and i remember something about omeprazole reacting with moisture rendering it less effective too....who knows! It's trial and error really, and I really hope something works and soon
Im guessing theres no "definite" answer then because I have always been led to believe that crushing tablets will greatly reduce their efficiency.....a lot of staff in my old ward used to do it anyway because out patients had difficulty with tablets (brain injuries), until a new doc on rotation went a bit mad about this and put them all on liquid
I guess its the lesser of 2 evils. You need to find smt that your LO will take and hopefully it will do the trick. Its not easy!
to you all xxx
why is it wrong to prescribe domperidone on its own? my GP prescribed it on its own for eliza, it didnt help, it just slowed down the speed of which the sick came out and gave her awful nappy rash! Although our GPs are useless i wouldn't of thought they would of prescribed something on its own if they shouldn't.
Im glad were going to the specialist! hopefully they can get things right! its just annoying we have to wait till feb to see them! x
why is it wrong to prescribe domperidone on its own? my GP prescribed it on its own for eliza, it didnt help, it just slowed down the speed of which the sick came out and gave her awful nappy rash! Although our GPs are useless i wouldn't of thought they would of prescribed something on its own if they shouldn't.
Im glad were going to the specialist! hopefully they can get things right! its just annoying we have to wait till feb to see them! x
Apparently the domperidone "makes the reflux look better". As in, less puke....because it works by speeding up the rate in which the stomach empties (supposed to tighten esophageal sphincter but some docs reckon this is useless in babies because the sphincter just isnt mature enough, rather than "not working"). This doesn't help with the fact that the baby has an underdeveloped esophageal sphincter, so the acid still flows back up into the esophagus, but because theres less in the stomach (empties quicker) then therse less puke......but still the same level of discomfort because the acid's not being treated
It essentially turns reflux into silent reflux :/
Of course there are a few babies domperidone will work on it's own for, but it's hard to tell the exact cause of the reflux - whether it's overproduction of acid AND underdeveloped esophageal spincter.....or whether one is worse than the other, depends on what medication will work?? theres various theories about an exact cause - food intolerances come into this too, most of medicine really is just experimentation :S
I have just ordered the book! Thank for great info
Trust yourself - ur LO has reflux - and don't let anyone tell you different! My DD is now a happy smiley 1yr old (mostly), on high dose omep, still bf, dairy and soya free, and enjoying food. We went through the hell of severe silent reflux and had to fight to get her on the right meds. She's my 3rd baby (other 2 are hardly ever at the doc's), but sstill no-one would listen!! I went to A&E at a childrens hospital (told them I was visiting friends nearby!) before she was diagnosed and started getting treatment at 9wks old. I regret to this day that i didn't go to A&E much sooner
Lots of good advice already, and sorry if i'm a bit repetative.
Firstly, well done for keeping up the bf. Have a look here (only take 5mins to read), cos it helped me loads: https://www.reflux.org/reflux/webdoc01.nsf/(vwWebPage)/Breastfeed.htm?OpenDocument
Also, the ranitidine may well be helping, but reflux tends to peak around 4/5mths, so could be the symptoms are getting progressively worse. Ranitidine is really weight sensitive, and your LO can build up a tolerance quite quickly, but don't stop it until you've been using omepr for at least a week, beacause it might be helping way more than you think and syptoms could get worse! (more info on this: https://www.refluxrebels.com/Acid_reflux/Acid_reflux_medication.html)
However, you should defo still be looking to get prescribed OMEPRAZOLE, as your lO is still suffering and omep is much more effective than ranitidine at reducing acid. Totally agree with Booda, IF YOU CAN'T GET THEM GO TO A&E, and keep going back until you do get them. Preferably go to a childrens hospital, but at least a hospital with a paediatric unit. Stay calm but firm and keep repeating that you need them to help your baby. The longer it takes for your LO to get the right meds, the more damage the acid does to tummy and oesophagus, and the longer it takes to heal up and your baby to get better.
I've also read a lot about the liquid being less effective than the tablets (Usually 'losec mups'), and that the liquid deteriorates really quickly, (need new bottle every 14days). The losec mups are a pain at first, but most get used to them quite quickly. 'mups' stands for 'multiple pellet system', so when you dissolve the tablets, (adding a little fresh boiled water to make the water 'warm' helps them dissolve more quickly), you are left with tiny little pellets that contain and protect the omep. Also, omep is a 'super-safe' drug that can only be activated by the acid producing cells it affects ie: it doesn't get absorbed/ do damage elsewhere, which maybe will put your husbands mind at rest a bit.
When my DD was young, I used to dissolve the tablets in an eggcup (no corners for meds to get stuck in), carefully pour off the water, then add more water and rub gently to dissolve more and more of the tablet. I would keep repeating this until it was just the small amount of pellets that were left. Then i'd scoop them onto the end of my finger (every tiny bit counts) and rub them onto the inside of her cheek. I'd quickly follow this with a drink of water or very well diluted apple juice. That way she didn't have to take spoonfuls of yuck!!! After 5 months I started using a very small amount of applesauce (shop bought, just the saucy bits, no chunks of apple!) to mix it. Now she's older I jst dissolve off the majority of the tablet in one shot, mix with apple sauce and she happily scoffs it! However, the liquid seems to work great for some, so I'm not rubbishing it either!
I also found that the only way she could sleep was on her tummy, and I let her do this during the day while I could watch her. However, by 3mths that was the ONLY way she could get any sleep, so she slept on her tummy all the time. I know tummy sleeping is associated with SIDS, and I was really really paranoid, but if you check the research there are almost always other risk factors in addition to tummy sleeping taht contribute.
