Is this reflux? im.so confused

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My DS is 18 weeks old. In the daytime he is the sunniest, happiest baby you could wish for. He only cries when he needs a nap. Up until 6 weeks old nights were fairly easy too a d he was going for up to 6 hrs. Then he started refusing his crib. He only napped in the sling. I suspected silent reflux and was prescribed omeprazole. It didbt really make much difference. DS started going back in his crib.
He is now a nightmare at night.I cannot put him down. His crib has a reflux leg but he just squirms and fights. He doesn't necessarily cry u less I leave him. He cant go longer than 2 hrs without writhing around even in my arms. He scratches, arches his back, grabs onto my clothing. I keep him.upright after feeds but I cant sleep with him upright.
To my shame I did not realise that his nappies indicated s problem but now I realise I think he has cmpa. I've cut out dairy and soya.he us now on ranitidine.
Does this sound like reflux even if it's only st night? I'm so tired. Please help.

Some of it does. My boys both had/have reflux. The most obvious sign is a face like they've tasted something horrible and arched back.

How often did hey arch their backs? DS literally only does it at night.

Mine would do it most times they lie down. My eldest had it the worst and would vomit constantly too. DS2 wriggles and sometimes vomits but it's the back arching that's more obvious. DD doesn't have it and rarely arches her back.

Mine all have CMPA too.

I just font know. He's fine on his playmat in the day.

See mine still had symptoms even when lying on a mat. But some feeds would have less symptoms than others, bit odd that it's just night that's the problem.

I know in so stressed.

Does he have a larger feed at night? DS2s got more obvious as he increased his feeds.

I dont think so but he is feeding more often.

Could be that overall he's taking larger volumes of milk if he's having more feeds which could indicate reflux yes.

It does sound like reflux and dairy intolerance. My daughter had this and it was only diagnosed at 4 months, so I feel your pain. What doses of ranitidine and omeorazole are they on and how and when do you give your baby them? I had to stop breastfeeding feeding at 5.5 months as going dairy free myself didn't seem to relieve the symptoms enough. Neocate formula prescribed by doctor really was an enormous help alongside the medications.

He's only on ranitidine now. Dr wouldn't give me omeprazole again. He's on 0.5ml 3 times a day.

Ok I found omeprazole was more effective as i believe it's stops the production of acid, whilst ranitidine inhibits anything that sneaks through. That being said, ranitidine is effective. I think you need to ensure you give your baby the ranitidine dose a minimum of 20 mins before a feed. My daughter was on 3 mls a day which I split into 3 x 1 ml doses which I gave before the morning, lunchtime and evening feeds. I think all these things take a few weeks to get going and showing effect, but don't be afraid to ask your doctor to review the prescription as you may need a higher dose.

Also just to add, my daughter wouldn't lie flat at all during the day or night, but was only ever really distressed in the evening. She seemed to get comfort from eating so would constantly be wanting to bf, but would only latch on for a couple of minutes at a time as I think she learnt that a full feed caused more discomfort so was afraid to feed properly. Therefore she was constantly hungry alongside the reflux and trapped wind/constipation discomfort. It was a total nightmare as she never slept for more than 40 mins at a time before the crying started all over again.

Thanks. Thst will need a bit if rejigging as he tends to feed when he wakes.
I have a dr appt tomorrow for my mental health but to be honest I think I'm just knackered.

Thst sounds very familiar.
I feel so guilty. I knew something was wrong. I'm so scared. Is this going to get better?

www.thesleeplady.co.uk/silent-reflux-tips/

Posted on your thread last night but check this link out. Useful list of symptoms

Also In my experience, even now when ds is nearly 2, a flare up affects him the most during the night / when he wakes from a nap and it's to do with the gravity of lying down

Thanks springchicken123
It's so tough.

Haven't rtft, sorry, but 0.5ml doesn't sound very much, unless baby is very small? My DD is Only 7w (though heavy!) and on more than that..

Also ranitidine needs increasing as their weight increases so you need to be aware of that as well xx

No hes 16lb 6. Will go back to GP... ffs...

My baby was exactly the same, from about 6 weeks. He wouldn’t lie flat without crying and arching his back. Have you tried Colief, they are described as colic drops but they break down the lactose in the babies feeds which helps silent reflux. They aren’t cheap, about £12 for a small bottle but some GP’s will prescribe if you’ve had success with them. They are a bit of a pain as you have to add them to each feed a couple of hours before you give it to the baby but they were amazing for my son, he was a different baby within a day or two!

Baby DS is the same. I give him gaviscon in his evening and night feeds. I make sure he’s upright for a good while after feeds too. It seems to help but some nights/weeks are inexplicably bad.

Doctor says gaviscon is good as it literally makes a layer of stuff to hold the milk down. I know it’s seen as the light option but it works for us.

Tha is BinksyB I am just a bit worried about constipation...

Obviously doctors say differing things... but I was told gaviscon is only really useful for normal reflux where babies are sick a lot, not silent reflux. And my daughter had terrible constipation naturally so I was told to avoid it.

I think you should push for an increase in the dose of ranitidine, another prescription for omeprazole and a prescription for neocate formula. I still give my daughter who is nearly two 10mg of omeprazole dissolved in fruit purée (pear is best for early weaning) every morning. I was meant to give it before her early milk, but I ended up giving it afterwards before her proper breakfast and when she was younger before her next bottle as couldn't get up early enough to make it!