name for the 'glunks,' described above, is actually 'GLERKS', lol .  I knew something didn't sound right...just substitute 'GLERK' for everything i typed above( There are 'Glunks', which are 'harder' and more like lower belly contractions/hiccups. they don't happen as often as the 'glerks.') jeesh i don't mean to get everyone all confused...i'm cracking myself up! gotta have a sense of humour! my husband & i say things like "he's glerking again" & "jonah McGlerkin"  then it's off to the zantac/mylanta combo...

jonah does cough, like a small little almost-choking sound, which startles me, but doesn't seem to bother him.

his voice is fine, although i've read that the acid can affect the vocal cords...it goes up & can get into the whole respiratory system- i think others have posted about coughs, ear infections, etc. w/ their GERDlings...

how sad for Sierra's little voice!  please post whatever info you learn about reflux & vocal chords.

& hope you enjoy your Adjustable Fleece Pouch!

~laura

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!
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Quote Kirsten Replybullet Posted: 13 November 2003 at 7:16pm

Holly~

I just logged on and saw that you are very concerned about Sandifer's Syndrome with Sierra.  Oh how I know the frustration you are feeling with the 'unknown' of this syndrome.  One thing I have to say is my son thankfully has an absolutely awesome GI specialist who validated our frustrations that there truely was something MORE than just GERD going on with our son and he said often times a child with Sandifer's will see a neuro before seeing him because of the neurological issues that occur such as 'siezure-like' symptoms and the uncontrolable screaming in pain, arching, etc.  He also said it is often mis-diagnosed.  I have to tell you that by getting Sierra on the proper meds and proper dosage such as Prevacid compounded with either choco or caracreme base, it will completely make all the difference in the world!!!  That was what we called the 'miracle drug' of our house & sanity saver!!!!

What you have to understand with Sandifer's Syndrome as well as with just GERD, keeping a very calm (yeah right, huh! ) environment and regimented such as what we have done since our son was 4 months old, every night he has a warm bath and he knows that is quiet time and bed time.  Also we have had to tell family & friends not to call our house after say 7pm to allow us to have peace & quiet for Gunnar before bedtime and to this day, he is now 2.5 yrs old, he has a hard time winding down each night and this allows for that time. 

There is something about Sandifer babies that makes them extremely aware of their surroundings.  Also trying to keep in mind that Sandifer's is a deffensiveness for their nervous system.  So the more adgitated they get the more their GERD acts up which in turn acts up the Sandifer's and your in for a LONG night! ha!

You all do get through this it and it is true that as soon as the refluxing is 'under control' the screaming in pain, arching, etc. does lessen.  We have just stopped giving Gunnar Prevacid (we changed his form of Prevacid to packets of 15mg at 17 months) but this is after the last 2 months of a slow weaning process.  We took him off Prevacid to see how his refluxing for a 2 week period when he was 16 months old.  We found out right at the 2 week mark he was now a silent refluxer and he had a 'siezure' at daycare which we put him immediately back on the prevacid!!!  Also the cronic cough had started again and within 2 days/nights that went away again.

I know this is long!  And I was as scared as you Holly, when you don't have alot of info out there on Sandifer's and I also found that the ped's in my area were very ignorant about GERD in a baby.  I have a hiatal hernia as does my whole fathers side of the family and my husbands so I did have some basic background on reflux. 

I do hope I've helped somewhat!

