omeprazole dose for a baby

[duende]

Hi,
I have posted before about my DS. he's 21 weeks and has severe reflux. He has been on omeprazole for a couple of months. Initially, the improvement was incredible. His dose has been gradually increased from 5mg to 10mg a day. He has now started showing symptoms again -screaming in pain, arching his back, only comfortable if upright, etc.
he weighs 8kg, about 17.5 lbs.

if anyone has any experience with omperazole, can you please tell me what dose worked for your LOs?

thank you.

thanks ladies, you've been very helpful. And it does help to vent sometimes.
He has been on nutramigen since yesterday afternoon. I made the mistake of tasting it - it's the most awful thing I have ever tried. He cried with the first two bottles but took it a bit better today. Was still bad this morning and I'm not sure how long it would take to make a difference if it was to help.

And apparently, if we were to have another baby, the chances of them having reflux are 65%. arrghhh.

Hello everyone, I know your post is old. I would like to know when the Reflux of your LO passed? Our daughter (6 months) also suffers from horrible GERD and I am not sure about the Omeprazol dosage.

Maybe I can get advised here...

My DC had severe reflux so I really feel for you. It was so hard when she was little especially having been a premmie and teeny. She had no weight to lose so was a mess. Sometimes I don't know how we got through it.

DD threw up literally everything, I was breast feeding round the clock. She never slept more than 20 mins at a time, just screamed in pain in between feeds which she threw up within 15 mins. Her poo was stringy and full of mucus, up to 20 dirty nappies a day. Losing weight not gaining and she was only 4 pounds to start with.

We started with ranitidine when she was 3 weeks old, zero effect. Saw a consultant at 5 weeks and he was so supportive and focused on managing DD's pain, it was a god send for her just to be able to sleep. He prescribed lansoprazole and put me on a diet excluding dairy /egg / soya / fish / wheat. We went back 1 week later, DD hadn't improved, lost more weight. I had to stop breast feeding and we went onto neocate (excellent stuff!). He upped the lansoprazole. About a month later the consultant added cetirizine. From all the tests he'd determined she had Gastro-oesophageal reflux disease and cows milk protein allergy. We soldiered on, some improvement but not masses. The drugs were upped several times had endoscopy / MRI / acid study. We thickened feeds with carob, but still the vomiting persisted so we weaned at 17 weeks. Again some marginal improvement but he prescribed a course of steroids when she was 10 months as we couldn't get it under control. If you put your hand on her tummy it was like touching a furnace. Steroids were the only thing that got the inflammation under control and allowed some healing. Things improved from there on although the vomiting continued in a very limited form until she was ~ 2-3 years old. We stayed on a special diet excluding dairy / egg / soya until she was 9 (challenged numerous times over the years but symptoms went crazy again).

I do remember blood in the vomit. You may want to try elevating the head end of your DC's cot ( stack 3-4 books under each leg) as I honestly found that helped. Lactose is also the sugar in milk and different to cow's milk protein. Reflux like you describe is often associated with the protein not the sugar. If your DC has a sensitivity to dairy be wary of soya as often the 2 go hand in hand. Goat and other milks have similar proteins so can also cause a reaction if allergy is a factor.

Its a horrid disease and so awful to watch. You have to really persist and accept a degree of trial and error I'm afraid. We were lucky to have the most amazing pediatric gastroenterologist. Happy to share his details if helpful, just PM me.