Are your children’s vaccines up to date?

Set a reminder

Please or to access all these features

Parenting

For free parenting resources please check out the Early Years Alliance's Family Corner.

Baby reflux - when to medicate?

10 replies

PBobs · 17/08/2019 16:00

Hi all. I did a search and couldn't find quite what I was after. Our 10 week old has silent reflux. I can hear him bring up his feed and swallow it back. Rarely does he spit some out. If he does it's a teaspoon to a tablespoon at a time. Some days it will be after every feed. Other days it won't happen at all. Many days he'll scrunch up his face after a feed, stick his tongue out, chew his hands and do a bit of wriggling but doesn't cry or show other forms of distress. He has never had projectile vomit or any vomit.

He sleeps fantastically at night. Asleep at 9pm then we wake him during a final nappy change at 10-11pm and a final feed. Then he sleeps until 6-7am.

He doesn't fuss during feeds. Loves his food. He is overall very relaxed and unfussy. Nobody can believe how chilled out and easy going he is. He does have terrible wind and sometimes will cry or fuss until there's a fart or burp. He is a slow weight gainer but has put on 1.3kg since birth. Not ideal and has dropped to a lower percentile.

As a result a doctor put him on ranitidine for 3 weeks. He took it as instructed but I don't know how much difference it made. Spit up seemed to ease off but then came back a bit. Now a new doctor wants him on omeprazole. We have met her once.

I just don't know if it's necessary. Are his symptoms bad enough to warrant what feels like quite heavy duty meds? Please note that he's been seen by 3 prescribing doctors (+radiologists etc) in 10 weeks as we've been moving so nobody has a full recent picture of his health. The doctor who prescribed ranitidine did so at 7 weeks and hasn't seen him since.

I wondered if anyone could advise on their experience of how bad reflux was in their baby to warrant meds. Thanks very much.

OP posts:
Are your children’s vaccines up to date?
hormonesorDHbeingadick · 17/08/2019 19:58

omeprazole is normally only prescribed by a children’s doctor not a GP. If your child’s weight gain is so low that you need to be seen by at hospital then as a parent I would consider giving it. How much milk does he take or how many bf is he having in 24 hours and how long are the feeds?

You need to ask the doctor what are the risks, benefits and alternatives to taking the medication.

PBobs · 17/08/2019 20:28

Thanks @Hormones. I live overseas so we see a paediatrician rather than a GP and she prescribed it. Same for the ranitidine but in a different country. Neither really explained how silent reflux can cause slow weight gain. In fact our pediatrician here seemed as perplexed as me and yet still prescribed omeprazole. She was reticent to stop meds as she has only just met him and wanted a better sense of the situation. He has gained an average of 130g or so a week since birth so still a little on the low side but not horrendous.

I guess I'm just struggling to know what serious reflux/GERD looks like because honestly he is such a chilled out happy baby. It feels very confusing to me.

OP posts:
EAIOU · 17/08/2019 20:36

I would get him the medicine especially as hes had quite a lot of input health professional wise.

I think its difficult to work out if babies are in pain etc but we can medicate ourselves if unwell, they cant. Plus when tired we feel worse. Babies are the same they but just cant communicate this need that they are in pain or uncomfortable. If you've ever had heartburn then you know even mildly how uncomfortable it is.

Mine had this and cows milk allergy and cried incessantly at times throughout the whole day but was fine at night also. We did prescribed milk and meds.

Hope your little one is ok and congrats on your new baby.

Interested in this thread?

Then you might like threads about these subjects:

PBobs · 17/08/2019 22:31

@EAIOU thanks. Would you say to medicate to relieve any potential discomfort rather than anything else? Is that what happened with your baby?

@Hormones I never answered your feeding Qs. He feeds every 2-3 hours during the day for 15-30 minutes. Then from about 6pm he clusterfeeds until he sleeps at 9pm. Then he has a 15 minute top up at 11pm. Then sleeps until 6 or 7am. Paediatrician is happy with his feeding. I produce a lot of milk and he gets enough hind milk.

OP posts:
PBobs · 17/08/2019 22:32

I guess I'm just struggling to work out when and why doctors medicate babies for reflux.

OP posts:
PBobs · 18/08/2019 07:22

Any ideas on how to deliver 7.5ml of omeprazole solution to an EBF 10 week old would be gratefully received. Thanks.

OP posts:
EAIOU · 19/08/2019 19:29

Yeah I personally would use it as I cant imagine acid coming up the throat does them much good. Bless him.

Wee mines cried all the time, gagged on and pulled off the bottle but wanted to comfort feed from the pain quite often. New milk and was like a new baby! I would stop dairy too to see if it helps. (If you can manage)

Lay baby on back. Use the syringe they give you and squirt small amounts to the side of the back of the mouth. Never directly squirt towards throat area as it can choke them. So to the side at the back. Or if this proves to be too difficult, a medicine dummy may be your friend.

hormonesorDHbeingadick · 19/08/2019 20:05

I would expect a baby with reflux to not sleep so well/amazingly!

What percentile was he born on and what percentile is he on now? The percentile charts are based on formula feed babies so breast feed babies so sometimes not always meet weight gain expectations.

PBobs · 20/08/2019 08:36

Thanks all. An update below.

Spoke to our new paediatrician again and she has agreed with us to have a go without any meds. She said because she had only just met him she didn't want to leave him unmedicated - hence the omeprazole suggestion. But she seems happy that we want to take him off everything. He's now been off meds for 3+ days (basically didn't start the omeprazole) and is super. No fussiness. Happy and giggly even when spitting up. So we will continue without medicating and check his weight again later this week.

The acid just doesn't seem to bother him too much. Just the odd "bad taste in my mouth" look. He doesn't fuss during feeding or after. He is a guzzly baby and loves his food. He feeds for 20-40 minutes every 2-3 hours early in the day. Then every 30-60 minutes/all the time from 5pm until 9pm for his evening cluster feed as he preps for his long sleep. Plenty of wet/dirty nappies and all that.

@hormones he went from just below 50th to around 5th for weight. So quite the drop but he's sticking to his curve now. He regained his birth weight in a week or so. Then slowed down. He actually measured small when I was pregnant (around the 5th centile) so we were all surprised when he was born. Although I know in uterine measurements are notoriously inaccurate. He is still 50th for height and head circumference and meeting all other milestones.

OP posts:
PBobs · 20/08/2019 08:37

@hormones yep - that was my feeling about the sleep. He's a super sleeper at night. During the day he's a 15 minute power napper. Still I'd rather have the night sleep.

OP posts:
New posts on this thread. Refresh page
Please create an account

To comment on this thread you need to create a Mumsnet account.

This thread is closed and is no longer accepting replies. Click here to start a new thread.