Kirsten Nickerson
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mother to Gunnar 6/4/01 Sandifer's/GERD
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Quote Holann Replybullet Posted: 17 November 2003 at 12:15pm
Help....I know it hs been awile but I had bad night last night with Sierra. She is really pulling forward with those crunches and I can hear her straining...when she wakes up from a reflux attack I watch her and she starts to cruch forward even in her sling! Her little face gets red and I know she is not doing it just to practice sitting up etc. Its almost as if it was beyand her control. She does not cry but it takes over and she cant do anytign but strain and grunt. We had two really good days on the prilosec wich we upped to 15mg per day...she is 17 lbs. But its like out of the blue she starts to reflux so strong and constant that she wakes up and cannot sleep. I slep on the floor in her room and can hear the whole thing start..her poor head swings side to side(bald spot) and she holds ber breath for a second as the reflux event happens. I was up since two last night trying to get her to calm down. She does not cry but she writhes and pants...her respirations get faster...doe you know what i mean?
I am having a hard time decideing if Sierra needs more medicine because she rarely cries...she will cry out in her sleep once in awhile when teh relux goes on for too long but not during the day...so if shes "just uncomfortable...panting writhing and not smiling and talking is that still a good day.....is crying the meaure. What do we settle for when we say a reflux baby is having a "good day?"
Also the prilosec in still in a bicarb solution....7,5mg/ml so she gets 2ml per day...should i be givig that all at once or in two doses ?

i know this is alot but i am feeling overwhelmed and stumped once again!
hope to hear soon
holly
Holly /Mother to Sierra 7/15/03 /Silent reflux /Sub glottic Hemangioma
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Quote Kirsten Replybullet Posted: 17 November 2003 at 12:56pm

Oh Holly...that is scarry that Sierra is holding her breath during these attacks.  What does you GI ped say?  I would seriously call them ASAP!  The crunching forward my son Gunnar would do as well and so when anyone was holding him (we only held him facing us, so no ab pressure would occur) we had to make sure we had a firm hand on his back because he would crunch up and then flip back with alot of muscle strength and it scared me that one time he would flip back so hard I'd drop him!  Never did but always scared me!!

Holly I would seriously ask the doctor about Prevacid with the Chocobase compounded.  Also another thought...how are Sierra's bowels?  The only reason I ask ... and this is how my son's GI explained it to me "if the lower plumbing is not correctly emptying..it adds more pressure to the upper plumbing".  Once we got Gunnar "regular" with lactolose and the occational glyceryn suppositories it really did help with the all night episodes of pain.  If you think about the bloated pressure they must be having and the acid burning up and down...I be upset too!!!  Also we never used the sling and we never elevated his crib as his GI ped said that added to the abdominal pressure for Gunnar...this is not so for every case.  Gunnar moved around so much that it actually frustrated him from day one to be swaddle and I think it actually made him feel closterfobic (sp?).

Good luck today...call the doctor today!  If nothing else they will have a record to follow of instances that have occured.  Hang in there!

 

Kirsten Nickerson
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mother to Gunnar 6/4/01 Sandifer's/GERD
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Quote hellbennt Replybullet Posted: 17 November 2003 at 3:25pm

holly,

wow. the holding of breath is apnea. jonah did this at birth & turned blue (more than once) during his observation period in the nursery, so that's how we found out he had silent reflux. it was explained to us that they hold their breath bcse of the pain & maybe even to protect their lungs, the acid could come up that far!

i'm not sure if i'd go by crying as a measure of the prilosec working...i'd use the other symptoms you've described; clearly sierra is extremely uncomfortable ...

jonah was maxed out on 16mg of prilosec per day and he was only 12lbs then.  he's now 14 lbs & on 17.5 mg a day of prevacid (& i'm going to ask for an increased dose bcse he was given this current dose at 13lbs or so) ...AND we've always continued w/ the zantac, too...

kirsten wrote: "I have to tell you that by getting Sierra on the proper meds and proper dosage such as Prevacid compounded with either choco or caracreme base, it will completely make all the difference in the world!!!  That was what we called the 'miracle drug' of our house & sanity saver!!!!"

AMEN TO THAT!!!!!!!!!

hang in there,

~laura

 

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!
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Quote monty123 Replybullet Posted: 17 November 2003 at 3:48pm

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Edited by monty123
Ann Marie
Dylan 2/28/03 (27 wkr, past GERD, NEC, ROP, GBS/meningitis, brain bleed)
Carter 3/25/06 (29 wkr, past GERD, Cardiac arrest w/Immunizations, syndromic features?, all neg tests so far)
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