Home › Forums › Infant Reflux Support › HELP!!! › 10 months and nothing helps!
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February 25, 2013 at 8:56 pm #71720AnonymousInactive
Hi there!
I’m new to this board but I don’t know what else to do then reach out to see if anyone can help my daughter. From birth my daughter has been vomiting. She was hospitalized for the first week of life due to jaundice and excessive weight loss. When she was born they did an Upper GI to look for blockages along with blood work to look for liver diseases. Everything came back normal so we were sent home with a diagnosis of Acid Reflux. The poor thing screamed bloody murder for the first 5 months of life and constantly vomited. No medicines helped. Finally at 5 months her screaming stopped but the vomiting did not. At this time we also realized that she was sleeping about 18-19 hours a day.
At this time my daughter is almost 10 months old. She vomits constantly and sleeps 18-19 hours per day. She has had multiple upper gi’s, an endoscopy, and an brain MRI. All these came back normal. Her PH Probe Test came back with almost NO acid but she had almost 200 reflux events in a 24 hour period. They did a gastric emptying scan on her but the test results were not valid because she vomited too much during the scan. At 10 months she weighs 16 pounds 12 ounces. Her pediatrician reports never seeing anything like it. Her pediatric GI doctor has said it is a rumination disorder but she doesn’t fit the description. She vomits in her sleep, vomits baby foods, and solids. Plus the rumination disorder does not explain her excessive sleeping. The pediatrician has referred us to a pediatric geneticist and neurologist (metabolic team) to check for metabolic conditions since her lactic acid is slightly elevated and her carbon dioxide level is low.
My question is does anyone have any answers? Does this sound anything like reflux? Is it normal for a reflux baby at this age to vomit that often? She has taken every reflux medicine they make and none of them have made the slightest of a difference. Any advice or support anyone can give me would be greatly appreciated.
Thanks
Teri
February 26, 2013 at 5:48 pm #71723AnonymousInactiveHi Teri,
Welcome to this site! It is truly a great place to get help and support. I just wish I had had access to the web and known about this site when my boys were suffering so badly.
I am terrible sorry that your little girl is not doing well. I know just how terrible it feels to not know what to do anymore! When you say “she screamed bloody murder and constantly vomited”, that sounds just like how my boys were. But your little one has been through a lot more testing than my children did.
I have found it extremely interesting how different reflux symptoms can be in children.
Some barf all the time… others hardly barf.
Some have diarrhea… some have constipation.
Some don’t sleep more than 15 minutes at a time…. others sleep for 10 hours straight.
Some have blood in their stools… some don’t.
Some want to eat all time… others refuse to eat at all.And yet often times (not always though) the cause is the same… acid reflux and/or food intolerances.
My children screamed in pain for many hours at a time, wanted to eat all the time and yet were terribly skinny, had blood in stools, barfed everywhere, and hardly ever slept.
What works for one child doesn’t necessarily work for the next. There are numerous types of formulas, many meds, elimination diets, and other treatments and products that help children with digestive problems. But what one mom swears by, the next mom may curse. 🙁 For many parents, it is a matter of trial and error to find what works for your baby.
The best thing I can recommend is doing exactly what you are doing… researching and asking questions. There is a ton of info on the internet and I find other moms to be my best source. 🙂 This site has a lot of great info and you can find it by using the search button on the top right hand corner. Be sure to search back 6 months and later.
When my children were babies, they were started on meds before around a week old (and didn’t go off until they were ages 1 and 3). And the only formula they could tolerate was Nutramigen. If I would’ve known at that point that there was formulas that have the proteins even broken down more, I certainly would’ve tried them. I had a pediatrician that wasn’t very helpful and I felt as if I was making decisions on my own what was best for my child.
When my boys were ages 2 and 4 we decided to try giving them a supplement of digestive enzymes and probiotics. I knew very little about them or how they worked but just doing it because a friend suggested it. Well, we were VERY surprised and happy that they helped more than any meds or formula ever did!!!
I find it interesting how since we found how much they helped our children, I have others tell me that they have helped their children too. And yet their symptoms were quite a bit different, like one child was facing having a feeding tube put in because of refusing to eat and not gaining weight and now is doing a lot better. But there also was one mom that her child’s symptoms were much like mine and she said the probiotics and enzymes didn’t seem to help.
I certainly feel that they would be worth a try for you!
