Preemies
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Acid Reflux?
DS has had a few episodes where milk has been coming out of his nose. I've spoken with his pediatrician about it, but she says that if it's not a significant amount, then she wouldn't give him zantac. She did go ahead and write the prescription for it, but I think i will hold off on it until next week when we see her again. What i've decided to do is have DH take pictures of him really quickly before i suction him so that the pediatrician can see exactly what we are talking about and then determine if it's enough for him to be put on Zantac. A NICU nurse told me about a wedge that I can put under his bassinet or crib so that he is at a 30 degree angle after feedings so that the food wont come back up. What strategies have you all used?
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Re: Acid Reflux?
Many of us have reflux babies....it can be very frustrating!
Amanda--if she is having trouble breathing and going through several outfits, its time to talk about reflux meds for sure. If your pedi won't do it, ask for a GI consult.
mybb--Infant positioned are generally considered a SIDS risk. You can elevate your crib mattress to create an angle but I would not suggest making your own "nap nanny." Other things you can do to help with reflux--hold him upright for 30 minutes after every feeding, feed more often in smaller amounts, and discuss the option of thickening feeds (if you are bottle feeding). If he is not uncomforable but is just spitting then you have a "happy spitter" and many pedis don't medicate for that. If he is uncomfortable, having trouble gaining weight, or avoiding feeds then you need the meds for sure.
Our precious girl, born at 27 weeks.
My daughter has acid reflux and she was spitting up out of her nose a lot too. Our pedi suggested we try Enfamil AR before prescribing Zantac and it is actually helping a lot! As of now I don't think we need the medication. The spit ups are a lot less frequent and seem to be less painful. If you breastfeed you could try adding rice cereal to thicken it (but check with your doctor first.)
We have the crib mattress at a 30 degree angle too but she still spits up a lot there so she sleeps in the fisher price rocknplay at a higher angle which really helps.
Thanks for this! We do hold him upright after each feeding, the ped said 40 minutes, or we place him in his bouncer which is at an angle as well. She did mention something about thickening his feeds but then decided against it since I was breastfeeding and already adding neosure 22 to my BM for extra calories. She didn't want to take him off of that to go to formula. But when i told her the amount, she didn't think it was anything to worry about. I think I have a "happy spitter" because it freaks me out way more then it seems to affect him. It usually only comes out of his nose, and not in a large consistency, just enough for me to say that there is something coming out of his nose! I did take some pics and i'm ready for the dr appt next week to see what she thinks. He is still progressing in every way, sleeps fine, eats well, and is gaining weight! So i guess i shouldn't be too worried?!
Also, I may talk to her about that Enfamil and see what she says. I mean whatever works. It doesn't seem to bother him, he just doesn't like it when i use the suction bulb to clear out his nose, but besides that, he's a happy camper. I'm holding off on the meds until she says anything.
DS1 had severe reflux - not eating at all (tube fed) prior to medicine, he would scream & arch his back during feedings. At first he had silent reflux. Later it got explosive.
DS2 spit up his nose a lot, but didn't have the other symptoms. He was gaining weight well. He as fussy often at feedings (but didn't arch his back or spit up) so we gave reflux meds a whirl but they didn't really help. I think maybe it was also his tummy hurting. So we went on without meds and just burped very frequently, smaller more frequent meals. he sleeps in a rock n Play.
If your kiddo is fussy when/after eating or isn't growing well you should ask your pedi about trying meds. Otherwise I'd just try to burp really well and do more frequent/small bottles