Claire's pedi thinks she might have silent reflux and gave her Prevacid but I'm not so sure. We co-sleep and I nurse her side laying during the night. We go to bed about 10pm, usually she nurses and falls asleep, sometimes she fusses and its an hour or two but once she is asleep she sleeps about four hours and then wakes up to nurse and then goes back to sleep for 2 hours, nurses, sleeps 2 hours and so on until about 9 or 10am. It's wonderful! No fussing during the night. Even when she was her worst, before my diet changes, once she went to sleep (which was sometimes 1 or 2 am) she had this same pattern. Days are a whole other story. Always wants to be held, hardly sleeps, and rarely goes 2 hours without nursing. My problem with the reflux diagnosis is that I don't think our nights would be so great if she had reflux. So, what do you guys think?
( I have been giving the Prevacid but I forget a lot so I'm not sure if I'm seeing no change because I forget to give it sometimes or because it's not reflux. )
she sounds like Jonah! Except Jonah sleeps 10-12 hours straight in his crib most nights (except last night he was up twice!). However during the day he has to be held and hates being on his back. His ped said he has reflux because he does spit up some after meals and he will also cough a bit when he lays down. But since he wasn't screaming after eating or having weight issues, she said he didn't need to be on any meds.
I'm confused about med use for silent reflux as well because I thought the meds were to reduce acid so the baby cries less, etc if they are bothered by it. I would think she would fuss more at night if she was bothered, but maybe that is why she nurses at two hr intervals most of the night/early morning and during the day. I've read that some babies with reflux will nurse more frequently because the milk soothes the burn initially. Finn would eat every hour or two during day but his reflux was most noticeable at night because he would arch his back & cry during/after feedings, cry out in pain when flat on his back, and make choking/coughing sounds. Maybe you can just give her a daytime dose and see if it helps since that is when she appears uncomfortable. What I have noticed is Finn is fusses less & does not make his shrill cries...however this seems to last only a couple of hrs after the dose. He stills seems to eat as frequently as before and we haven't seen too much of a change in length of time spent asleep though he seems to stay asleep better rather than waking up as soon as we lay him down. But we've only been on Zantac couple of days so....
Ryan was on Zantac and Prevacid and the ped said to give it a week in each case to see if there is any change (there wasn't). He also nurses every 1-2 hours during the day but was sleeping quite well at night (we usually two 3-4-hr stretches and one 2 hr stretch. My family doc said her daughter had silent reflux but not at night so she thought that couldn't be it. She put her on zantac and she was a new baby.
Since neither medication worked for us with the feeding issues and Ryan's fussiness overall has decreased substantially, I came to the (unscientific) conclusion that he does not have reflux. I now just let him eat his small portions (he only nurses a few minutes and won't take more than 2 ounces from a bottle at a time) and he's happy that way. That being said, if he was still fussing all the time I would continue to look for answers and try to get the swallow test done.
I have read a few times that zantac didn't work as well for people as a PPI like prevacid did. Becky, I read you are supposed to give prevacid 30 minutes before a meal (in our case we just tried to give it 30 minutes after since Ryan nursed so often) on an empty stomach for it to work best. Also, some people split the dosage into two (one morning one night) and find it works better.
Last edited by science_gal; 03-12-2012 at 03:20 PM.
The 30 minutes is why I always forget. You would think a pharmacist would be better at remembering but it's so hard to predict that correctly twice a day and it seems i always think of it right when she starts nursing. I have been good about it for the last two days so hopefully I can keep it up for a week or so.
For us Ryan's reflux is always worse at night. He never projectile vomited or spit up. He was just constantly swallowing and he would scream in agony for hours upon hours. He had screaming episodes similar to what Christina described with Finn. It was heart wrenching to watch. He is on Zantac three times a day and we were also told to mix cereal in with his formula. He has a milk protein allergy so he is also on special formula. It took about 2 weeks but with the combo of the formula, meds, and cereal it has worked wonders for him. He is a completely different baby. He still has times when the reflux flares up but it's nothing like it was. I was hesitant to put him on medication at first so we tried just the formula and cereal for 10 days and it didn't help much. So we added the medication and he felt so much better.
Sorry I don't have any words of wisdom as thankfully Trystan seems to be OK in that department (knock on wood lol), but I just wanted to say that I hope they can figure out what the problem is for her. Oh BTW, I love your new avatar!!