Reflux: Seeking advice on baby care

Obiwan

Registered User
Hihi. My baby is 9 weeks old, and if you have read my earlier post, it turns out that he might be suffering from reflux.

I am bottle feeding ebm in the day, and enfamil at night.

Any mothers here with experience with reflux? Would appreciate any advice/wisdom you can share. Thank you in advance!!

Difficult period, hoping it will pass soon. How long did it take your child to get better....?
 
Yes, my first had reflux and out grew it by 8/9 months. We started giving him zantac at around 2 months old. I nursed him and then topped him up with Nutramigen which is Enfamil's hypo-allergic formula. I found feeding him more frequently helped and I also him weaned him on to solids right at 5 months b/c this meant less liquid in take for him.
 
Thanks Southside852!

Does formula make a diffidence to a reflux baby?

The doctor gave us a mild antacid to be given to him twice a day before feed, and asked us to keep him upright for 30 minutes after feed.
 
I cut out acidic foods while nursing him and since we were not 100% sure whether it was reflux or perhaps an allergy to cows milk, our specialist in the UK said use nutramigen. I don't think formula though makes a difference though. Yes, we kept our son almost totally upright while feeding him too and he slept on a wedge in his crib. We also at one point raised his crib too by putting some books under one side of it so it was at a slant. Having a reflux baby is tiring, but good news is that they grow oiut of it. zantac seemed to really help too.
 
My son had reflux the first months and it stopped after 3 sessions at the ostheopath... we had terrible nights, vomiting, caughing, he would even stop breathing and I was waking him up blowing on his face. We tried medicines, raising his bed, small feeds... until the ostheopath helped with a few head massages ! i wish we did that first...
 
We had good results with anti-nausea + antacid

My little one has had reflux issues since she was about three weeks old. She interrupted feedings to arch back in pain, crying, sometimes trowing up, and that prevented her from eating enough to gain sufficient weight. What helped was a combination of medication against nausea (Motilium, she took it three times a day at the beginning) and against stomach acidity (Losec which comes in tablets, for some reason giving her a crushed tablet diluted in water means that the product stays longer in her system than with a liquid antacid). We also make sure that she stays upright for 30 mins after day feedings. Now that she is almost six months she takes both products only once a day but she still needs them.

Might not be the same with all doctors, but our pediatrician took this quite seriously, which I think was right. From observing my daughter I would say that she developed her physical and social skills much faster once she was rid of the pain. Well, I guess it would be the same for us grown-ups -- difficult to learn things if one does not feel and feed well...
 
She was at IMI in Central, it was in 2007 so I'm not sure she is still working there. But they have one or two other ostheopath, maybe worth give a try. They help release the muscle which goes from behind the head to the stomach.
 
All my 3 kids had reflux, my oldest and twin boy were extremely bad. My oldest was a happy spitter, gaining but overeating (not matter what I did) plus she was a very quick eater too. It lasted 9 months. My twin boy was also in pain (but gaining weight), he started spitting up tiny bits blood as well. We did everything, burping, holding up right, changing formulas, small quantities, but nothing helped. At 2 months he was put on Zantac, which didn't do anything. Then we went to a pediatric GI specialist. We changed to Prevacid (Lanzoprazole, sp?), first that didn't do much (it was a liquid mix and very unstable; there is not a lot of research of this medicine in children under 1 yo, but it's widely prescribed in the US). Then at 4 months they changed him to the Prevacid tablets (2 x 1/2 half) and it changed everything. No more pain, no more screaming, no more crying during feeding). He was weaned at 8 months. Never had problems since.
 
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Are there different severity of reflux?

Mine eats well, gains weight well, but doesn't settle well, often crying with arched back and legs kicking when we burp him. He doesn't like to lie down flat, and on occasions have spit out milk (not a lot) when we lift him up from lying position. And on 3 occasions the milk came out of his nose, pretty scary!!! His nose hence got blocked which explained the grunting and snorting at night when he sleeps ....
 