Here is a link to a page that I have written that explains why and how they are beneficial. https://www.infantreflux.org/forums/topic/probiotics-digestive-enzymes-can-help/
Also, you can look at my blog (see signature) and find other mom’s stories of finding help and also a lot of info and links to places with info related to digestive problems.
I wish you the best and hope that soon you will find the right thing(s) to help your sweet little girl!
February 26, 2013 at 9:18 pm #71724AnonymousInactiveThank you so much for your response! My sweet daughter has been on every formula they could put her on, nutramigen, neocate, you name it. Nothing helped. She has also been in nexium, prevacid, zantac, and carafate with no signs of improvement at all. We put her on a probiotic about a month ago to see if that would help at all since a friend recommended it. That still has not helped us. We get the results of her metabolic work up tomorrow to see if that is the cause. It sounds insane to say, but I hope my daughter has a disease. There is nothing worse than wanting to treat your child and nothing helping, not even a little. The doctors are so stumped, and it’s a horrible feeling going to doctor after doctor,hospital after hospital, to have everyone not know what is wrong. If it was just the vomiting I think I could except it, but she sleeps 19 hours a day, has a rash under her eyes that know one knows what it is, and she chokes on her vomit to the point of not breathing at times. My husband and I are constantly worrying. Thank goodness for the apnea machine which goes off when she doesn’t breathe at night or else we would never sleep! My hope is that by posting here someone, somewhere might have some idea to help my poor sweet daughter.
February 27, 2013 at 6:06 am #71725AnonymousInactiveYes, I can understand how you feel when you say you hope your daughter had a disease. I often felt the same way even though my children certainly were not as bad as your little girl. 🙁
Probiotics alone can beneficial for many babies because it takes 3-6 months for their bodies to get them built up. But when babies still have digestive problems beyond that, they are normally having a problem being able to properly break down and digest their food.
Have you ever tried giving her digestive enzymes? As I stated before, they are not a cure but I personally believe that almost all babies and children who suffer from digestive problems are most likely deficient in digestive enzymes. And many will benefit at least some from taking a supplement of them.
Digestive enzymes are what are in all foods (before they are cooked or processed) to aid in breaking them down. They are especially needed for breaking down proteins. If a nursing mom eats a diet of mostly raw foods this can help some but unless the foods are organically grown, they are not very enzyme rich. The pancreas is what makes digestive enzymes and it will try to compensate for the lack of them in foods, but for some babies it can be difficult for their pancreas to keep up making enough to break down the food (proteins in particular) that they take in whether it be through breast milk, formula, or solids as they get older.
For some babies, they can inherit the problems of their body not making enough digestive enzymes, and for these children, they may carry this problem all of their life. Just like the diabetic doesn’t make enough insulin.
When “food” is placed in the stomach, the stomach will excrete a small amount of acid to activate the enzymes so they will start breaking down the food. If there are no or little enzymes, then the stomach will excrete a little more acid. Eventually the food is forced into the intestines even if it isn’t fully properly broken down. If the food isn’t broken down then it will very difficult for the body to be able to absorb and use it. For some children, this undigested food will sit in the intestines too long and the longer “food” stays in the intestines, the more moisture that is drawn out of it, and it can cause constipation.
This excess acid that the stomach makes, can play a major part in some babies digestive problems. Too much acid will kill probiotics. And beings that probiotics are the protective coating for the entire digestive tract, then without it, the food, reflux, or stool will rub right up next to the esophagus and intestines themselves and can cause them to become raw, inflamed, and even bleed sometimes.
For some it can take several days or more for probiotics and/or enzymes to start helping. And they can even make symptoms temporarily worsen.
I would recommend at least doing some research on the benefits of digestive enzymes for babies and also asking your doctor what he/she thinks about it. Some doctors recommend them but some doctors don’t know a lot about them.
I do hope so badly that you can find help and answers! Please updated us on what you find out from the metabolic work up.
March 2, 2013 at 7:32 am #71740AnonymousInactiveWell my little munchkin got her test results from the metabolic work up. Everything came back fairly normal. A few tests were slightly off, but nothing that really screamed a metabolic disease. The metabolic team (geneticist, neurologist, nutritionist, and multiple interns) then decided to try to help us figure out a cause for her vomiting. They looked it up on google, medical journals, and started calling other doctors at other hospitals. They finally came across one doctor who had some ideas. Our geneticist worked her connections and got us an appointment the very next day. This doctor was another pediatric gi. She is the fifth we have seen so far. She thinks that the vomiting could be related to fluid on the kidneys. It’s a disease where fluid backs up from the bladder back into the kidneys. Ironically it is called reflux as well. :). We have an ultrasound scheduled to see if this is the case. This doctor also thought it could be a vitamin difficiancy of magnesium or zinc. We are getting blood work to check that as well.
