Hello!

It does seem like there is more work to be done to refine the treatment so your daughter doesn't have to be in pain during the afternoon. She does have a lot of medications on board. You might want to review the dosing and the timing of the medications with the pharmacist and GI doctor. There is some evidence that children metabolize medication more rapidly than adults so a split dose might help (2 doses rather than one per day-same amount of medication). Also, the timing of the 3 medications could affect how well they work.

I wonder if her diet or eating schedule could be affecting the pain. It might help to keep a record of he diet for a few days to see if any foods are triggering pain. Some children really benefit from a small meal every few hours rather than a big meal. A big drink can fill the stomach with liquid, putting pressure on the stomach.

Does she eat in a hurry at preschool or daycare? Careful chewing can make a difference between comfort and pain. Does she go out to the playground right after lunch? Running and active movement right after lunch could cause pain.

Lots to think about.

I wonder if some other parents have ideas for PC. What do you think?

Jan Gambino

The Reflux Mom