[Search for users] [Overall Top Noters] [List of all Conferences] [Download this site]

Conference moira::parenting

Title:Parenting
Notice:Previous PARENTING version at MOIRA::PARENTING_V3
Moderator:GEMEVN::FAIMANY
Created:Thu Apr 09 1992
Last Modified:Fri Jun 06 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:1292
Total number of notes:34837

556.0. "Infant reflux ?" by MR4DEC::CMARCONE () Mon Jul 19 1993 13:31

    I have a 3 1/2 month old daughter who was diagnosed with reflux at
    three weeks old.  She never had the "typical" vomitting of a reflux
    child, just screamed after every bottle.  Now that she has been on
    medication for almost three month (Donatol and Tagamet) she does vomit
    fairly frequently (two or three times a day), but with little to no
    pain.  She is thriving well and the doctors are confident that she'll
    outgrow this.  
    
    My question is:  this weekend she what I and the doctors assume to be a
    stomach virus (excessive vomitting) with refusal to eat even
    pedialyte. This is the second time this has happened and the doctor
    takes her off her medication for two to three days.  Well in that time,
    life is extremely difficult because she is in pain again.  Can anyone
    give any suggestions on how to deal with this or if you've been through
    it - how ?  It's difficult to see her hysterical from pain and it's
    hard to not be able to help her in anyway. I know the doctor's care,
    but I don't believe they really understand what it's like to live with
    a child like this.  
    
    Any support or advice is welcome...
    
    Thanks
    Cindy
    
    p.s. this is our first child
T.RTitleUserPersonal
Name
DateLines
556.1been there, done thatNEWPRT::NEWELL_JODon't wind your toys too tightMon Jul 19 1993 14:1429
    Cindy,
    
    I really feel for you. Our daughter Amber suffered from reflux
    and at 10 weeks was hospitalized for tests to verify the condition.
    After all the tests were run, and the reflux, comfirmed, she was
    put on Reglan before every feeding and she wore an apnea monitor
    when she slept. The hospital explaind to us that the acid that
    comes back up the esophagus sometimes hits a nerve in the throat
    that can affect the heartrate. The monitor keeps you aware of 
    any problems with the heart and breathing (apnea). 
    
    The Reglan was tricky as it was required 30 minutes before each
    feeding for it to be effective. Try telling an infant that has
    just woke up at 3am with hunger pains that she has to wait a half
    hour to eat. Not a pretty picture.  We eventually got the wait
    time down to about 18 minutes through trial and error.
    
    You might want to ask your doctor to try Reglan, it may work 
    better and be more compatible during episodes of illness.
    
    The good news is that reflux will almost always go away as the 
    child learns to sit. The spincter muscle that is giving her all the
    trouble with strengthen as gravity pulls the muscle into place.
    
    Good luck and remember...
    "This too shall pass"
    
    
    Jodi-who's daughter, Amber is a very healthy 8 year old now.
556.2Reflux alsoXCUSME::SHELTONTue Jul 20 1993 12:2418
    Hi Cindy,
    
    My daughter is 9 weeks old and was diagnosed a few weeks ago with
    reflux.  I know what your going through and it's so hard to watch her
    in so much pain.  She is also on medication now and is finally on a
    formula that agrees with her.  
    
    I found it very difficult going back to work in the middle of all this
    and leaving her in somone ele's hands knowing she was miserable.  She
    is also thriving now, and is a totally different baby.  She does vomit
    frequently, but not as bad as it used to be.
    
    I hope your baby is feeling better soon.  I know it's easy for the
    doctors to say "She'll outgrow this" but in the mean time, we feel
    helpless!!
    
    Regards,
    Mary
556.3I'm sorry it just isn't easy!SALES::LTRIPPTue Jul 20 1993 14:0419
    I had experience with Reflux.  I know I can't give you a doctor's name,
    but contact me off line for a wonderful pedi gastro specialist.
    
