Question about PPIs

[Anonymous]

Do the PPI drugs actually prevent the reflux or do they just reduce the acid?

I am going to the Dr. Today and was going to ask about PPIs. My son is currently on Zantac 1 mil BID and Reglan .5 mil BID. He has been on the Reglan for about 3 weeks and it has helped a lot with his fussiness and arching and fighting the bottle. He still gets really rattely in his chest and chokes a lot. Would the PPIs help this? If not I think I may just stick with what is working. I would hate to fight my Dr. To switch his meds and then have him get worse. He has been so happy the last couple weeks I just want him to stay that way.

It seems like I always leave the apts. Thinking I should have said this or asked about that, so any advice before I go would be greatly appreciated. Thanks

[Anonymous]

Maybe you should take the dosage chart with you from mardci-kids. It also explains that zantac is weight sensitive and babies platuea on it because their bodies get too used to it so it stops being as effective after a short period of time. You don’t want that to happen, and your baby bad at square one. You can use the ppi like prevacid or zegerid with the zantac spaced 2-4 hours apart for the first 2 weeks while you are waiting for the ppi to work. Of course the docs. won’t tell you that.

The ppi won’t stop the reflux, but i noticed a decrease in the reflux symptoms. It didn’t seem as severe. The ppi shuts off the acid producing pumps. Have you started to thicken his milk yet? we started using oatmeal around sebastians age. Also, i noticed it really peaked around 4 months too. At 7 months it started to get 50% better. Good luck with the doc! Remember there are always more docs. if he won’t listen to you!

[Anonymous]

That is quite a low dose of Zantac – so if you do stay with it, you should ask about an increase.

A PPI doesn’t stop the reflux per se, but by stopping the acid pumps,
many find that it leads to decreased gastric pressure and hence less
reflux and less choking.

I’d hold off on thickening his formula. I’m not a fan of that unless
your son is FTT and needs the calories or a huge spitter/vomiter. But
some others have had success with it.

[hellbennt]

knb18 wrote: That is quite a low dose of Zantac – so if you do stay with it, you should ask about an increase.

A PPI doesn’t stop the reflux per se, but by stopping the acid pumps, many find that it leads to decreased gastric pressure and hence less reflux and less choking.

I’d hold off on thickening his formula. I’m not a fan of that unless your son is FTT and needs the calories or a huge spitter/vomiter. But some others have had success with it.

I agree w/ all of the above

also: has your baby been officially diagnosed for DGE (delayed gastric emptying)? there is a test for that. that is what reglan is for. it is great that you think it’s helping, but it’s just that many many docs prescribe reglan and zantac ‘just because.’ something to think/research…

[Anonymous]

He has not had any tests done yet. My grandfather recently had to have a barium test and he said it was horrible. I have also read posts about babies getting impactions from it. I figured sense the Reglan seems to have made a big improvement (he was much better after just one day on it) that I would not put him through the test. He is a silent refluxer, but when he dose spit up it is usually an hour and half to two hours after eating. I read that, that is a symptom of DGE.

I have tried the thckend formula with rice cereal, but he dose not like the fast nipple I had to use. I have been giving him the cereal in a dish, but he only eats a few spoonfulls.

[Anonymous]

Haden is also a silent refluxer and we noticed when we finally got on the right dose of a PPI all the pain that he suffered from slowly- day by day disappeared. He still has symptoms of the reflux so I know it still comes up -he will rub his nose, cough or his eyes will water but there is no pain.

Haden is now 5 months and we have held off on solids and will probably start sometime after 6 months. I’m in no rush to rock the boat!

[Author]

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