Hi Op, sounds like you’re doing brilliantly. This was me two years ago. Omeorazole was a game changer for us and whilst my baby continued to be sick until she was one (it decreased over time), she was comfortable with it as the reflux wasn’t so acidic any more. I ended up seeing a paediatrician privately as was blocked from any proper support by my GP. Paediatrician was also a senior NHS consultant and had no issues with prescribing omeprazole, she said GPs tend to be overly cautious and not always the best informed regarding treatment of reflux. As I understand it, it acts as a protein pump inhibitor and whilst the stomach still produces acid, it just doesn’t make quite so much that their throats can feel it. My consultant said to me something like ‘much better to make them comfortable and protect their throats than risk damage by repeatedly throwing up acid or them having feeding aversions.’ My paediatrician didn’t mention the link to calcium uptake that you’ve been told about, so would recommend you see a paediatrician and ask them to advise? Is it just that in large quantities omeprazole could in theory be an issue, but the amounts prescribed are too low?
just a couple more points in case you weren’t fully aware. As you mention, it’s possible for cmpa to be the sole cause of reflux, or it might be one factor that exacerbates it. In our case, my DD had cmpa but even when she was prescribed an amino acid formula (neocate) she was still quite sick. The paediatrician explained that in her case, the sphincter muscle at the top of her stomach was a little ‘floppy’ and needed to develop to stop liquids whooshing back up. It was only when she was walking all the time at 12 months (ie upright) that she finally stopped vomiting. She’s not sick now when she’s messing about on the floor so I’m assuming her tummy muscles are now working as normal.
if you’ve cut out dairy it is also advisable to cut out soy as the soy proteins look very similar to the body and can be mistaken for them.
I understand you’re breastfeeding but if you ever did go down the formula route, there are two levels of prescription formula for cmpa. The first is a fully hydrolysed milk (milk proteins are partially broken down). This didn’t work very well for us, but it does for others. The next step to try is an amino acid formula, where the milk proteins are so small the body absorbs them without reacting to them.
if you do end up using omeprazole, the dose MUST increase with baby’s weight or it stops being effective. You’ll find baby then becomes uncomfortable and starts getting a feeding aversion (stressful!) baby will need regular reviews to ensure they’re on the right dosage.
giving omeprazole can be a little bit of a fine art at first but soon you’ll easily manage it. If given in tablet form, we were advised to put the tablet into the syringe and draw up the required amount of cooled boiled water (v slightly warm helps), then gently shake the syringe so the tiny beads of medicine mix with the water. Syringe gradually into back of baby’s cheek where their molars will eventually be, stroke their cheek towards jaw bone to trigger swallowing reflex. Don’t wait too long as the medicine will clump and then be too big to go through syringe. Aim to administer I think about half an hour before one feed for maximum effect. Wash the syringe immediately otherwise any residue will be impossible to get off.
Do you use wedges to prop baby up and make them more comfortable? Talk to your HV or doctor about what you can use unsupervised and at what age, but I used a range in her pram, Moses basket, under her at baby groups, under her changing mat. Try looking at wedgehogs who make them in lots of sizes.
Best of luck and congratulations on your baby