    As a couple other have, we used Tagamet liquid and had fairly good
    succcess.  The other thing that helped the miserable screaming from
    pain was Mylicon drops.  Yes it's expensive, but well worth the relief
    it gives.
    
    Also, if the doctor hasn't told you elevate the head of the crib a
    couple inches.  I used two methods, first was a landscape timber 4"
    high under the head (remove the wheels obviously), and then what seemed
    to work even better was putting a nice firm pillow, like a sofa throw
    pillow, between the mattress and spring.
    
    
    It really does get better, unfortunately usually not until after they
    start walking...  8-(
    
    Lyn
556.4more suggestionsDELNI::GIUNTATue Jul 20 1993 15:5921
    My son also had reflux, but didn't have the pain you've described --
    just the vomitting.  Some of the things we did were to give him 
    Tagamet as well as Reglan 1/2 hour before eating every other feeding
    (this one we timed so that we didn't need to give it to him at the
    2:00 a.m. feeding), feed him every 3 hours instead of every 4 hours,
    added rice to his formula to make it heavier and keep it down (we
    added 1 teaspoon per ounce, but I imagine that would depend on the
    baby), burped him after every ounce, and elevated his crib. We 
    found that by putting one end of his mattress support on one rung
    and the other end on a lower rung or two down was sufficient to 
    elevate his crib without putting the whole crib up on something.
    I was worried that a board under the front of the crib wouldn't
    have been stable enough, so we elevated by playing with the mattress
    supports instead.  And we put a few rolled up towels around him in
    the crib to make a nest of sorts and keep him from sliding down. 
    We only found him once down at the bottom of the crib with his little
    legs dangling out.  
    
    And they do grow out of it, it just seems to take forever.
    
    Cathy
556.5I thought Soy was expensive....LEDDEV::DELMONICOJim --<Philippians 4:4-7>--Mon Sep 26 1994 15:5813
    
    Our little premie guy is having a tough time.  He's got reflux
    big time and may be milk intolerant.  When we hone in on a
    treatment he responds to - I'll update this note.
    
    In the meantime - does anyone know of a place we can get Meade
    Johnson Nutramigen formula cheaper than $14-$16 per can??!!
    We've tried the grocery stores, CVS, & Brooks - all expensive.
    BJ's, Toys-r-US, and Walmart don't carry that formula. Help!
    
    Thanks,
    
       Jim D.
556.6don't forget a change of clothes for yourselfPCBUOA::GIUNTAMon Sep 26 1994 16:1016
    I don't know of anyplace other than the ones you mentioned in your
    note, and hope that he can tolerate that one.  They only get more
    expensive as you have to change them!  We used Progestimil [more
    commonly called Projectimil in our house for obvious reasons] and we
    had to get that at the pharmacy.
    
    Are you also doing all the standard reflux-prevention measures?  We
    sloped the crib by putting the mattress support in a higher rung on one
    side.  Burp him every ounce or every 5 minutes, whichever comes first. 
    Do they have you putting rice in the formula yet?  I can remember one
    scoop of rice per scoop of formula per two ounces of water to mix the
    formula and make it heavier so it would stay down. And we also went the
    Reglan/Tagamet route in the medication department.
    
    They do usually grow out of it. Good luck, and keep a change of clothes
    for _you_ in the diaper bag.
556.7exitLEDDEV::DELMONICOJim --<Philippians 4:4-7>--Mon Sep 26 1994 17:1625
    
    >>Are you also doing all the standard reflux-prevention measures?
    
    Ugghh, yup.  The poor little guy.  He gets rice thickened formula
    with frequent burping (which annoys him when he's hungry).  In fact,
    they just asked us to do two tablespoons per ounce which sounds like
    about what you were doing.  The challenge is to modify a bunch of
    nipples so that he can eat the stuff effectively.
    
