AnonymousInactive
First thing is, did she have a test that showed she had delayed gastric emptying? If not then she probably doesn’t need the reglan. Like Laura says most Drs. give it just because. Reglan can be helpful, but can also be harmful. A few moms have taken it to increase their milk supply and said they feel like they are coming out of their skin and one mom went into a major depression while using it. Reglan can be helpful though if that is what she has.
Yes, you just mix it with water and syringe it in. I haven’t done the solutabs so I don’t know a lot about them, but I think you do have to make sure you get it all in, or as much as possible.
As far as I know there is not a test for mspi. My understanding is that Allergy testing under two is worthless. I am no expert though. I do think your best bet is to do the elimination diet.
Would you describe her poo as snoty? I know you said dirrhea, but snoty poo can look like dirrhea.
I would give the meds a go before trying to eliminate anything. That is just my opinion. I say get the reflux under control with meds if possible and then if that doesn’t work try the diet. It usually takes a good 2 weeks for the meds to kick in and sadly two weeks to know if the diet works. Oh, I would also check out marci-kids.com and make sure your baby is on the correct dose of meds. If your baby is not on the correct dose then she won’t feel better no matter what you do. I’m glad you found us.
One last thing I will say is don’t let anyone talk you out of breastfeeding. Breastfeeding is one of the best things you can do for a reflux baby. Your milk acts as a natural antacid. Not only that, but when your nursing their are hormones that are released that calm you down. I know that’s probably hard to believe given how you feel now.

Oh, I also had a two year old and a reflux baby and it is hard. There is nothing easy about it, but know that before you know it it will all be over. I wish I could do more to help. Your doing a great job mama.

AnonymousInactive
Sorry to sound so desperate but I think I’m going nuts from the 8 week old that wont stop crying in severe pain and the 2 1/2 year old that wont mind.
if anybody does read this, there are a lot of questions- please if you only can answer one question it will help, dont feel obligated to spend your time trying to read all my blabbering

I have looked at Laura’s post, THANK YOU SO MUCH, how amazing of you to try and help us all out. It has a wealth of information but I still have some questions.
Background: Sweetpea is 8 weeks and 11 pounds, was recently on zantac and reglan now has been switched to prevacid 15mg solutab and ped wants to continue on reglan to strenghen les, we havent started prevacid b/c i just got the script today. I know she is refluxing we had an upper gi that showed anatomically she is fine but she is definitely refluxing, moderately.
Questions:
1. Any suggestions for the best way to deliver the prevacid, so you just mix it with water and syringe it in?
2. Maybe its MSPI- is there a test for this or is it just by the elimination diet?? The ped said we could do an allergy test in 3 weeks ( where he puts milk on her back with the allergy tester and sees if she responds) this doesnt seem to be the same kind of allergy to me, its a protein intolerance, i think he really didnt know that much about mspi when i brought it up and this was his lame solution ( but if not hooray for such an easy test)
3. mspi symptons that sweet pea has:
green stools, no blood- stinky poos- crying 20 minutes or so after a feeding and then the crying continues and continues……
little to no napping, she just wakes up in pain- mostly diarrhea without many mustad seeds, she is breastfed.
4. should i just try the meds for a few days and then try the diet- if i start both how will i know which it is??? how long does prevacid usually start to work?? am i a mean mommy to not start the diet immediately?? ( i live for chocolate
scared to go without it.)
Thanks so much, I’m so glad i found this website- there really is not a lot of information out there on mspi, boo to the doctors but yea for other mommies who care 
AnonymousInactive
There is also a yahoo group that is for breastfeeding moms of reflux babies. What is that one Laura?
Justice did the same thing and for me it was not a supply issue or oal. For him it all went away as soon as his zegerid kicked in. Justice also wanted to nurse all the time. I ended up with very sore, cracked, and bleeding nipples. If that happens to you or you find yourself getting sore try burn patches. The patches look clear. You can go to any pharmacy and they should have them. I always cut mine in half since you don’t need the whole thing.
I would also check out marci-kids.com for more info on meds and correct dosing. I think most of the time if your baby is medicated correctly that does go away. The zantac usually wears off in a week so that is more than likely what has happened. Now all that being said it still could be oal or a supply issue, but if your baby has reflux I would definantly work on getting that under control anyway.
If your baby has over active letdown he will usually gulp very quickly and then choke because he is getting too much milk all at once. I’m not an expert though so like the other ladies have said I would contact a La Leche League leader in your area. Keep up the good work.
there are a lot of resources to help a breastfeeding mother of a refluxer, although it can seem like there’s no help in sight…
I always like to recommend to breastfeeding mothers to seek all the help they can manage to find such as:
la leche league:
The La Leche League Breastfeeding Helpline w/access to toll free breastfeeding help 24 hours a day. Just call 1-877-4-LALECHE (1-877-452-5324).
& to find a local internationally board certified lactation consultant (IBCLC):
I also found that the Dr. Sears Elimination diet
really helped me to know what exactly it was that I was eating that affected my baby & his reflux
I hope this helps,
~laura
AnonymousInactive
That sounds like when Hailey would try to nurse. Our lactation consultant said OAL, which I think was only part of it. The other part was that she was trying to avoid the pain she got from feeding. So when I got a letdown, she’d pull off with my nipple in her mouth, and then come back for more, and this would go on and on. I’d try a PPI if the problem persists with the zantac.
AnonymousInactive
Ok, I have one more thought… how is the breastfeeding going? Still block feeding???
Also, with the upped Prevacid dose, and the green stringy poo… I THINK I’ve read of one mom who said that the green stringy poo is an indication of lactose intolerance. The solutabs have lactose in them, so perhaps he is reacting to that???? I know it’s just one more thing to add to the reflux puzzle, but maybe a different form of Prevacid would be worth a shot?
there was a mom here who loves her dr in orlando- there’s a link to finding a specialist from Groupie Intro (I’m in miami!)
If I were you I’d call la leche & ask your questions
toll free breastfeeding help 24 hours a day. Just call 1-877-4-LALECHE (1-877-452-5324).
I would also go post over at the yahoo breastfeedingreflux board…
if it IS blood, you might want to get a dr to prescribe you the pancrease that I posted about somewhere a while back…your local la leche league would know of a dr who is more ‘pro’ breastfeeding…
I can try emailing the link to this page to the mama who used to post here from Orlando…here I go!
I’ve already posted that I don’t like your pediatrician- he’s holding your baby’s health & happiness hostage! If you won’t stop breastfeeding and give your baby formula, then he won’t help you!
of course it’s up to YOU and of course this is only MY OPINION…
well, if it can only be detected in the lab, well get it to the lab…ok easy for me to say…I’m just worked up over the arrogance & egomania of this man!
congratulations on your new baby!
if you don’t want to stop breastfeeding, you can try medication (a good dose of prevacid) and changing your diet to see if that helps;
breastfed babies actually can go a few days w/o pooping & it’s normal, but you’re the mama!
AnonymousInactive
Your mainly breasfeeding, right? With my daughter, I too was told to put in scoop of formula for her breastmilk bottles (she got two at the sitters). I did this, but it didn’t help. For her, her reflux and resultant pain was what caused her to not want to eat. Once we got her med. increased she ate better and gained weight.
The ped. thought I had a milk supply problem, but that wasn’t it at all. Nor, I’m sure, do you, as you have had other children and would know that.
I don’t know if you have tried cutting out some foods to see if that helps? I had to do the TED for several months, but it helped, and many refluxers are milk/soy protein intolerant, so cutting them from you diet could really help her.
AnonymousInactive
Well, unlike all of you fine ladies, I never lost any waist and gained anything in any places I wouldn’t want to gain. YEAH RIGHT!! I’m currently 31 weeks pregnant and look like a whale. Even after losing all the baby weight after having Ariella (breastfeeding helped in that department), my hips/ribs still looked/felt too wide. I now look at the pictures of the younger years (hehehe, that was only a few years ago) and sigh. I used to be so much slimmer and that waist…
AnonymousInactive

