Work with your doctor to identify the specific symptoms that are worrisome and find alternative treatments.
Vomiting: Try thickened feedings, small, frequent feedings and holding upright after a meal.
Slow Digestion: Try a low fat, high fiber diet, treat constipation, and eat small, frequent meals.
Erythromycin is sometimes used as an alternative to Reglan. Other medications that may be used are: Baclofen, Propulsid, Domperidone and Bethanachol. Not all of these medications are in use in the United States. Propulsid was taken off the market by the FDA several years ago. At present, there is a great need for a safe and effective treatment for motility and GERD.
Remember that every child is different and there is no "one size fits all" treatment for GERD. Everyone reacts to medications differently. My daughter had an amazing response to Propulsid but others have had serious and even life threatening side effects. She used Reglan for a short period of time and I found that she had unpleasant side effects and the medication didn't help her symptoms so the medication was stopped. I know of many success stories with Reglan and also some worrisome side effects from using Reglan. Let me know your experiences with Reglan or what alternatives you have found for treating GERD.
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