Infantreflux.org | ppi’s = less spit up?

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November 25, 2006 at 2:13 pm #18955

Anonymous
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We’ve all been told that PPIs don’t stop spitting up, but are for stopping acid and therefore pain. I just wanted to share with you that more recently, my GI suggested that using a PPI can have an indirect impact on reducing the amount of spitting up/severity of the reflux. We were recently told that by stopping acid production, you lessen the volume of the stomach contents which puts less pressure on the LES, leading to fewer reflux episodes. Since reflux is a vicious cycle, in that the more times a baby spits up/vomits the laxer the LES becomes, decreasing the pressure on the LES and decreasing the number of spit up episodes actually allows the sphincter to strengthen. Also, the PPI decreases the acid damage in the esophagus and the stomach. A stomach damaged by acid, actually responds by producing more acid, and an irritated stomach doesn’t empty as frequently. All these things cause the reflux to be worse. I recently read someone else who was told something similar by their GI.

I’ve always noticed that Hailey actually spits up and vomits less when she’s on the PPI.

Just food for thought…

November 25, 2006 at 2:20 pm #18957

hellbennt
Keymaster

Thanks Lori!

It’s just hard with all of this relfux info to make blanket statements, as I know you are aware! It’s a response such as yours that’s good for newcomers, because many people want to stop the spit up & when they post here we all jump in to try & ascertain whether or not the baby is in pain or if s/he is a ‘happy’ spitter…

so even though the PPI might just lessen the occurance of spitting up, I don’t think they should be prescribed for every baby who spits up a lot…

I am getting over the flu, I hope I’m making sense?

November 25, 2006 at 2:51 pm #18959

Anonymous
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Makes sense! I agree…I don’t think they should be prescribed for every baby who spits up either. But I’ve always noticed that the vomitting is so much less when Hailey is on her PPI and taking it properly, but was never able to figure out why it would make a difference that way. Just thought others might be interested.

I also just wanted to add that this is only the opinion of my doc (and of a few others I’ve read about), so not exactly the greatest sampling.

s&h’s mum2006-11-25 14:52:33

November 25, 2006 at 9:10 pm #18973

Anonymous
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Hmmmm…that’s interesting. I was quite sure that Myles’ vomitting decreased some after starting on Prevacid, but he actually continued to be a huge spitter for a very long time, so the effect (if any) was minimal for him.

In any case, I certainly would not have put him on a PPI if he was not in pain.

I’m glad to hear that it seems to help Hailey throw up less. How’s she doing these days?

November 25, 2006 at 10:02 pm #18975

Anonymous
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lori, i had never heard that the les becomes more lax, but that the les becomes inflamed and then doesn’t close as well—-probably just a matter of semantics???

November 26, 2006 at 8:32 am #18984

Anonymous
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I don’t know Christine. Probably just semantics. I think that your description is probably more accurate given it’s a sphincter and not a ligament!

November 26, 2006 at 9:30 am #18987

Anonymous
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Thanks for posting this, Lori. I’m so glad that someone else has noticed this too. Whenever Bryce didn’t get his Prevacid on time (even before he was on Erythromycin) his spitting up would be even more horrible. I didn’t want to contradict what everyone else was saying about it when I told people it could help lessen the spit up a little, but I could really see the difference with Bry. My family doc told us something like what your doc said too.

November 26, 2006 at 7:44 pm #19015

Anonymous
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We started on Prevaicid two weeks ago. We have seen a good decrease in spitting up. Shes also sleeping very well, taking naps good etc now. She did have a tooth finally come in, so could have been the teething keeping her up. All I know is she takes this well, doesnt fight like with the prilosec(yucky!).
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