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Infant feeding

Get advice and support with infant feeding from other users here.

Help with Reflux Medicine

6 replies

TejasGal · 03/04/2011 12:15

Please help me. My baby seems to be in terrible pain. He's been prescribed omeprazole but we can't get it down him. We tried dissolving the tablet in a bit of cooled boiled water and injecting it in his mouth via syringe, but it didn't dissolve fully and blocked the syringe up. Next we tried dissolving it in formula at the advice of the doctor, but he wouldn't take the formula. And anything we manage to get down him comes right back up when he vomits. I hate that he is hurting so much. If you have any ideas, will you please share? Thanks in advance.

OP posts:
JJJ34 · 03/04/2011 20:30

Could you syringe it in his mouth when he is asleep (slowly) My DS had bad reflux and this is how I got him to take renitedine initially.

RosieAndCharlie · 04/04/2011 01:08

The syringes you get with neurofen sometimes work a bit better because they have a wider opening so less bits get stuck.
We couldn't get DD or DS to take it like this though so stuck to ranitidine until they were weaned (relatively early on the advice of a paediatrician) and then got omeprazole capsules and poured the granules onto a little pear puree or yoghurt. I know lots of people do manage fine though - our GP suggested adding a tiny amount of baby juice to the dissolved mix to make it taste less bad.
Btw I think in your other post you mention crushing the mups with a pestle and mortar? You shouldn't do that because if you crush the little pellets which make-up the tablet they won't work properly.
Good luck - its horrible seeing them in pain but they do grow out of it and the meds can work wonders in the meantime.

loulabella81 · 04/04/2011 22:05

I would recommend Zantac- its a small dosage about 3 times a day and should come with a syringe. Plus you can ask the pharmacy for some spares!Very easy to administer and my little one seems to like the taste.

narmada · 05/04/2011 19:32

OK, my tip would be to go back to the GP and ask for Lansoprazole FasTabs. These have two advantages over omeprazole MUPS. First, they dissolve properly in water; second, they taste of strawberry so more acceptable taste. It's the same class of med as omeprazole.

Whichever drug you end up with, I have found the best way to do it is to get a small receptacle, like an avent bottle top, put the pill in to say 10 ml of cooled boiled water, prod it a bit until it dissolves but don't crush. Then, swirl around in the bottle lid until the granules (the active bits) settles in a circle in the middle. Then, using a 5 ml syringe (boots do them) or neurofen syringe as PP has mentioned, suck up whatever proportion of the granules is appropriate -e.g, if your baby is taking 7.5 mls of lansoprazole, suck up approx half the granules (each tab is 15 mg). Then, gently squirt in to the cheek - you need to agitate the syringe and will probably need to keep flushing it out with some boiled water. If bits get stuck, remove the plunger from the syringe and hook them out with a clean finger, then wipe in your baby's cheek. Again, wash it down with some water.

It's a complete palaver, but omeprazole/ lansoprazole are more effective than zantac for serious reflux.

Your doctor might have failed to mention that omeprazole is best given with something a little acidic - e.g., juice BUT it should land in an empty tummy, or as empty as possible.

Good luck, it's a bind, but you'll find your own way of administering it as the days go on.

narmada · 05/04/2011 19:35

If he really vomits a great deal, then I would definitely go with the lansoprazole. What I now do with DS is just moisten the tablet so it starts to go a bit grainy, and then kind of gently pat it a bit on his tongue so it dissolves with the saliva. Then, as he swallows, he takes the meds down too without too much extra liquid and the risk of vomiting it all back up!

How old's your DS?

Iggly · 05/04/2011 19:44

How old is he?

Is he on formula?

He might be intolerant to cows milk which causes reflux in some cases. You should ask your doctor to switch to hydrolysed formula where the protein has been broken down, reducing the likelihood of a reaction. You'll have to gradually switch from normal formula to hydrolysed stuff (by mixing and increasing the quantity of the hydrolysed formula). This is because the taste is different.

You might find the reflux symptoms go away, eliminating the need for reflux meds.

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