Infantreflux.org | Weaning and Zantac

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November 12, 2006 at 10:01 am #17828

Anonymous
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Ds is almost 7 months old. I have 2 questions regarding his reflux:

1) he started Zantac 10 days ago and we saw dramatic change right away (better naps and much better appetite). However, already now it seems that he’s starting to revert back to his old ways – especially not eating as well. What could be going on?

2) my supply is low and getting lower. At this point, I really think that I’m ready to wean – I want my life and my mind back. It’s been almost 7 months of stressing over supply issues. I feel burnt out. However, I really worry that his reflux will get worse if he doesn’t get (at least some) breast milk. What has everyones experience been with regarding weaning?

November 12, 2006 at 10:33 am #17829

Anonymous
Inactive

1) h2 blockers are very weight sensitive and many babies require PPIs to get complete relief. you can read about them at marci-kids.com
2)if you go to formula, a good choice would be a hypoallergenic formula because many babies with reflux have sensitve digestive systems.

Ask Dr. Sears: Coping With Baby’s Acid Reflux
–

“Feed tummy-friendly milk. If you are
breastfeeding, continue exclusive breastfeeding for as long as
possible. Breast milk has many advantages over formula, especially for
a baby with GER. It’s digested faster than formula, which minimizes
reflux, and it contains enzymes that aid digestion. Also, while babies
are not allergic to mother’s milk, they can be to many types of
formula, especially babies with GER. If formula-feeding, use a
hypoallergenic formula as recommended by your baby’s doctor. Besides
being tolerated better by sensitive intestines, some of these formulas
are digested more quickly so they remain in the stomach for a shorter
time. “

http://www.parenting.com/parenting/baby/article/0,19840,1052 599,00.html?topic=12000&stage=01

November 12, 2006 at 10:34 am #17830

Anonymous
Inactive

As for the Zantac, it’s very possible that he has outgrown his dose already. (My daughter outgrew her first dose in less than two weeks). H2 Blockers are very weight sensitive and babies typically need dosage increases as they gain weight. Often times they eventually plateau on it and no longer get relief…..and then have to move onto a PPI. http://www.marci-kids.com is a great resource of information about reflux and PPI meds for reflux in infants.

As for breastfeeding and weaning….KUDOS to you for making it to 7 months!!!! Many babies get no breast milk at all….so don’t feel bad if you are ready to wean. Breast milk is usually best for refluxers and I, too would be concerned about switching to formula, but many refluxers do fine on formula as well as long as they are properly medicated, and they are not MSPI. Have you been eating dairly while nursing? If yes, that may indicate that he will be able to handle a milk formula (but it’s not a sure thing).

SO, I’d make sure you get his meds right before you make a big change like adding formula. He may need a PPI and that can take two weeks to see resuts.

When I introduced milk formula to my son (he had been on mostly breast milk and a little soy) I started with Good Start (it has the broken down, easier to digest proteins) and only give him 2 ounces per day for two weeks. I did that for two weeks, because it can actually take two weeks for milk proteins to build up in the baby’s system enough to cause problems. Since he was fine after two weeks, I then gradually increase the amt of Good Start until he was on it soley.

I’m curious why he started Zantac at 6+ months? What was he on before?

November 12, 2006 at 10:43 am #17831

hellbennt
Keymaster

babies tend to plateau on zantac and, it’s very weight sensitive.

how much does baby weigh? I can help you calculate dose.

in the meantime, it’s probably time for a PPI…

as for stopping breastfeeding that’s a very personal decision…

here’s others experiences trying to decide whether to switch to formula: https://www.infantreflux.org/forum/forum_posts.asp?TID=5059&a mp;a mp;a mp;a mp;a mp;TPN=1

maybe if the reflux was under control better then your baby would eat more?

as for supply issues, I’m guessing you’re seeing a IBLC http://www.iblce.org/US%20registry.htm (Int’l board certified lactation consultant) ?

November 12, 2006 at 1:51 pm #17837

Anonymous
Inactive

Thanks so much for your responses. I really appreciate them!

I’m curious why he started Zantac at 6+ months? What was he on before?

He wasn’t diagnosed before. I kept complaining to the peds about disinterest in eating and poor napping, but they didn’t decide to try Zantac until he was over 6 months. He was never fussy.

how much does baby weigh? I can help you calculate dose.

That would be great. He was 18.7 at his last weighing a week ago although he had just had a 6 oz bottle before being weighed.

November 12, 2006 at 4:49 pm #17848

hellbennt
Keymaster

ok, so let’s calculate 18.5lbs divided by 2.2 = 8.4 kilos

zantac dose is 5-10mgs per kilo, so let’s calculate for the high end

8.4 x 10 = 84mgs a day, total, of zantac

the liquid is 15mg per ml, so

84 divided by 15 = 5.6mls a day, total of zantac a day

you can divide into 3 doses however you want, like

2mls

2mls

1.6mls

or whatever works for your baby…

November 13, 2006 at 9:28 pm #17933

Anonymous
Inactive

Thanks so much, Laura. He’s only getting 2 x 1.5 ml/day at the moment, so he probably needs an increase in his dosage.

I appreciate your help!

November 14, 2006 at 1:16 am #17972

Anonymous
Inactive

Just keep in mind the syrup contains alcohol, so as you increase dose babe gets more alcohol. You can get them as a lemon flavoured effevesent tablet, which a 7 month old miht love. Alana does, drinks them out of her bottle!!!
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