    His little cradle is inclined like a rocket launcher :^), and he's
    still launching his meals :^(.  We're going to see a GI specialist
    this week and I bet he'll want to explore medication options.  He's
    already had an upper GI series done which was fascinating to watch.
    
    We just want him to be comfortable.  This reflux is making him
    miserable.  We're hoping he grows out of it fast if nothing
    else.  In the meantime, I think we'll eat cabbage and potatoes
    to afford the $$ Nutramigen $$ formula - anything to ease his
    discomfort.
    
    A new parent,
    
          Jim D.
    
    
556.8watch that medication schedulePCBUOA::GIUNTATue Sep 27 1994 09:4524
    Jim,
    
    How old is your little guy?  You said he was premature -- any other
    problems from that that could be making the reflux worse?  Is he the
    first boy?  Did they check the duodenum [I have no idea how to spell it
    -- it's a condition that affects first-born boys more so than other
    babies and is that part at the base of the intestines right before the
    stomach that sometimes constricts to cause reflux]?  My son's reflux
    was a lot worse due to his other problems from the prematurity, and
    once that stuff cleared up, so did his reflux.  All that came together
    at 6 1/2 months when he finally came home from the hospital.  I was
    just wondering if maybe there's more than one thing going on in which
    case it will be tougher for the doctor to find it.
    
    Also, the medication they usually use is Reglan, but you have to give
    it 1/2 hour or some amount of time before you feed him. You want to
    keep that in mind so that if you do start that, you're not scheduled to
    give it to him at a 2 a.m. feeding.  Typically, they don't get Reglan
    at every feeding, so you should be able to work a schedule. 
    
    Hope they find the right formula/medication combination for him.  It's
    not fun for the little guy, but they do usually grow out of it.
    
    Cathy
556.9Just a thought....GLR02::MACARTHURTue Sep 27 1994 09:588
    Jim - you might want to try contacting the manufacturer of the formula
    directly - they may give you a discount.  Or try asking your insurance
    company - my sister said hers gave her a coupon for a free case of
    formula!
    
    Best of luck!  
    
    Barb
556.10Reflux?STOWOA::STOCKWELLMad about MoosTue Sep 27 1994 10:244
    What exactly is reflux?
    
    
    
556.11quick descriptionPCBUOA::GIUNTATue Sep 27 1994 10:529
    Reflux is a gagging action where the baby gives back what they've just
    eaten. It is not the same as spitting up.  It tends to be projectile in
    nature and comes basically immediately after/during eating.  Generally,
    the way digestion works is that the stomach contracts and pushes the
    food through the digestive tract, but with reflux, it takes the
    opposite path [which may be easier] and pushes the food back out
    instead of down to be digested.
    
    
556.12Projective vomiting = reflux?NAPIER::HEALEYM&ES, MRO4, 297-2426Tue Sep 27 1994 11:5811
	Re: -1

	Does that mean that any baby with projectile vomiting on a
	fairly regular basis has this reflux condition?  Lauren used
	to projectile vomit about once a day in the first couple
	of months of her life.  It eventually dwindled to once a week,
	and hasn't happened in a couple of months now (she is almost
	10 months).

	Karen
556.13been there.....HOCUS::CUFFTue Sep 27 1994 12:1525
    We're just coming out of the woods with reflux with our second.  It
    does decrease over time, take heart.  With age and food, less and less
    spitting up.  I found the only thing that keeps clothes anywhere near
    clean is Vivid nonchlorine bleach, pre-spot before washing.  Nutramigen
    is REALLY NASTY stuff!!!  Try to wash each night, I find if I leave
    bibs or tops with spit-up around for a day or so, it almost smells like
    it has fermented! YUCK. 
    
    Nutramigen: Call the 1-800 number, they have a mailing list which will
    send you some coupons ($1-2 per month, better than nothing) I think
    the manufacturer is Ross Labs?
    
