Hi. My name is Bridget and I have a 10 month old baby who has been diagnosed with GERD and being treated with 15mg of prevacid daily. Since starting the medication at about 7 months old my son has done well-he has doubled the volume of milk he gets and sleeps better . . . However doubling the volume means he has gone from only 6-8 ounces during the day to 12-14 ounces. He used to feed every 1-2 hours at night, now its every 3, which is better but still pretty exhausting. My pediatrician says I need to contiue feeding him at night because he is still not getting enough fluid during the day. My question is if I continue to do this will he be 15 months and I will still be getting up at night? We also rock him to sleep and I have thought of strating some type of sleep training to get him to fall asleep on his own-I just think that if I continue to feed him at night, forcing the issue of sleep training at nap and bedtime will give intermittent reinforcement and just confuse him. I've also heard the cry it out method can provoke symptoms. I guess I'm looking for any advice, suggestions or clues to help. I am nursing, but I supplement with formula as well. I know poor sleep habits are part of GERD, but if the GERD is being controlled what should I do???


Hello Bridget,
You are asking many good questions about sleep and reflux. I nursed my refluxers for a long time and it allowed them to grow despite the pain of reflux. It also meant that I was up with them at night.
I have heard other parents report great success with sleep training. If your baby is indeed ready to sleep through the night, a little training may be ok. My daughter cried until she refluxed and then vomiting. After a few nights of finding spit up on the sheets and floor, I abandoned the sleep training. She just wasn't ready. I did spend a lot of time moving her gradually toward day time feeding and less night waking.
-I gave her a transitional object (blanket or stuffed toy) so I wasn't the only transitional object.
-Timed the feeding and only gave her a specific time on the breast. Over time, I decreased the amount of time. This allowed my supply to adjust and her stomach to adjust.
Express some milk and let someone else feed her while you get some rest. There is certainly a correlation between my level of fatigue and the amount and quality of my milk. You want to make sure he isn't waking up because there wasn't enough to eat during the day.
Some doctors recommend adding solids to boost calories and decrease the amount of liquid sloshing around in the stomach. I am not sure if your little one is ready for solids yet.
I bet some other parents will have ideas for you too.
Jan
The Reflux Mom
Hi Jan! Thgank you so much for your response! I just have a few more questions . . . So did you daughter naturally just start sleeping through the night once you stopped feeding at night? Did you just gradually wean or decrease either how often or how much you fed her? When she woke, if it wasn't feeding time would you console her? We try to limit my son's feedings to every 3 hours at night and my husband now gives one bottle which is a big help, but we still need to rock him back to sleep and sometimes he is wide awake but happy-not crying-at 3 am!! We let him play alone for up to 1 hour then I usually cave and go in to nurse him back to sleep because I know he needs his rest. I just don't want to create baed habits that will be harder to break down the road! Thanks for all your help.
bridget