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Friday, July, 10, 2009
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Is it acid reflux?

Beth
05/19/08

My 6 year old daughter has had the same problem for a couple years now.  About once every couple months, she will have what she calls a "heart attack" in the middle of the night.  After about an hour or two of sleeping restlessly, she will sit up and throw up. Once she has done this, she will almost immediately fall into a much more peaceful sleep. We have noticed that she will do this more frequently after certain foods, such as pizza or spaghetti, so we have definitely limited those foods, but every once in a while it will happen even with other foods.  And even when she does not throw up, I can hear her swallowing hard all night. And now that she is in first grade and eating lunch at school, she has actually thrown up while eating her lunch at school several times.  I went to a pediatrician in the group of doctors that we take her to with my concerns, and he would not listen to me. He zeroed in on the fact that she is overweight for her age and told me that this was her only medical problem. He said instead of focusing on acid reflux, I should be working with a nutritionist. I completely understand that she should lose weight, and she is active with dance, swimming, and every day play.  I modify her diet, trying to avoid acidic foods, caffeine, etc.  I have raised the head of her bed.  I would like to talk to another pediatrician and see if I get the same reaction, but I don't want to be looking for problems.  I tried to ask him about possible damage to her esophogus, but he said "if she's not bothered by throwing up, then why are you worrying about it." He left it at working on her "obesity." I am doing everything I can to help her to lose weight, but she just threw up again last night, and I just don't want to ignore that fact that I don't think this is normal.  I don't want her to be put through a lot of unneccessary and unpleasant tests, but I am concerned.  I know I can ask for a second opinion, but I am worried if I question another doctor's opinion, I will be made to feel even worse.  I am definitely not a doctor and do not claim to have that knowledge. I just want to do what's best for my child.  Should I stick with working on her weight problem and hope that she will stop throwing up once she loses weight?

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Jan Gambino
Jan Gambino
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Jan Gambino is Hoping to hear your questions and concerns about reflux.
Reflux Mom and Writer

Jan Gambino,"The Reflux Mom" (www.refluxmom.com) is an author and...

Tuesday, May 20, 2008

Dear Beth,

There is nothing worse than having your concerns minimized. Your daughter certainly has symptoms (vomiting) that need to be addressed by the doctor. It is not normal for a 6 year old to wake up suddenly and feel like she is having a heart attack and vomit after a meal or at night.

While vomiting is a common symptom of infant reflux, it is a less common symptom of childhood reflux. You may want to look on this website for a symptoms list and keep a journal for a few weeks. The gulping often means that food is coming up into the esophagus and it will be expelled in the form of vomiting or go back to the stomach. This is often called silent reflux and is quite common in children and adults. While you don't want to make a big deal out of the symptoms, you can casually ask your daughter to let you know when it happens. Also ask her if it tastes bad. Acid and food don't taste very good when they come up to visit again.

You might need to make a separate appointment with the doctor to discuss your concerns. Maybe you could ask the secretary in the office if there is a doctor in the practice with a special interest in stomach problems.

I would go ahead and follow the doctors advice and see a nutritionist. You can tell the nutritionist your suspicions about the reflux and her symptoms. She can give you advice on healthy eating to reduce weight and reduce reflux symptoms. Maybe if she has concerns about reflux, she would write a report to the doctor and ask him/her to follow up.

In addition to healthy eating, your daughter may benefit from eating smaller portions so her stomach doesn't get stretched and stressed. Some children need to take small sips of water rather than drink a large amount at once. Too much liquid in the stomach also stretches the stomach and causes the food to come up.

Eliminate all carbonated drinks, drinks with caffiene (cola, iced tea). Water is best.

I have written several blogs on healthy eating and making food choices at school.

Also, I would be happy to talk with you again. Just leave a message right here.

Good luck!

Jan Gambino

The Reflux Mom

 

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