    Do calculations whether ReadytoUse is cheaper than concentrate.  Here
    concentrate is cheaper (Long Island), I have drug store order by the
    single or double case to save me time.  When I tried to negotiate with
    the drug store they laughed at me, literally!  However, shop it as I
    found up to 50cents per can difference.  Tried the powder, it is
    actually more expensive per ounce than Concentrate, plus doesn't mix up 
    well at all.  
    
    Best of luck, it does go away with time, all of a sudden you'll notice
    the baby isn't spitting up all the time.   Also, this one having
    reflux doesn't mean siblings will!
    
     
556.14noPCBUOA::GIUNTATue Sep 27 1994 12:1610
    Re: -1.
    
    No. Reflux is a condition that occurs at every feeding during or
    immediately after the feeding.  Everything, or at least it sure seems
    like everything, just comes right back up.  And there are different
    severities of reflux, so some are fixed by just the standard things
    [rice in cereal, frequent burping, tilting the bed] whereas others
    require medication.
    
    I'd just call what your Lauren did spitting up which lots of babies do.
556.15NAPIER::HEALEYM&ES, MRO4, 297-2426Tue Sep 27 1994 13:2912

>>    I'd just call what your Lauren did spitting up which lots of babies do.

	Well, she probably didn't have reflux (not that it matters now
	anyhow), but she definately wasn't spitting up.  She still spits
	up on occasion but this was differnt.  When she THREW up, it 
	was generally the contents of an entire bottle and was quite a
	sight to see (projectile).  Quite messy...


	Karen
556.16Not reflux, but sounds like your daughter!HOTLNE::CORMIERTue Sep 27 1994 14:3411
    re.15
    That's why I used to burp my son over the sink - a LOT easier to clean
    up!
    My son was pretty bad, but didn't have reflux (a diagnosable
    condition). He just didn't always keep his formula down, for no
    apparent reason.  Something came up at EVERY feeding, so I fed him in a
    chair by the kitchen sink and aimed him towards the sink when burping.
    I also went to work just about every day with a burp cloth still over
    my shoulder  - "let's see, I've got my earrings, briefcase, burp cloth,
    yup, fully accessorized!"  
    Sarah
556.17Try this to enlarge the nipple holesCLOUD9::WEIERPatty, DTN 381-0877Tue Sep 27 1994 14:3614
    re - Back a few .... you might try this w/ the nipples .... boil them
    (just long enough to get them REAL hot), then while the nipples are
    still hot take 2 toothpicks and insert them in the nipple hole.  Let
    the nipples cool to room temperature, naturally (don't pour cold water
    or anything on them).  This will increase the size of the hole in the
    nipple.  Adjust the width/number of toothpicks as needed for your
    situation.  This should 'stay' this open for 2-3 'hand washes', without
    boiling the nipples.  You MUST use the toothpicks every time you boil,
    otherwise the holes will get progressively smaller.
    
    Hope this helps!  I remember trying to cut one bigger once!  HUH!  May
    as well have used a funnel for the poor kid (-:
    
    
556.18Another method to enlarge nipple holesASIC::MYERSTue Sep 27 1994 15:038
    Another thing you can do with nipples is to make an X cut to enlarge
    the hole.  Our babysitter suggested this and it worked great, Sarah was
    getting much less air into her stomach since she didn't have to work so
    hard sucking.
    
    We used an exacto knife to make the X.
    
    Susan
556.19Does reflux return??OOYES::WEIERPatty, DTN 381-0877Thu Feb 22 1996 11:1936
    
    This is sort of weird, but thought I'd ask in here anyway ....
    
    when Jonathan was a baby, he had reflux.  He got over it - I don't
    know, somewhere short of a year.  Maybe 9mos??  It was later than I
    thought it should have been anyway, BUT he had whooping cough at 3 mos,
    so for quite a while it wasn't completely clear if it was the coughing
    or the reflux that was making him puke.
    
