does reflux peak at 4 months?

[Anonymous]

HI. I had wrote a while back when my daughter started with the reflux and got some excellent advice from those on this board. My daughter had gotten much better when she started prevacid and was even sleeping well( only getting up once in the night to feed and then going right back to sleep) Now she is four months and for the past 2 weeks the reflux has been bad. She is very uncomfortable most of the day and nights are horrible- she is waking alot and will only sleep if I hold her. The doctor had upped her prevacid dose to 15 mg – a half tablet in the morning and a half tablet in the evening. He also told us to start rice cereal in her bottle, which we have done for the past week. I’m not sure if her dose of prevacid is high enough or if it just gets bad around 4 months- I had read that reflux peaks around 4 months. Has this happened to anyone else or do you think she needs a higher dose? The marci kids website was confusing to me. I appreciate any advice.

[hellbennt]

my educated guess is she needs a higher dose. yes, reflux can get worse from 4-6 months, or anytime, really…

is she spitting up a lot a lot? that’s what cereal is for. it also helps with weight gain. for fussiness/pain then meds is what helps. from my welcome/intro there’s info about all of this– I don’t have it handy, but to find the link, just go look in ‘Introductions’ at anyone’s post– I post my welcome/intro for all newcomers- you might want to bookmark it for future reference

I’m sorry your daughter isn’t doing so well…

[Anonymous]

15 mg probably isn’t enough. How much does she weigh?

Some babies get gassy and constipated from rice cereal? Does this seem to be a problem?

My son’s reflux did peak at 4 1/2 months, but then we raised his Prevacid dose anyway, and he got much better. (His dose wasn’t high enough to begin with).

I hope things improve soon. I know how frustrating and sad it is to see the reflux worsening when it was going so well.

[Anonymous]

She weighs 14 and a half pounds and is exactly 4 months old.

[hellbennt]

14.5lbs/2.2 = 6.6 kilos

6.6 kilos x 3mgs = 20mgs a day total

I get, as a very conservative dose mind you, at least 20mgs per day total, as opposed to your current dose of 15mgs…so 15mgs a day is low…

[Author]

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