The most interesting possible suggestion to me though was that it could be a severe form of something called bile reflux. This type of reflux has no acid and is unresponsive to all types of medications. Anyone ever heard of it?
On a side not my daughter has been losing weight the last month and a half. The last three doctors we have been to have told us if she loses any more weight she will need to have a feeding tube put in. She is 10 months!!!
I am exhausted… I want answers… I want to see the end of the tunnel…
March 3, 2013 at 5:34 am #71742AnonymousInactiveI am sorry that your doctor visit did not give you more answers! (((HUG))) I’m sure this is all REALLY hard! I don’t know if I have heard of bile reflux but I have heard of reflux that is not acidic but instead alkaline. Lately I have been trying to research this more (but don’t have much time). I have read of many children and adults that have pH probes done and find out that it is alkaline reflux. I have lately been reading that if this is the case it is due to too high of a pH in the stomach acid and/or not enough stomach acid being produced instead of too much. When this is the case, the enzymes to break down the food can not be activated to start breaking it down. I am still learning about this but I think the solution is to take hydrochloric acid pills when you eat to make the stomach be the right pH.
I am going to research it more and will consider having a pH probe done on one of my children. Or I might just try the acid pills to see what happens. It is hard for my brain to switch gears when all along I have thought my children are producing TOO much acid, and they are too acidic. But so far from what I have read it is my understanding that alkaline reflux is common and pretty much causes the same symptoms as acid reflux.
I wish I could tell you more about this but maybe you will be able to do your own research on it and see what you think.
Here is a copy of what I read someone wrote on a different forum in response to an adult that was wanting to get off of reflux meds. I don’t know if what all he said was correct or not but I found it interesting…..
I spent most of my career in clinical research and I have to tell you that you need to stop taking PPIs, or acid reducing meds. A little physiology: When you eat, the nutrients enter the stomach and are mixed with Hydrochloric acid (HCL), Pepsin, and a host of other enzymes. The HCL breaks down the nutrients into a thick liquidy mass called Chyme. The HCL helps sterilize the nutrients. Pepsin breaks down the proteins into peptones, which are the build blocks for the amino acids necessary for sustaining life. When the nutrients are broken down by the Peptic enzymes the acid is neutralized by the alkaline fluids generated by the Pancreas, it is further neutralized as it passes into into the small bowel. Pepsin is most active in the conversion of proteins when the stomach pH is at 1.0 to 2.0. When the strength of the HCL moves toward the neutral side the Peptic enzymes become less active in the conversion of proteins. At 5.0 pH these enzymes are completely inactive in the conversion process. On average the Pyloric Sphincter starts to relax at 4.0 to 4.5 pH, allowing the contents of the stomach to dump out of the stomach. The enzyme Gastrin is responsible for maintaining the tone of the Cardiac sphincter and the Pyloric sphincter. Gastrin is tied closely with the amount of HCL produced. If your Gastrin levels are low you will have fluids from the duodenum flushing back into the stomach and into the esophagus.
One of the most misdiagnosed conditions in this country is GERD or reflux. This misdiagnosis is primarily because the symptoms associated with the over production of HCL, or the lack of production of HCL, are virtually identical. The over production of HCL is called Hyperchlorhydria. The under production of HCL is called Hypochlorhydria. Both of these conditions will cause reflux, gas, belching, bloating, abdominal pain, nausea, diarrhea and or constipation. Many people assume they are over producing HCl (hyperchlorhydria), because the gastric fluids with or without the presence of HCL are very bitter to the taste. Unfortunately many doctors are prescribing PPIs or other acid reducing medications, on the assumption that the patient is over producing HCL. In many instances this is not the case. The proper stength HCL is absolutely necessary for sterilization and conversion of the nutrients consumed. If you are not producing strong enough HCL, PPIs or other acid reducing meds, will cause you to become Achlorhydric. When this occurs you are not sterilizing or converting the nutrients you consume. Everything you eat is dumped into the small bowel without the benefit of sterilization and conversion. You will have reduced support for the immune system and the stage is set for bacterial and fungal infection. If you are actually over producing HCL, you should be taking a natural medication that mimics the normal physiologic buffering that occurs in the digestive process, not one that stops the sterilization and conversion process. Many people that stop taking PPIs and other acid reducing meds, will experienc symptoms similar to someone that is coming down off of a controlled substance.