    ANYWAY, over the past couple of weeks, I've noticed that quite
    frequently, when he sits down to eat, he'll cough a tiny bit, and
    *plop* there's dinner.  It's WEIRD and REALLY sudden.  It's especially
    bad if there's anything "liquidy".  A 1/2 cup of juice, and it's over for
    him.  He can manage about 1 1/2 freeze pops (what's that - a couple
    oz?), and he'll lose it.  It's happening about once a day, and
    otherwise he seems to be pretty healthy.
    
    The problem now, is that he's basically stopped eating.  I think he's
    put 2 and 2 together, so if he's hungry, he might have a bite of
    something, but he won't eat much more than a couple bites.  And if he
    does decide to eat more, he pukes.
    
    So, the question is --- can/does reflux recur as they grow older?  He's
    2 1/2.  He's really bummin' at this point (and going to the Drs soon!),
    because I'm POSITIVE that he's really hungry, but you can also see that
    he plain doesn't WANT to (dare?) eat.  He'll pick something up to eat
    it, look at it, and put it down.  He'll even TELL you he's going to eat
    it, fully meaning to (not aiming to please), and change his mind at the
    last minute.
    
    Any ideas??  It seems to me it's this or bulimia (-; .... and it's been
    going way too long to just be a virus - he's otherwise completely
    healthy.
    
    Thanks!
    Patty
556.20Don't read this if you're eating, just ate or....BOBSBX::PENDAKpicture packin' mommaThu Feb 22 1996 13:0325
    Boy does this sound familiar, Patty.  What Aaron is doing now is very
    similar.  On Saturday he was sick (late at night, I found him throwing
    up when I looked in on him before I went to bed), I'm pretty sure it
    was a virus since he had diarrhea, though he was on an antibiotic.
    Anyway, Monday afternoon after eating some applesauce (the only thing
    we managed to get into him since Saturday afternoon other than a some
    formula and a few cheerios).  Tuesday afternoon he did the same thing
    after having some yogurt, and then this morning when I was giving him a
    bottle of formula he just sat up straight and cut loose on me.  A
    minute or two afterwards he was all smiles so it must have made him
    feel better.  But he has a cough also.  
    
    We have a 2:10 appointment to see his pediatrician to have his ears
    checked (he's had 2 colds this year and with both he ended up with ear
    infections) as well as to discuss his problem with throwing up (the
    diarrhea seems to be over).  I also want to make sure he's not becoming
    dehydrated even though we're pushing as many fluids as he'll take.
    
    As a side note, I'm starting to think he's aiming for me.  He's thrown
    up 3 out of 4 times on me, the other time he was home with his dad and
    he was thoughtful enough to do it on a afgan that my husband could just
    toss in the washer!  Maybe Aaron just enjoys the baths he and I take   
    together afterwards!  He has excellent aim though!
    
    sandy
556.21Aaron is much betterBOBSBX::PENDAKpicture packin' mommaFri Feb 23 1996 10:0113
    Well, after worrying about Aaron for the past week he seems to be
    almost back to normal.  We took him to the pedi for an earcheck
    yesterday (he hasn't been sleeping well through the night and has been
    pulling at his ears some) and all was clear.  This is the first time
    I've been wrong about a suspected ear infection.  Anyway his stomach
    seems to be returning to normal as well.  His appetite is coming back
    and he's keeping everything down.  Now if *I* can go back to sleeping 
    through the night life will be good!
    
    Patty, Aaron's stomach problems lasted about a week.  I hope your
    little one is feeling better.
    
    sandy
556.22A parasite perhaps ?OOYES::WEIERPatty, DTN 381-0877Fri Feb 23 1996 10:0410
    
    Well, I took him to the Drs last night "Hmmm, well, gee, he seems to be
    fine.  BUT I wouldn't ignore it either!"  The Dr seemed to think that
    his symptoms are similar to those of someone with a parasite, and to
    get in touch with his regular Dr, and probably want to start getting
    stool samples.  NOW I'm happy he's still in diapers!! (-:
    
    We'll see how it goes ....
    
