Home › Forums › Infant Reflux Information › Sleeping › How to know if baby in pain at night??
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May 10, 2006 at 1:14 pm #7807AnonymousInactive
My 3 month old is waking up A LOT at night — sometimes every hour and a half. She wakes crying and, if it has been 2 hours since she last ate, I feed her. If not, I try to soothe her and then put her back down. My question is, how do I know if she is in pain at night…how do I rule that out as her reason for waking? She sometimes writhes in my arms when i pick her up…arches her back, etc…and she has terrible gas sometimes (would welcome any ideas to remedy that as well) but are there other signs? We currently have her on 7.5mg of prevacid once a day and 1.5 mg of zantac once a day.
Thanks!
Kim
May 10, 2006 at 1:21 pm #7809AnonymousInactiveSounds like her reflux may be bothering her at night. How much does she weigh? Seth was around her age when we had to go up to 15 mg of Prevacid split into two doses. When do you give the Prevacid? It is generally the most effective 12 hours after you take it (per GI) so if you are giving it in the am, you may want to switch it to the evenings. You can give Mylanta (at that age, we gave 1 cc 10-15 minutes before each feeding) or gas drops for the gas. What formula is she on?
May 10, 2006 at 1:33 pm #7811AnonymousInactiveThanks for your reply….she weighs probably about 10.5 lbs (last time she was weighed was about 2 weeks ago and she was 9lbs 15oz then). She is on alimentum (about 2 days ago i put her solely on formula in order to determine if my milk was bothering her and giving her gas…still too soon to tell).
I give her prevacid around 6:00/6:30pm, before her last feeding before bed…do you think that’s the best time? If it works best after 12 hours then maybe I should be giving it to her earlier so its working best at night…my doctor does not want to increase her dosage even though i personally think it would help (but he’s the expert so…). I’m not convinced the zantac does anything for her. I also give her 3 ml of mylanta at 2:00am when she gets up for a feeding….but i’m also not convinced that is really working…and the gas drops don’t do a thing for her, although I continue to give them to her with desperate hope. Sigh…
The writhing and arching makes me believe her reflux is bothering her at night…but because she was (is) having such problems with gas, its hard to determine exactly what is bugging her.
May 10, 2006 at 1:42 pm #7812AnonymousInactiveHi, and welcome.
Have you been to the marci-kids.com site yet? They have PPI dosing information where you can check to see if your baby is getting a high enough dose of Prevacid. My little guy was on a low dose for several long weeks before I found this information and convinced my doctor to up his dose. He got much better finally. He still throws up a lot, but his pain is under control.
Here’s the link http://www.marci-kids.com/
Many moms elevate their baby’s crib mattress to help keep the acid down. Mylanta is good for gas as well as controlling the acid, so you might want to try that. I think I read here that you should only use Mylanta Cherry Supreme because the other types have aluminum in them.
As for how do you know she is in pain, I think the arching is a classic sign of reflux pain. The writhing seems to indicate pain, too. I think if she was waking for other reasons she’d be comforted by you picking her up and she wouldn’t writhe or arch in your arms. But only you can be sure because your her mom and you know her.
I’m glad you found us and hope we can help.
May 10, 2006 at 2:09 pm #7816AnonymousInactiveWell, it seems, according to the marci-kids site that her dosage is actually high (3 months old, getting 7.5mg once a day). Could that be right? i guess I was hoping to find out her dosage was low so I could convince my doctor to increase it….
May 10, 2006 at 2:37 pm #7822AnonymousInactiveMatthew was a little younger (maybe 2.5 months) and prob around 11 pounds when he was on 30mg of prevacid (15mg x2 a day). So there is def room for an increase
May 10, 2006 at 2:39 pm #7823AnonymousInactiveJust FYI from Marci kids – just an approximation – if she is about 5 kilos, then it is 1.5mg pe kilo which is 7.5mg THREE times a day, so that is about 22.5mg in a day…
May 10, 2006 at 3:14 pm #7824AnonymousInactiveThe Alimentum may also take a while to kick in. I think it takes two weeks to really see a difference with formulas. The Alimentum along w/ the PPI is really what turned things around for us. If after this time, the arching continues, I would definitely push for a higher dose of Prevacid. As Thais pointed out, there is room for an increase in your dosage. If the ped. is not comfortable prescribing it, I would make an appt. with a GI.
May 10, 2006 at 3:16 pm #7825AnonymousInactiveYou’re right!! So her dosage is pretty low then….hmmmm…it will be a fight with my doctor to get her dosage increased….
May 10, 2006 at 3:54 pm #7828AnonymousInactivethat sounds just like how my son was two months ago. Getting his meds right helped a lot. Also I think he just out grew the gas at about four months. He is now only up ounce or twice a night to eat and then right back to bed.
I never really found much that helped on those long nights. Highlands colic tabs and Baby Bliss Gripewater helped a little with the gas, but they were only short term fixes.
Good luck with the Dr.
May 10, 2006 at 7:19 pm #7851hellbenntKeymasterI hope the formula works for her!Are you pumping in case you want to return to breastfeeding?
as for the reflux/gas relationship:
what’s the connection between gas and reflux?
Gas is created when something isn’t digested properly; for example,
beans are generally harder to digest than other foods, which is why
they are notorious for causing gas in most people (they are generally
not a common problem with breastfed babies through mom’s milk, though;
this is just a common example to help make sense.)Also, gas puts pressure on the esophageal sphincter (the muscle at the
top of the stomach that helps move and keep things down), making it
easier for whatever is in the stomach to be refluxed.May 11, 2006 at 10:32 am #7866AnonymousInactiveWell i talked to my GI doc yesterday and he says that her dosage of 7.5 mg once a day is a generous dose…and if she is having symptoms then he wants to do an endoscopy….so she is scheduled for it on 23 May. From what I’ve read here, many of you have found out very useful information from the endoscopy so I guess I have to just accept it and hope it helps.
May 11, 2006 at 10:33 am #7867AnonymousInactiveOh and yes, i’m pumping in case i want to return to breastfeeding but I’m thinking that if the formula helps, then I will donate all of the milk i’ve pumped….
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