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January 21, 2013 at 3:40 pm #71475AnonymousInactiveSo DD (will be 3 in March) had acid reflux bad when she was a baby…she was weaned off it right b4 a year old. We had NO issue of coughing till about 8 months ago when night coughs started (bad gagging coughing). After awhile we went to a ped specialist…where we were put on Flovent and Albuterol via inhauler…first cold again bam she was coughing like CRAZY gagging and all, they added liq steroids for a few days
… So we added Alvesco first sign of a cold on top of Flovent and Alburterol…next cold again bam she was bad…again added liq steroids for a few days through this cold.So we added acid reflux due to her history..I stopped Flovent and Alburterol…she went a good 3 months with out getting a cold and then again cold hit and story repeats itself…so with this cold we added Alburterol via neb and the inhauler was not doing a thing for herSo then we added Singular as of 12/27 and still on AR meds….she just got a cold and again all hell breaks loseSo as of yesterday we added Pulicort via nebSo we are now on Singular/ Stopped AR meds/ Alburterol via neb and Pulicort via nebIm just not thinking this is asthma?!So last wed i went for a 2nd opinion and she agreed she thought it was asthma and took her off AR medsToday I went to her sp. dr and he said he thinks it is AR and wants her back on Omeprazole….Oh and we have an app with an ENT on the 28thmama2missb 2013-01-21 15:58:56 January 21, 2013 at 3:51 pm #71476hellbenntKeymasterwelcome!
you’ve found the best place to research all you can to be the best advocate for your child!
first of all, I have learned that it’s better (in most cases) to TELL your doctor and see what happens. So, since it can take up to two weeks to see the full efects of the PPI (prevacid or prilosec)
I’d TELL the doctor that you’re going to start with zantac, as you wait for the proton pumps to shut off (that’s what the PPI does). Research all you can in the Medicines Forum and then you’ll know what you’re talking about when you TELL the doctor.
Seeing a specialist may or not help, I’m afraid.
Look here to help you research:
Looking for GI: https://www.infantreflux.org/forum/forum_posts.asp?TID=660
there are recommendations for ped GIs in your area…
I don’t mean to discourage you, *sigh.* It’s just that you really have to know your stuff and be able to TELL your doctor what it is that your baby needs.
Even OUR doctor, who was WONDERFUL, we had to tell. He didn’t object – he listened, our request(s) sounded reasonable, and our baby got what he needed. it was a long process. I hope to help others to get theirs going faster…
If you were/are doing the compounded liquid, again, research and then TELL the doctor to please humour you and to write the RX a certain way for the pharmacist- it’s in
Prevacid 101:
scroll to the last page of this post, (it’s actually also about other PPIs like prilosec, too)
https://www.infantreflux.org/forum/forum_posts.asp?TID=1936&PN=0&TPN=1
in the meantime, I’d research about ‘the products’ (again, in Prevacid 101)
and I can’t recommend them strongly enough- I am NOT paid by them, nor do I receive any compensation from them WHATSOEVER! I just BELIEVE in the University of Missouri and their research team and Dr. Philips, in particular.
Again, it’s in Prevacid 101 (or maybe in the ‘products’ page- the ‘products page’ is linked to from Prevacid 101)
I’d also calculate the highest dose of zantac by weight. It’s 10mgs per kilo.
no need to ‘just’ take my word on this (or anything! please don’t! research and make your own decisions!)
Zantac dosing- my/other’s question (has axid & pepcid doses, too):
https://www.infantreflux.org/forum/forum_posts.asp?TID=8288&PN=1
To be honest, I found that FAXING the doctor(s) worked best.
TELL dr you need _______ (example: new rx for zantac or how to write the PPI Rx, or what dose of PPI) don’t ask. TELL.
FAX FAX FAX the dr
don’t wait for a call…
start off with a THANK YOU
keep it short & sweet
stick to the FACTS (no emotions and ramblings)
state current meds, doses & symptoms
make request- flat out- short & sweet
provide pharmacist name & contact info
THANK AGAIN
follow up by calling office to tell them fax was sent
call again later to discuss requests made in fax, ie:
is RX called in yet?
THANK YOU
sample fax: https://www.infantreflux.org/forum/forum_posts.asp?TID=10633&PID=90325#90325
About faxing the doctor (& more): https://www.infantreflux.org/forum/forum_posts.asp?TID=2841&TPN=1
I don’t know what to tell you what to expect.
It’s hit or miss.
You could leave there feeling like you were listened to and that the dr is really going to help your baby. Or, you could leave thinking that the whole visit was a complete waste of time.
Have symptoms down pat.
How are poops?
Are they mucousy? Mucous can look stringy, like the inside of a banana, or like jelly or cottage cheese.
Are they painful?