    Patty
556.23does it happen every bottle???RDWOLF::KUPIECMon Jul 29 1996 11:2212

	Does the baby get upset after every feeding or is it just every
	so often? My 1 month old Travis will take a full 4 oz bottle at 
	one feeding and then may or may not be very upset at another, where
	he will take the first 2 oz and then fight with the bottle, where 
	he wants it then takes a little then pushes the bottle away and
	starts screaming. We've taken him to the Doc and she doesn't think
	it's reflux but colic. Any words of advise?

Thanks
Chris
556.24HAZMAT::WEIERPatty, DTN 381-0877Mon Jul 29 1996 12:4313
	>We've taken him to the Doc and she doesn't think
	>it's reflux but colic. Any words of advise?

Get a swing.  Get a car you don't mind driving in a lot (the car seemed to 
calm mine).  Get a set of earplugs.  Set the baby in the baby seat on top of 
the dryer to calm him (or the final spin on the washer!)  Make sure that
you're not using iron formula - constipated babies don't act a lot different
than colicy ones (at least mine didn't). 

Pray long and hard.  And remember that they DO outgrow it!

-Patty
556.25HAZMAT::WEIERPatty, DTN 381-0877Mon Jul 29 1996 12:4510
Oh yeah .... and there's some type of drops - Myacin?  that are designed for, 
essentially, infant indigestion.  The name is very similar to that antacid 
that comes in the large turquoise bottles, and it's found in the same section 
in the pharmacy.  They cost a fortune, and you'd happily pay 10 times as much 
when you see how well they work!  We used to give Jonathan a couple drops just 
BEFORE he ate, and it helped him keep his bottle down, and be more comfy 
afterwards.  CVS sells their own brand, but they taste more acidic.

Good luck!!
556.26MylantaBIGQ::ACKERMANMon Jul 29 1996 12:566
    The drops mentioned in the last note are called Mylicon put out by
    Mylanta.  They are pink drops that taste like sugar and they contain
    simethicone which breaks up the gas bubbles into smaller bubbles which
    do not hurt.  They do work wonders.  If constipation is a problem ask
    your dr about malt supex, cost a REAL fortune but it is a natural
    molasses-like fiber which works wonders.
556.27MassageCASDOC::CHARPENTIERMon Jul 29 1996 13:178
    
    Consider talking with a massage therapist
    about methods to use on your baby.  I know of
    at least one massage therapist who teaches
    mother-infant classes.
    
    Dolores
    
556.28DPE1::ARMSTRONGMon Jul 29 1996 13:1817
    We used simethicone in some form (I forget) and it worked
    wonders for our Katie.  SERIOUS milk (and everything else)
    alergies and Colic.  Burping her was impossible.  Simethicone
    breaks down the large bubbles into tiny ones that easily rise
    to the surface and allowed her to burp.

    We also found that putting her (in her basinet) on top of the
    dryer worked wonders for helping her sleep.  She would generally
    start crying at supper time and reach a peak of screaming at about
    2AM, whereupon she would be so exhausted she would actually
    sleep for a few hours.  This was until she was almost a year old.

    We were quite thankful that we had two other kids already and knew
    that ALL kids weren't like this...and that we were older and a lot
    more patient than we had been when in our 20's.  I could not imagine
    what this would do to a young couple with a first child.
    bob
556.29CSC32::M_EVANSwatch this spaceTue Jul 30 1996 13:399
    I think I posted a survival guide for me for colicky babies at one time. 
    Along with everything else, get an understanding relative or friend,
    preferably someone who has been through colic before to watch the
    little one while you get a BREAK!
    
    My oldest had awful colic for the first 6 weeks of her life.  Having
    someone take her for a walk was an absolute life and sanity saver.  
    
    meg