why is it getting worse??

[Anonymous]

finn is 4 months old and has been on prevacid for 2 1/2 weeks… he started at 7.5 mg solutab 2x day. I upped it to 7.5 in the am and 15mg in the pm 4 days ago. there has been no improvement. In fact, it has gotten worse. He doesn’t sleep much at all now and only will sleep on my chest at night–writhing in pain. I start him out in the amby bed and he’ll sleep for about 2 hours and then he moves in with me.
I give him mylanta cherry supreme in the night to help…but it doesn’t seem to do much.
I just don’t understand how/why it would be getting worse with the meds!? Perhaps he is sensitive to the aspartame?
I’ve been dairy/soy free for a few weeks now. I’m starting TED today.
tomorrow i’m going to ask the dr. for the capsules so I can give them with caracream. he is breastfed and screams so much while waiting for the medicine/feeding with the solutabs.
he has bad gas and has bowel movements only every third day or so. however, his stools are yellow and only sometimes mucousy.
i just don’t understand all of this and I am completely exhausted.
any advice?

[hellbennt]

I wish I knew more of what to tell you…

do you have any zantac around? I’d figure out a dose for 10mgs per kilo and give that, too, spaced 4 hrs from the prevacid…

also the mylanta should be spaced apart from the prevacid…about 4 hours but I bet 2 would be ok- you have to do what you have to do…

also probiotics have been all the rave around here lately:

Probiotics, brands used: https://www.infantreflux.org/forum/forum_posts.asp?TID=8970&PN=1

[Anonymous]

Another possible option is that maybe he is teething? This always made reflux worse for Cooper. Also reflux usually “peaks” between 4-7 months so maybe that is the problem. It could also be that his body just needs to adjust to the increased med dose and everything involved with the med (inactive ingriedents) I would def try some Zantac in between if that is an option.

[Anonymous]

It still sounds to me like it might be an intolerance issue… especially since he’s on the big 15mg dose @ night & still so miserable throughout the night.

Keep us updated w/ the TED (starting today right?!)… but keep in mind that it can take up to 2-4 wks to see results.

In the meantime I would continue the 7.5mg in a.m. then Zantac & Mylanta in the early afternoon, then still the 15mg in p.m. Switch to the capsules if you can… do them w/ pureed pears until you can get the CaraCream.

[Anonymous]

thanks for the support. yup, i think it’s got to be food allergies/intolerances.

another question–what’s the deal with all of his grunting??? in the past couple of days he’s grunting like crazy like he’s straining to pass a bowel movement (face red, grabbing feet, pulling legs in)….but he has only had one actual poo diaper in the past three days. His stools are always loose/liquidy and mustard like.

i just stocked up on TED supplies, and trying to stay positive…

[Anonymous]

Could he have a blockage???

It may jsut be his reaction to a product you are consuming that is bothering hsi little sensitve belly. I’d give it some time on the TED and see if it imporves.

Good luck!!!

[Anonymous]

The grunting (w/ accompaning red face, etc) is always due to intolerances in our case. I remember before doing TED dh would try to help him out w/ the thermometer to help him poop & there was nothing there so it wasn’t constipation… rather intestinal pain, ect.

Keep us updated! TED isn’t so bad (says me … on it since June).

[Anonymous]

I did TED at the past for a month, but doesn’t effect my dd though, I just can’t eat peanut too much, since it would make her reflux worse accompanied with coughing and gagging.

My dd still on Zantac though, I don’t know if we should move to prevacid.
Anyway hugs from me! I know how it feel!

[Anonymous]

Grunting was one of the main symptoms of intolerance(s) for us, too. I think you’re wise to go ahead with TED. I saw amazing results (no more arching/screaming during feedings, no more grunting, no more awful gas or mucousy stools) within just a couple of days of beginning the diet. But I think it’s pretty uncommon to see results that fast. Looking back on it, I think it’s because basically everything I was eating prior to TED was something Nathan couldn’t tolerate (basically any/all protein for the first 6-8 months). But good luck! Maybe you’ll find out quickly what’s bothering your son, and maybe it won’t be too many things.

He may also still need a higher dose of a PPI, and/or a different form. My Nathan could not do Prevacid solutabs but did great on the packets (now discontinued) and later the capsules w/applesauce. He needed 30 mg/day before we saw any improvement in the reflux pain department (even after TED). I think those were the 3 big pieces of the puzzle for Nate — TED, 30 mg, capsules instead of solutabs.

Good luck with all the changes!!!!!

[Anonymous]

Thanks paula–those are exactly the things i’m working on–TED, switch to capsules and increased ppi dosage.
we actually stopped the solutabs completely yesterday b/c we’re convinced that he’s reacting to them. (and i didn’t want to confuse things with the TED). i figure that he’s only gotten worse with the solutabs and before that he was on nothing!
i have a call into phil stock for caracream and a fax off to the GI for capsules at an increased dosage.

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