Thursday, November 12, 2009 minimartha asks

Q: My 7 month old son recently switched from Zantac 1mL 2x/day to Prevacid 7.5mg/day.

My son has been on Zantac since he was 8 weeks old, always the same dosage of 1mL twice a day.  In the past few weeks, he has started gagging/even vomiting Stage 2 vegetables and rice cereal, all of which were not a problem as Stage 1 food (cereal was never a problem)...although I did note that carrots, sweet potatoes and maybe squash caused more small spit-ups.  The recent gagging/vomiting (even of a full 6 oz bottle this past weekend) caused us to contact the pediatrician who has now switched him to Prevacid 1/2 of a 15 mg solutab dissolved in water in the morning.  (I am still not sure why he didn't first try a higher dosage of Zantac?) 

1.) The past 3 days of Prevacid have shown no improvement at all, maybe even worse, as last night he woke up every other hour and could not get comfortable even sleeping on my chest in the recliner.  Lots of wet burps, the congested sound coming from his throat, yellow saliva with his spitups when all he had was formula or green food that day.  I was told that the Prevacid could take up to 2-4 weeks to show results.  Is this true?  Would it be harmful to continue to give him the Zantac, maybe just in the evening which is definitely the worse time for him?  It seems that it would help him, to at least neutralize acid that is still not being effectively blocked.  Could he be on the wrong dosage?  He weighs about 17lbs.  I have seen posts indicating babies on Prevacid 2 times a day or a full 15mg.

I do believe that he is teeth on his 3rd tooth as well which isn't helping the situation. 

2.) As far as solids, I am now lost on how to progress him.  Per his pediatrician, at 4 months he was introduced to rice cereal mid-morning and dinner; then progressed to Stage 1 vegetables at lunch as well as + cereal at dinner, then we were attempting to progress to Stage 1 fruit recently by having cereal + fruit at breakfast, Stage 2 vegetable + fruit at lunch, and vegetable + cereal at dinner).  At his 6 month apointment 3 weeks ago, the pediatrician had recommended Stage 2 meats which is when I really noticed the gagging to start to increase, and at meals, where previously there had not been a problem (we were thinkig he was gagging during the day as he always had his hands in his mouth).  I stopped trying the meats, and started introducing fruits instead (I had been avoiding them as they seemed acidic to me, but pears he liked/no problems, however bananas also caused immediate gagging, applesauce alot of spitup through the day).  Since he was so fussy/crying/gagging in the past weeks I got concerned with him developing food aversion or worse choking.   This week I have regressed, just giving him cereal in the AM/PM, and stage 2 peas or green beans (since these caused the least spitup in the past) watered down at lunchtime.  It is slow going and a struggle and when he starts to actually cry I do stop, but I am thinking that just feeding him a bottle would be a bad idea, I don't want him to lose his solid food progression plus I know he needs the "bulk" to stay satiated.  This has been somewhat successful, as he wouldn't take any cereal last week; but in the past 2 days I am now back up to 2T of the rice cereal at AM and PM (adding alot of water to make it runny) and a full 3.5 oz of veggies at lunch.  Are there any real recommendations for solid foods to avoid or how to progress an infant with reflux?

Sorry for all of the questions but I am at my wits end...relying on instinct alot but I don't want to harm him either with over-medicating him or giving him the wrong foods Cry

Answer This
Answers (2)
Jan Gambino, Health Guide
11/13/09 11:00am

Hello MiniMartha,

Wow, lots going on here. Certainly the recent increase in vomiting could indicate a worsening of his reflux. I am always wondering with my refluxers-is it reflux or something else? There are a lot of illnesses around here-I wonder if he might have a bit of a stomach virus or bug?  My little ones always had more drooling and this led to more reflux symptoms. Maybe the recent changes are due to an over abundance of acid and regurgitation? Sometimes a new tooth led to an ear infection. Now it is hard to say exactly what is going on. That is between you and the doctor to find out. Just tossing out some ideas to discuss with the doctor.

Now lets assume the reflux is causing the problems. With my refluxers, I always had to go slow and steady with the feeding. My non refluxer would whine and cry if I didn't shovel the food in fast enough. My refluxers were very slow to show interest in baby food and really had a hard time accepting changes very quickly. One pretty much skipped baby food altogether, the other dabbled in baby food during the first year but really didn't seem too eager to eat. You might want to talk to the doctor about backing up on the feeding to where he was before all of the vomiting started and figure out the medication before re-introducing the stage 2 foods again. There is a big range as to when babies eat solids, how much and how often. Let his little face guide you. If he is willing and eager to eat, keep going. If he is showing signs of distress of displeasure, leave it alone. I was sure my refluxers would never progress to normal eating but now they are eating me out of house and home.

Let me know your thoughts-

Jan Gambino

The Reflux Mom

Reply
6/ 8/10 7:37am

Prevacid (Lansoprazole) is used for the prevention and long-term treatment of asthma.

What are the possible side effects of Prevacid?
Get emergency medical help if you have any of these signs of an allergic reaction:
an allergic reaction
(difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives)

Best place to buy Prevacid (Lansoprazole) Online, check here: Gomedstore.com/prevacid
Free doctors consultation
No prescription is required. Worldwide shipping. Cheapest price ever! Discrete packaging. 20% OFF from the second purchasing
For more information about taking Prevacid please visit Gomedstore.com/prevacid

 

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

Ask a Question

Get answers from our experts and community members.

Btn_ask_question_med
View all questions (3586) >
By minimartha— Last Modified: 12/24/10, First Published: 11/12/09