Other things that helped her were holding her face down along my arm (picture here: https://www.webmd.com/parenting/baby/crying-colic-9/slideshow-treating-colic picture 2/11), and marching (stamping) - dunno why but the stamping REALLY helped settle her??! I used to do this in front of TV to distract her, then lie her straight down on her tummy if she settled off to sleep! Another thing that can help is using a dummy - this helps create more saliva that helps neutralise the acid thats rising up her throat.
Finally, there is a great book called 'Colic Soved' by Dr Bryan Vertabedian (a gastric paediatrician who's baby had reflux), which saved my sanity and helped us loads. It's about £6.99 on Amazon, and I'd happily pay £600! Have a look at the reviews (on Amazon) from other parents.
Sorry so long, but hope some of this helps!!
I have just ordered the book! Thank for great info
Trust yourself - ur LO has reflux - and don't let anyone tell you different! My DD is now a happy smiley 1yr old (mostly), on high dose omep, still bf, dairy and soya free, and enjoying food. We went through the hell of severe silent reflux and had to fight to get her on the right meds. She's my 3rd baby (other 2 are hardly ever at the doc's), but sstill no-one would listen!! I went to A&E at a childrens hospital (told them I was visiting friends nearby!) before she was diagnosed and started getting treatment at 9wks old. I regret to this day that i didn't go to A&E much sooner
Lots of good advice already, and sorry if i'm a bit repetative.
Firstly, well done for keeping up the bf. Have a look here (only take 5mins to read), cos it helped me loads: https://www.reflux.org/reflux/webdoc01.nsf/(vwWebPage)/Breastfeed.htm?OpenDocument
Also, the ranitidine may well be helping, but reflux tends to peak around 4/5mths, so could be the symptoms are getting progressively worse. Ranitidine is really weight sensitive, and your LO can build up a tolerance quite quickly, but don't stop it until you've been using omepr for at least a week, beacause it might be helping way more than you think and syptoms could get worse! (more info on this: https://www.refluxrebels.com/Acid_reflux/Acid_reflux_medication.html)
However, you should defo still be looking to get prescribed OMEPRAZOLE, as your lO is still suffering and omep is much more effective than ranitidine at reducing acid. Totally agree with Booda, IF YOU CAN'T GET THEM GO TO A&E, and keep going back until you do get them. Preferably go to a childrens hospital, but at least a hospital with a paediatric unit. Stay calm but firm and keep repeating that you need them to help your baby. The longer it takes for your LO to get the right meds, the more damage the acid does to tummy and oesophagus, and the longer it takes to heal up and your baby to get better.
I've also read a lot about the liquid being less effective than the tablets (Usually 'losec mups'), and that the liquid deteriorates really quickly, (need new bottle every 14days). The losec mups are a pain at first, but most get used to them quite quickly. 'mups' stands for 'multiple pellet system', so when you dissolve the tablets, (adding a little fresh boiled water to make the water 'warm' helps them dissolve more quickly), you are left with tiny little pellets that contain and protect the omep. Also, omep is a 'super-safe' drug that can only be activated by the acid producing cells it affects ie: it doesn't get absorbed/ do damage elsewhere, which maybe will put your husbands mind at rest a bit.
When my DD was young, I used to dissolve the tablets in an eggcup (no corners for meds to get stuck in), carefully pour off the water, then add more water and rub gently to dissolve more and more of the tablet. I would keep repeating this until it was just the small amount of pellets that were left. Then i'd scoop them onto the end of my finger (every tiny bit counts) and rub them onto the inside of her cheek. I'd quickly follow this with a drink of water or very well diluted apple juice. That way she didn't have to take spoonfuls of yuck!!! After 5 months I started using a very small amount of applesauce (shop bought, just the saucy bits, no chunks of apple!) to mix it. Now she's older I jst dissolve off the majority of the tablet in one shot, mix with apple sauce and she happily scoffs it! However, the liquid seems to work great for some, so I'm not rubbishing it either!
I also found that the only way she could sleep was on her tummy, and I let her do this during the day while I could watch her. However, by 3mths that was the ONLY way she could get any sleep, so she slept on her tummy all the time. I know tummy sleeping is associated with SIDS, and I was really really paranoid, but if you check the research there are almost always other risk factors in addition to tummy sleeping taht contribute.
Other things that helped her were holding her face down along my arm (picture here: https://www.webmd.com/parenting/baby/crying-colic-9/slideshow-treating-colic picture 2/11), and marching (stamping) - dunno why but the stamping REALLY helped settle her??! I used to do this in front of TV to distract her, then lie her straight down on her tummy if she settled off to sleep! Another thing that can help is using a dummy - this helps create more saliva that helps neutralise the acid thats rising up her throat.
Finally, there is a great book called 'Colic Soved' by Dr Bryan Vertabedian (a gastric paediatrician who's baby had reflux), which saved my sanity and helped us loads. It's about £6.99 on Amazon, and I'd happily pay £600! Have a look at the reviews (on Amazon) from other parents.
Sorry so long, but hope some of this helps!!
So we have been prescribed losec mups, hurrah! It's our second day and she is happier in herself, but not during feeding, it's still a fight. I can hear her stomach gurgling so badly when she feeds, why is that?
I have a question ladies, I was wondering when you administer omeprazole! I was told before any feeds, but she wakes up at silly hour (4 or 5) and is starving so waiting to prepare nedicine would not work...I treat it as a night feed because she oes back to sleep after. Is it ok to give it 2-3 hours after first feed?
