Babies: 0 - 3 Months

reflux

so my LO has reflux. she's 9 weeks now and she started fussing at 2 weeks... we took her to the dr and started her on zantac at 4 weeks and 4 days later she was a whole different happy baby. for the past 5 days or so she's been throwing up about 3 times after each feeding (shes exclusively breastfed) and most of the time its right away before i even have time to burp her. i mean projectile 4 oz of milk over my shoulder and onto the furniture or floor. she's fussy during the day now and doesn't nap for more than 10 minutes at a time. the only time she sleeps or keeps anything down is at night and she only keeps it down if she falls asleep right after.i called her dr yesterday and the nurse talked to a different dr and called me back saying he said to keep giving her the zantac but she might want to see a gastroenterologist. she called me back today after talking to her normal dr who said she's fine because she's gaining weight but to bring her back in a month to make sure she gains weight. well she's been gaining weight up to her 2 month appt but since then she's been doing this and she doesnt seem happy and it doesnt seem healthy to me. i kept saying "really?"i dont know if her medication should be adjusted or changed or she should see a gastroenterologist but im just not comfortable with the dr's answer. i know baby's spit up, especially reflux babies but i'd like to get her to keep something down so she's not fussing and im not feeding her every hour because she has an empty stomach after throwing everything up.should i call back and just ask to see the specialist? should i see a lactation consultant to see if maybe she's eating right? should i just insist she see her dr? or should i just let it go and do what i can until her appt in a month? what would you do? 
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Re: reflux

  • We brought DD to the doctors today, he told me as she gets older and gains more weight, her zantac dose will need to be increased.  He told me to increase it if I notice an increase in her symptoms like throwing up a lot.  Maybe she does need her zantac increased.  We are formula feeding and found that adding rice cereal to her bottles has also helped tremendously. 

    DD was also checked out for pyloric stenosis when her symptoms first started.  It was ruled out and we were told it was AR.  Maybe your doc wants to check her out for that?  I'd see the specialist and see if you can increase her zantac dose.

    Also...as far as the feeding go...is she hungry an hour after she throws up?  I never fed DD extra after she threw up, for one she never seemed hungrier and two, I didn't want her to throw up even more from being fed so much.  Just curious as to why your feeding her every hour.

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  • we're going in for an ultrasound tomorrow for pyloric stenosis... if that's not an issue we're gonna try prevacid instead. thanks!
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  • I would call the dr's office and tell them you want to have your LO be seen. (My pedi office would happily oblige, which every pedi's office should do) I might even ask to see a completely different doctor than the first two, just to get another opinion, since you have two different ones now that don't match.

    Just because she has been gaining weight doesn't mean she isn't going to start to lose weight, and even if she isn't losing weight, that doesn't mean there isn't an issue. For example, my DD was born almost 10 lbs, and at her 2 month appt, she was 12 lbs, so to my Pedi, she was a good size and gaining weight. I had started to keep a log of all of my daughters feedings and symptoms about 3-4 weeks prior to her 2 month appt because I suspected she had silent reflux. After I went through her symptoms, my Pedi agreed she had reflux and prescribed Pepcid for her. Here's the part that made me realize I should always speak up for my child and always question my Pedi if I feel like something is off with my LO: AFTER we decided she had reflux, the Pedi told me she was glad I did such a good job of keeping track of every symptom, because she wouldn't have ever thought my baby had any issues with eating or reflux because she is a big baby and has been gaining weight, but upon looking more closely at my daughter, she noticed her skin is a little saggy and that is an indication that she is in need of more calories and that she has started to lose weight.

    I know my situation isn't the same as yours, but I just wanted to tell you about it in case it helped you. I am constantly reminding myself that dr's are only human and can miss things, and that I need to remember that I have a right to question them if I feel like they may be writing off my concerns. 

    Good luck! 

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  • I should have read your post that you have already made a decision, lol.

    Good luck with everything!

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