Metoclopram – 5 weeks old

[Anonymous]

My daughter is 5 weeks old and her pediatrician thinks she has reflux.. Around a week and a half we noticed she was spitting up a lot. At her two week check up we asked and he said some spitting up is normal, however it then progressed to where in the last couple of weeks we have to constantly change bibs, onesies, our clothes etc. We took her back to the doctor last week and he put her on 1mL of Zantac 2 times a day. He said if it doesn’t improve call. It obviously helped some with her discomfort because she is not as fussy but still spitting/throwing up after every feeding. I called back yesterday and he said to also give her .4mL of Metoclopram 3 times a day. I’m extremely nervous about potential risks and/or side effects of this medication. She has only had two doses and has been a little fussy and I’ve noticed she’s not sleeping well, constantly tossing and kicking and clearing her throat. Could this be from the medication? Also, are there any other options to fix this issue and is it possible that she’s been misdiagnosed and either has an alergy to the cow’s milk in dairy products that I eat or a possibly lactose intolerance? What should I do and how should I go about it? How safe or unsafe is this medication she is on and what are the possible long term side effects that could be caused?

[hellbennt]

hi & welcome!

you’ve found a great place!

the key to all of this is RESEARCH and, of course, support!

I have a LOT TO SAY! and most of it is here:Groupie Intro: https://www.infantreflux.org/forum/forum_posts.asp?TID=853

there is even a link from Groupie Intro for finding a dr near you.

(Anyone else reading this who has not posted their dr on that link: PLEASE do, as it helps others! the good AND the bad…thanks!!)

Groupie Intro is looong, but PLEASE read/skim/scroll through it & refer back to it, as it TRULY will help you!

so glad you found us!

~laura

to answer some questions:

metoclopram: if you don’t want to give the metoclopram, then don’t. YOU are the mama!

zantac: try just the zantac at the highest dose for weight (zantac is very weight sensitive), which is 10 mgs per kilo.:

don’t just take my word on this, read here for dosing info:

Zantac dosing- my/other’s question (has axid & pepcid dose, too):

https://www.infantreflux.org/forum/forum_posts.asp?TID=8288&PN=1

conversion chart: http://www.sfca.co.uk/match/kilolbs.htm

spitting up: does not stop from medication; medication does not stop spit up, it adresses the PAIN from the spitting up. is weight gain an issue?

lactose intolerance/milk allergy: it is extremely RARE for a baby to be lactose intolerant, as lactose is milk SUGAR and found in breastmilk and is different to what babies can/do react to, which is milk PROTEIN. you may want to address this- see ‘groupie’ intro link for more information

[Anonymous]

I don’t believe weight gain is an issue. She was born 6 lb 12 oz at 38 weeks gestation. She’s now 5 weeks and 1 day old and at her last doctor appointment on Monday (4 weeks and 3 days old) She weighed 8 lb 2 oz.. he said she was gaining weight properly. I’ve been doing a lot of research on the Metoclopram/Reglan and have been hearing horror stories of it and its risks and dangers (so no more of that for her!) It seems like a severe perscription if weight gain isn’t an issue.. and if dehydration hasn’t been an issue.

[hellbennt]

ok so zantac dose:

8lb 2oz = 3.7kg

maximum zantac dose by weight is 10mg per kilo, so

3.7 x 10 = 37mgs total for the day of zantac

your bottle should read 15mgs/ml, so

37 divided by 15 = 2.5mls of zantac, total, for the day;

(this is just .5mls more than what your dr rx’d, so you’re practically there)

you can divide this into two doses and they can be ‘uneven,’ with you

giving a higher portion/dose in the evening (if this is the ‘hardest’ time for her)

you can also look at your diet, too, if you like.

some signs of mspi are, but are not limited to:

poop:

watery poops, poops that are NOT ‘normal breastfed baby poops (normal poops are mustardy/yellow w/ ‘seeds’ that you can see), green poops (some green poops are perfectly normal! just not all the time!), mucousy poops (stringy like the inside of a banana peel, curdy like cottage cheese, looks like snot)

gas: foul-smelling, painful gas

grunting & straining to poop: looks like she’s having difficulty passing a stool, but when it comes out it is soft

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