New REflux Mom

[Anonymous]

My 7 week old son (12 pounds) was just prescribed Prevacid after Zantac wasnt working. Sometimes I think he has the most mild form of reflux. He gains weight well, doesnt spit up much but grunts and groans a lot! All that noise keeps him and us up at night. He takes 15mg a day (cut in half for a dose in the morning and a dose at night). Shouldnt he get more than that per the dosing charts I have seen? He has been on it about 14 days and there has been some improvement. I cut out most dairy and he hates when I have a lot of wheat. He smiles a lot and coos too. I guess I want to know if the dosing sounds right and if he really has reflux or just grunts and groans a lot. I am confused.

[Anonymous]

The only true way to tell if he has eflux is to have his tested. You would need to see a Ped. GI for that.

[Anonymous]

My refluxer was a grunter and groaner until she was on about 30mg of Prevacid. Would your dr be willing to increase as a trial…if the grunting and groaning goes away then you would know. The alternative is it is food allergy related (ie MSPI)…are you cutting out soy as well?

[Anonymous]

I personally don’t agree that you have to do testing to know that your baby has reflux. As a matter of fact I think most of the testing is a waste of time. I do think that it can help in some cases though. I dx my first son, but didn’t know much at the time. I took him in for a barium swallow per my dr to see if he had reflux. I have a friend whose husband works in that department and afterward she told me I had wasted my time. Babies can reflux during the test and not have acid reflux disease at all and then there are some that won’t reflux during the test and do have it. With my second son I also dx him and did no testing at all. I told my dr all the signs and symptoms and she agreed that it was reflux. As far as how much your baby should be getting that dose does sound low to me. I went to the marci-kids site and this is what it says.

Your child, who is 2 months old and weighs 5.4 kg, should receive a dose of 8 to 10 mg of Prevacid delivered 3 times per day for a total of 24 to 30 mg per day.

Prevacid 15 mg Oral Suspension packets (lansoprazole) should be administered on an empty stomach and 30 minutes to 1 hour before a full meal.

The packet should not be divided into multiple doses. The entire contents of the packet should be given with each dose.

NOTE: This form of PPI is not easily divided into multiple doses and we recommend the use of a more easily divided form such as Prevacid 15 mg Solutabs or Zegerid Powder For Oral Suspension.

I just assumed you were doing the pkts since that is what most peds. prescribe. As far as the grunting goes that can definantly be a reflux sign. My lo did that along with other signs until he was properly medicated. You could always try the higher dose yourself to see if it helps. I actually increased my sons meds by myself. I knew him best and knew what he needed. I hope you and your family have a very merry CHristmas.

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