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[Anonymous]

Hi. I’ve read through quite a few posts and thought I’d see if we’re on the right track.

Here’s the scoop: I have a 10.5 week old boy who I’m almost positive has fairly significant reflux as well as a dairy intolerance (almost positive he’s not allergic, just intolerant). So far, he seems okay with soy though.

Anyhow, he’s always been a big spitter. We started treating him with Zantac around 3-4 weeks of age. Then around 5 weeks, he suddenly started to projectile vomit a couple times a day (throught the mouth and nose…fun stuff). We did an upper GI to check for pyloric stenosis, which he didn’t have. They didn’t see any reflux, but I’ve since learned it’s not all that helpful a test for reflux anyhow.

I started to notice that if I missed a dose of Zantac, no projectile vomitting happened, so we switched him from that to Axid. I never really noticed a ton of difference in his symptoms (other than no more projectile vomitting). So about a week ago, the pedi upped his dose to 1.5 ml/2 x’s a day. We tried that for a week, but in my opinion, he’s getting steadily worse. The pedi said that, if after a week on the higher dose we didn’t notice a change, then we could try something else. So I called today and she switched him to Prevacid. The dose is one half a solutab a day (15 mg), dissolved in 4 ml. of water, given before a meal. Is this the normal starting dose and type (meaning as opposed to a liquid med)?

Here are Ethan’s symptoms:

~lots of spitting up

~prefers to be upright

~increasingly fussy at feedings (I nurse)

~feels like a wrestling match when nursing as he pops on and off and arches his back (this is getting worse, not better) and it gets worse as the day goes on

~resists burping/hard to burp sometimes/arches back when burping

~lots of swallowing/gulping when not feeding…seems painful

~maybe just a fluke, but lately blinking eyes a lot after feeding (have no idea if this is anything at all….just kind of started this week and seems to coincide with worsening symptoms.

He will sleep well in his swing (normally) and can sleep quite well (on a crib wedge until he scoots off) in his crib, but we’ve had a few rough nights lately.

I’m probably forgetting things, but those are the basics. Are we on the right track as far as treatment? FYI, I am eating a dairy-free diet and nothing even remotely spicy…which I will be extremely happen to be done with!

Thanks,

Christina

[hellbennt]

the prevacid sounds like a low dose?
check http://www.marci-kids.com to find out proper dose.

it can take up to 14 days to see improvement from the prevacid so, in the meantime, continue w/ the zantac

make sure to space the zantac 4hrs from, the prevacid so they don’t cancel each other out
you can figure out maximum zantac dose for weight, too. it’s 10mgs per kilo. (look for link from Prevacid 101- the link to that is from Groupie Intro, located as the top post in the Introduce Yourself Forum)

make sure to give the prevacid on an empty stomach, followed by a ‘meal’ 30 minutes later

any chance you have Over Active Letdown (OALD)? also known as foremilk/hindmilk imbalance?

[Anonymous]

I agree w/ Laura that the Prevacid is a low dose. BUT, yes, the solutab (vs. liquid) is a great start… as long as you’re giving it correctly (as Laura explained – no nursing 2.5 hrs before & then feeding 30-60 min later).

You say that you are dairy-free… are you including ‘hidden dairy’ as well?!

Hang in there!

[Anonymous]

No OAL, stools look pretty normal to me.

I don’t have any dairy, hidden or otherwise. I’ve been reading labels and elminating anything with milk, butter, casein, whey, milk fat…you name it.

As to the dose of prevacid…I’m okay with starting low. I figure that if it will work at a low dose, great, if not…we can always up it. I guess I’d rather take the conservative approach.

Ethan is not currently taking Zantac as that seemed to actually cause him to projectile vomit…so I’m not going back to that. We are out of the Axid (gave him his last dose of that this morning).

Christina

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