Does your child strain & grunt & push & then when it finally comes out it’s soft?
Is it hard little pebbles?
(muscous in the stool usually is a sign of a protein intolerance)
You might want to go in w/ a game plan.
Me, I’d want to address PAIN and the SOURCE of the pain.
Is it MSPI or an immature LES? Or both?
This is all in Groupie Intro:
https://www.infantreflux.org/forum/forum_posts.asp?TID=853
reflux what I have learned: https://www.infantreflux.org/forum/forum_posts.asp?TID=2948&a mp;PN=2
this is a LOT to learn, but you can do it & we’re here to help!
hang in there!
laura
hellbennt2013-01-21 15:52:52
January 21, 2013 at 3:59 pm #71477AnonymousInactiveThank you SO much for taking the time to send this all to me! Looks like I have a lot of reading to do! hellbennt2013-01-21 16:07:25
January 21, 2013 at 4:06 pm #71478hellbenntKeymaster(I edited your post- just because you quoted everything, & I like to keep things flowing smoothly on the board)
there IS a lot of reading/research to do, but, once you know your stuff you can ‘take charge’ and TELL what is best for your child.
Was your daughter on special formula? I’m trying to see if there’s any allergy/intolerances going on. That would be my first guess/hunch.
You need to research about the DIFFERENCES between intolerances and allergies.
best EXPLANATION OF FOOD ALLERGIES/INTOLERANCES and their RELATION TO REFLUX that I have found, to date: 2nd post: https://www.infantreflux.org/forum/forum_posts.asp?TID=2697&PN=2
Exposure to foods & blood testing: https://www.infantreflux.org/forum/forum_posts.asp?TID=12993
Sheri’s allergy/intolerance explanation: https://www.infantreflux.org/forum/forum_posts.asp?TID=10223&PID=87638#87638
Another Sheri explanation- intolerance/allergy post:
https://www.infantreflux.org/forum/forum_posts.asp?TID=11579&PID=97442#97442
Accuracy of allergy testing & great post by sherri explaining IgE and IgG (intolerance/allergies)
https://www.infantreflux.org/forum/forum_posts.asp?TID=10815
probiotics, brands used:
https://www.infantreflux.org/forum/forum_posts.asp?TID=8970&PN=1
erin posts that mentions enzymes:
https://www.infantreflux.org/forum/forum_posts.asp?TID=12781&KW=enzyme
https://www.infantreflux.org/forum/forum_posts.asp?TID=12610&KW=enzyme
Post from me:
Post from me:
https://www.infantreflux.org/forum/forum_posts.asp?TID=12200&KW=enzyme
hellbennt2013-01-21 16:09:19
January 21, 2013 at 4:16 pm #71479AnonymousInactiveSorry another fourm im on we quote so we know what they are replying too .
My DD is going to be 3 so is not on formula…I do not thinks she has allgergies and the allergy specialist said she does not. We are limiting her dairy during the evening as her coughing 80% of the time is at night only.January 21, 2013 at 4:29 pm #71480hellbenntKeymasterok but when she was a baby, what did she eat? breastmilk? formula? if formula, what formula?
how are her stools?
is she constipated?
are they mucousy?
please read about INTOLERANCES because she could be intolerant to protein(s), not necessarily *allergic*
as for limiting dairy at night- with dairy it’s all of nothing- it’s the protein- if you’re going to limit it, I’d try for a good two weeks to DELETE it entirely- even as a *hidden* ingredient…
no worries about the quoting- if you were referring back to something specific, yes, please quote
hellbennt2013-01-21 18:54:03
January 21, 2013 at 4:57 pm #71481AnonymousInactiveShe was on target brand lactose free formula. Her stools look good/normal. We did take dairy away but at todays app her specialist said he does not think its that and wanted us to put her back on dairy. He said we can limit it and not give her milk at night due to the mucus it can cause.
Oh and I did read up alot on dairy intolerance and really not to much fit…but I took her off dairy anyways (without even talking to her dr). But he is convinced she does not have any allergies or in intoleranceshellbennt2013-01-21 19:29:09
January 21, 2013 at 7:13 pm #71482hellbenntKeymasterI googled & found this article for you
http://erj.ersjournals.com/content/11/1/151.full.pdf
I can’t tell you that your girl’s respiratory issues are food-related, but I would not be surprised if they are, especially given her past with reflux…
Just read about food intolerances (links in above post) and you can decide what you think?
what does she eat? is there something that she eats a LOT? pasta or rice or potatoes or something?
maybe it’s not dairy, but wheat (& I DON’T mean celiac, or gluten, I mean wheat)
or apples or peaches or dried fruit (SULPHITES are a ‘biggie’ in the asthma/food intoerance world- raisins? dried apricots?) or fruit drinks
or seafood (I skimmed through the above article, but these are things I ‘know’ anyway) or sauces like tomato sauce
or soy products
or corn (corn syrup is in everything!)….
