These medications are taken daily to prevent excess acid secretion in the stomach. Infants are more likely to experience weakness of the lower esophageal sphincter (LES), causing it to relax when it should remain shut. As food or milk is digesting, the LES opens and allows the stomach contents to go back up the esophagus.
Your baby can be more comfortable, without gas, reflux, or constipation. All those things are common but not necessarily healthful or normal. Better strategies would be avoiding the meds, withdrawing dairy from your own diet, and skip the GMO soy formula, which can be as triggering as cowâ€™s milk protein for many babies.
The frequency is not that important. The stool consistency may be runny, soft, pasty or formed. All babies may strain a bit to pass a stool (have you ever tried to poop while lying down?). If the stools are not hard pellets and not causing a lot of pain and distress, they are okay. If they are hard pellets, you may add one teaspoon of Karo syrup to four ounces of formula twice a day.
In these cases, the baby will need increasingly higher doses that become less and less effective. One child I worked with was given reflux medication daily for the first three years of his life. Though he had been off this medication for three years by the time I met him at age six, he was stunted with delayed bone age and poor bone mineralization, growth failure, developmental and learning problems, and was unable to eat enough to sustain normal growth since eating was so uncomfortable. Heâ€™d had chronic infections as an infant and toddler, needed antibiotics often, and became asthmatic as well. Another youngster who came in for nutrition care at age three was also stuck on it, had fallen into growth failure, and showed the same pattern of not being able to achieve a typical food intake to support growth and gain.
Most children do not need surgery for their reflux since there is a very good chance that they will outgrow it. Children with other medical problems are less likely to outgrow their reflux and more likely to need more treatment or to need surgery. Formula can be dripped into the stomach or intestine with a tube. This can allow babies with severe reflux to grow while they are waiting to outgrow their reflux.
Hang in there. Hello Reem, I do work with families in other locales via Skype.
The results can guide choices about probiotics or if a medication is needed to support the baby. Next – Itâ€™s my opinion the US should follow the example of other countries who wait longer to vaccinate infants, and who donâ€™t give vaccines to pregnant women. This is safer. If you and your daughter have followed the vaccination schedule so far, this may disrupt her feeding and eliminating. Going forward, the good news is your baby can respond to healing measures for her gut so it can settle down and she can feel better.
In New Zealand, empiric treatment with omeprazole for infant irritability and reflux is increasing, despite the fact that it is not approved for this condition, is unlikely to improve symptoms and the potential adverse effects are largely unknown. Omeprazole should only be considered for infants in cases of gastro-oesophageal reflux disease (GORD) associated with severe reflux oesophagitis or failure to thrive. Gastroesophageal reflux disease is a chronic digestive disorder that is caused by the abnormal flow of gastric acid from the stomach into the esophagus.
It is often normal in babies with reflux, because they may not spit up during the test. On the other hand, an upper GI can show reflux in babies who donâ€™t have significant reflux if it occurs during the five minutes of the test. Diagnosis of gastroesophageal reflux is made by taking a medical history and physical exam. Testing is not usually needed. Some of the following tests may be done if your child doesnâ€™t respond to treatment or if your doctor or nurse practitioner is concerned that something else may be going on.
We are on the waiting list to see the Pead but have been given renitardine in the meantime but i donâ€™t feel that this will help with the weight and stool issue. We are debating going back to normal SMA gold with the gaviscon, is she more likely to absorb this? I am out of ideas and would rather her being sick than not putting on any weight.