I'm not a pro concerning levels of reflux, but mine had silent reflux. Spitting, sometimes vomitting, but mainly he would stop breathing, because the acid would just circulate without going out, and all his respiratory system was swollen. His situation was mainly due to his birth condition (long hours of pushing, cord around the neck and pump), and his neck muscles were stressed.
 
If you can, try and get an appointment with Caroline Rhodes at the Body Group in Central. She advised me against using medication on the baby and she did very gentle manipulations on the sphincter and the reflux went away. I highly recommend her because she is great with babies!
 
Thanks for the referral BabyG! How many sessions did you have with Caroline? Is she a physio for babies?
 
I cut down milk as i was bf and there was huge improvement. While introducing solids stay away from acidic foods for baby. It has got lot better sinc she started walking.
 
Wow ... Didn't expect reflux to last so long ...

Thank you so much for your kind advice. My first was an angel baby so many of these are a first for me :)
 
Yes, there are different types. My first had "silent reflux" where he never massively vomited etc...but was just very uncomfortable after feeds, stomach was tight and would have his fists clenched. I forgot to mention before but we did see a pediatric cranial osteopath in london too for his first 3 months...that combined with zantac really seemed to help.
 
Obiwan, your baby sounds similar to how mine was. He was gaining weight, so medically not a big concern, but very uncomfortable with the arching back, not wanting to lie down etc. I went a little crazy with worry during that period. I actually consulted 5 different doctors in a 3 month period, in addition to posting on these forums, consulting other moms with reflux babies and getting breastfeeding advice.

Here's the good news. Most babies grow out of it by 3 months. The very first pediatrician I consulted told me this, and it turned out to be true. I can't remember exactly when, but at just around 3 months, my boy was suddenly better. Never been an issue since.

There is lots of advice and tips out there. What I tried and what worked for me:
1. Keeping the baby's mattress elevated so he's not lying down flat. I did this. Not sure it helped but I kept it up anyway. Actually, my baby liked to lie on his side... there might be some SIDS risk here but it was the only way he would sleep. We also used a pillow for him. You could try putting the pillow under the fitted sheet.
2. Breastfeeding from only one breast each time. It was suggested that a foremilk imbalance might be causing my son to be gassy. Reflux babies are often very gassy. I think this helped.
3. Using Dr. Brown's bottles. These have a special design to prevent babies from gulping too much air (again making them gassy). I think these really helped so if you're bottle-feeding try these.
4. Burping very gently. My baby was a bad burper... really hard to get a burp out of him. It was emphasised to me that I must burp him. Though I don't think burping made him feel any better.
5. Diet modification: This one drove me round the bend. I started out cutting out cow's milk, the most common culprit (if you're considering this it takes at least two weeks to get cow's milk out of your system and the baby's, and a range of things contain cow's milk including sausages!). Then I cut out eggs, nuts, and gradually almost everything until I was eating practically only congee and a few pieces of chicken. The good thing was that I lost a tonne of weight. The bad news was that I was miserable (imagine breastfeeding and eating only this) and my son was only marginally better. In retrospect, I don't think my own food had anything to do with it and I would never go that route again. The jury is out among doctors on whether diet has any effect (the 5 doctors I saw were almost evenly split on this) though some mum's swear it helps. I guess if you see a dramatic result by eliminating one thing then it makes sense.

My son wanted to be held all the time, and was a terrible napper. The moment you tried to put him down, he'd wake up and howl. I think this is common among reflux babies though I was so sleep deprived. Eventually, I went the medication route (Lansaprazole) and that seemed to help. But weirdly, after a while, it didn't seem so effective. Luckily, he grew out of it soon after.

Things I didn't do:
1. See an osteopath: Some here have suggested this and I would have given it a try except my husband was against it.
2. Switching to formula to rule out allergies: There are special formulas for reflux babies. Lactose-free formula, hypoallergenic and thickened formula. I actually have three tins of these, samples given to me by a doctor - I only opened the hypoallergenic one (Nan Ha) and then didn't even give it to my baby. At the time I was exclusively breastfeeding and didn't want to use formula. However, if you are already using formula and want to try the special one, I can give you the tins. The Enfamil Lactose Intolerance and the Enfamil thickened milk are unopened. PM me if you want them.
 
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