HI- I have a 8 week old daughter who has reflux, lots of spitting up and vomiting in the beginning. Currently that is decreased with zantac and reglan (3ml of Z 2x a day and R 4x a day), however she cries a LOT of the day like someone is cutting off her legs with a chainsaw…. she also only sleeps about 1-2 hours in the day at best- nights are usually pretty good after I get her down, about midnight.
The pain she is in is heartbreaking- I called the dr. and he has scheduled an barium swallow to see the severity of the problem.
I am exclusively breastfeeding and have made the changes to elevated bed, holding upright and all that. She doesnt cry right after or during feedings, its about 30 minutes after her feeding.
I’m interested in this mspi…. tonight for the first time she has slept, its been amazing!! I did realize though, after having the time to actually spend researching reflux b/c she wasnt crying, that i havent had cereal the last 3 mornings- I usually always do, but my moms here so its been eggs and oatmeal. I know that i have had some milk products but a definite decrease from the usual. Is this just conincidince or could it be mspi?????
I’ve seen no blood or mucus which seems to be an indicator so I’m just not sure….
If anyone can help i would love it- i guess its toast in the morning to see if that helps, of course with no butter
Thanks so much
AnonymousInactive
Hi!
After 6 weeks and after much deductive skills, I found out my baby (who is now 5 months old) has MPI.
His symptoms: green leafy and mucuousy poop, excema on his forehead, spitting up a ton, lots of crying and crunching up of his body, screaming, obviously in pain.
To find out if it was MPI, I gave him a bottle of soy formula for a whole day (and pumped my milk to keep up my supply but dumped it out) and he was a MUCH happier baby. He actually started sleeping! Yes, he spit up still but he stopped screaming, it was like it didn’t bother him at all.
So for the next two weeks I alternated breastfeeding and soy milk while I eliminated ALL dairy out of my diet. Anything with butter, milk cheese etc including anything cooked with dairy in it (including whey or casein in the ingredients list). He slowly improved and after two weeks I solely started breastfeeding and I had a baby who slept, cooed and was generally a normal happy baby. Yes, he still spit up but that is just a laundry problem. I didn’t even have to put him on medication – which I never wanted to do in the first place (even though the doctors pushed it).
I think you should stick with the “no dairy” but be very strict . No dairy in ANYTHING. It sounds to me a lot like my experience. Now I have a happy 5 month old sleeping 9+ hours at night and who is starting to slow down on the spit ups (no longer massive amounts).
Hang in there, it does get better!