” Another kind of intolerance is being sensitive to sulfites or other food additives. Sulfites can trigger asthma attacks in some people.”
from:http://www.webmd.com/allergies/foods-allergy-intolerance
I know it’s a lot to digest (pun intended! )
It may wind up that it’s not related to foods/digestion…but, if it is, then keeping a food journal, taking notes, trying probiotics & enzymes might help (and if it doesn’t, then at least you’ll know you tried…)
hellbennt 2013-01-21 19:16:05 January 21, 2013 at 7:21 pm #71483AnonymousInactiveI will definitely read more on it!! but the one thing that keeps telling me its not (/agree with him) iswhen she is not sick she is perfect?
Can AR cause coughing fits like this?hellbennt2013-01-21 19:28:10
January 21, 2013 at 7:27 pm #71484hellbenntKeymasternot sure to tell you about when she’s not sick- maybe when she’s sick there’s foods that exaccerbate things? like maybe there are foods that make her nose runny but you don’t notice it & then, when she’s sick those same foods will make her cough/asthma-y? I truly don’t know!
yes, absolutely coughing can be from reflux…the meds don’t stop the reflux, just the pain- it might be time for a scope to ‘see’ what’s going on in there- if her esophogus is red & irritated, well it’s reflux & also they can do biopsies to find out more of what’sgoing on- also if you give her zantac & she sleeps better that’s a clue too. you can give her OTC zantac – you can crush it and simply add it to the Mylanta Cherry and shake well.
75mg in 5 mL
Mylanta Cherry Supreme is the one variety of mylanta that does not contain aluminum; you can’t find it anymore, but, you CAN find store-brand equivalents. Try rite-aid, cvs brand, walmart, target, Bartell Drug (West coast), Dollar General, brand names: Geri-Care & Geri-Lanta Supreme, meijer, etc- just look for one that does not list aluminum in the ingredients. you can give 1ml up to 5 times a day- it’s safe, even for newborns. if you see loose stools back off.
If you tell me her weight I can calculate zantac dose for you- or buy pepcid chewable and give 1/2 to her crushed & dissolved in some water- she’s 4 now so she can eat tums ,too…
hellbennt2013-01-21 19:32:15
January 21, 2013 at 7:32 pm #71485AnonymousInactiveShe gets scoped next Monday! I dont want to give her anything unless oked by her dr right now
January 21, 2013 at 7:34 pm #71486hellbenntKeymasterwell, the scope should give you some good information- read through and know what to ask about- like the presence of EOS cells – also do a search (upper right-hand corner) and search kevieb as the username- she’s posted recently about her own issues and a more recent post had scope info…
ask (TELL) your doctor you’d like to try tums/zantac/pepcid whatever – just to see if it helps her any? but those things wouldn’t help with a cough per se…
hellbennt2013-01-21 19:35:18
January 21, 2013 at 7:42 pm #71487AnonymousInactiveGreat Ill get right on that! Drs im sure hate me as I always have a sheet of question/ideas for them mama2missb2013-01-21 19:42:40
January 22, 2013 at 12:42 pm #71491AnonymousInactiveHello… I can see that Laura has already given you a lot of good advice and ideas. I hope that you soon you can figure things out and get your little one feeling better.
Last Fall I attended a seminar by Diann Craft. She works with children digestive problems and learning disabilities. Here is an article on her site that talks a little about the allergies relating to asthma. http://www.diannecraft.com/article-014.htm
Something you might want to ask your doctor about is giving your child probiotics and digestive enzymes. They helped my children tremendously with their digestive problems. And have helped many others. Here is a link to a story from a mom (on my blog) about how probiotics and enzymes helped her little one with cough, congestion, and reflux. http://help4acidreflux.wordpress.com/micaelas-story/ Happy Mom2013-01-22 12:43:26
January 22, 2013 at 12:44 pm #71492AnonymousInactiveThis is why I dont think it is AR
• pain- NO
• poor sleeping- Only when sick and she gets that bad cough
• arching their back during or after eating- No• frequent and violent hiccups-NO
• frequent ear infections-NO
• refusing food despite being hungry or the opposite wanting to eat all the time for comfort-NO
• excessive drooling-NO
• sinus infections-NO
• gagging and choking-NO
• chronic hoarse voice-YES
• apnea-NO
• respiratory problems such as pneumonia, bronchitis, wheezing, and asthma-Coughing so YES
• gagging themselves with their fist-NO
• poor weight gain, weight loss, failure to thrive or the opposite with excessive weight gain if they are comfort feeders-NO
• bad breath-NO -
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