I would higly recommed that you get a pH diagnostic test, or gastro-gram, or pH capsule test, to determine what is actually going on in your digestive process. If you serch the we for pH diagnostic test, or pH capsule, you will find a lot of good information that will help you.
March 14, 2013 at 1:46 pm #71820hellbenntKeymasterany updates?
March 14, 2013 at 4:48 pm #71826AnonymousInactiveMy sweet daughter had an ultrasound of her kidneys on Friday last week. The results were normal. We have spent the last two weeks trying to collect enough urine and blood for all of the other tests the doctors have ordered. She is so dehydrated due to the relentless vomiting so it has been a very complicated process. They are testing her for vitamin deficiancies(zinc,magnesium,vitamin d, and I think calcium?). They also are testing her for CF since it runs on my husbands side of the family.
We have started her on an enzyme supplement. I also researched bile reflux quite a bit. I plan on discussing that with one of her GI doctors next Thursday.
Currently we are struggling with her weight loss. She lost a lot of weight and she is now in the 5th percentile for her weight. I have been told by our GI, geneticist, and neurologist, that if she loses anymore weight she will need to be hospitalized with a feeding tube. My current obsession is getting high calorie foods in her so she gains something.
I will try to keep everyone updated. I hope eventually someone will read this and think if an idea or my journey will help some other family.
March 14, 2013 at 5:21 pm #71827AnonymousInactiveWell, I hope that something will show up with all those tests.
I am sorry that she has lost so much weight. 🙁 I’m sure that is really hard for you to watch and probably feel so helpless. I hope she doesn’t have to be in the hospital and have a feeding tube but if it would help her get better, then that would be good!
What kind/brand of enzyme supplement are you using? Is it something the doctor recommended? What about the probiotics? You said you tried them earlier on your daughter. Are you still using them? What kind/brand were/are they? There are many brands/types to choose from and some are definitely of better quality and will work better than others. For instance, many probiotic supplements only contain 4 or less strains in them. The best are ones that have at least 10 in them. And with enzymes some supplements only contain a few types of enzymes. The ones that will work best have many types of broad spectrum enzymes in them to break down not only the different types of food we eat but also to aid in the different stages of digestion. We use “Digestive Health” sold by Core Health Products which contain 13 strains of probiotics, over 20 types of broad spectrum enzymes, prebiotics (food for probiotics), and several types of soothing herbs for the gut. If you will do a search on this site though you will find that other moms have found help with other brands/types but I don’t know what they are.
Beings that you are working so hard researching and testing, I believe that you will be able to be of help to others once you find what works and helps your little one.
Thanks for the update and keep us posted on test results, what the doctors think, what you find from your own research, and of course how your sweet little girl is doing!
May 20, 2013 at 5:36 pm #72182AnonymousInactiveAny update? I can relate to exactly what you are talking about less the rash. My son is 7 almost 8 months and has already been hospitalized on a feeding tube but now they want to put the G tube in because he is inthe 3rd percentile. I feed him by syringe alot just to try to keep him hydrated. We are waiting for our genetic and metaboloic testing. MRI, upper gi, lower gi, ultra sound,xrays…all normal other than mild reflux. I really hope you have received some help.
May 20, 2013 at 6:04 pm #72183AnonymousInactiveHi there. Unfortunately we do not have any answers yet. Her rash was there for about 3 months but cleared suddenly. No one really knows what it was from. She was put on an NJ feeding tube but she pulled it out twice and during the placement of those tubes discovered that her pyloric valve was very slightly swollen. They then tried Botox on the pyloric valve but it was unsuccessful. We are now scheduled to put in a GJ tube next week to help her gain weight since she too is in the 3rd percentile. She is starting to become developmentally delayed and showing some neurological signs (very mild). The neurologists thinks it may be something cause MNGIE. It’s a very rare disease with only 70 reported cases. We are being referred to a motility center at Boston Children’s to see if they can help give us some answers. I hope you find answers with your son. There is nothing worse than not knowing.
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