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Wednesday, January 07, 2009 hollandfio asks

Q: What should be prescribed to 10 year boy with voice change due to acid reflux

Dear Doctor,

 

My son who is 10 and 45 kg has a stress ulcer and acid reflux and is experiencing voice change.  The GP started treating his condition very late - about 1.5 months since he first experienced severe symptoms (vomiting, weight loss, voice change, loud belching).  He gave him 2 different types of antibiotics with no result.  He thought it was the flu.  We did some digging and realized that he had an ulcer and informed the doctor.  He gave our son 75 mg Zantac twice daily.  That was taken for about 2.5 weeks.  His stomach stopped hurting.  But the reflux was still there.  He had violent belches and his voice got more hoarse to the point of laryngitis.  We told the doctor that it was acid reflux. He prescribed Nexium 10mg once daily.  It has been about a week.  His voice is still hoarse but he can speak louder.  In this case, is 10mg enough and how long does he have to take it?  Is Nexium the right choice?  I learned that it is a very strong drug and was just approved last year for children.  Would Prolosec or Prevacid be a better choice.  If so, what dosage and for how long?

 

Thanks for your advice,

Fiona

 

 

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Answers (1)
Jan Gambino, Health Guide
1/ 8/09 6:13am

Hello!

It can take some trial and error to find the best treatment plan with reflux. It makes sense to try a acid reducer first such as Zantac and move up to Nexium if needed. Nexium is a Proton Pump Inhibitor and a stronger medication. It is in the same class of medications as Prevacid and Prilosec. It can take a few weeks for the PPI to begin healing the esophagus. It is up to the doctor to decide how long to continue the PPI and whether your son can return to a acid reducer.

Keep in mind that medication is just one treatment for reflux. Sleeping on an elevated surface, careful eating and eating slowly and carefully all help food to digest and reduce symptoms.

Some patients find that taking probiotics after a course of antibiotics will help replace the good bacteria in the stomach and reduce digestive systems. My two teens with reflux have had a lot of success using probiotics in addition to the other treatments that I mentioned.

Some children are treated by their primary doctors. Others are referred to a pediatric gastroenterologist or a otolaryngologist (ears, nose and throat doctor).

Hope the information helps as you search for answers.

You can use the search feature on this website to find additional information on Nexium, teens with reflux and treatment.

Jan Gambino

The Reflux Mom

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By hollandfio— Last Modified: 12/27/10, First Published: 01/07/09