She was dx with acid reflux with she was 4 weeks old.  She has had an upper GI and everything (anatomically was fine) as well as an ultrasound to rule out pyloric stenosis. The dosage has recently increased from .5 to .7 mls every 8 hours.  She is also on Zantac .7 mls every 8 hours.  My question is:  Is this dosage to high for a 3 month old?  What should I be looking for in regards to side effects.  I have noticed the tongue thrusting, but don't know if it is because of the medication or if it a baby thing.  I would like to ween her off this medication, but don't know if that is a good idea. Any info you can provide will be greatly appreciated. Thank-you,Concerned Mommy

Case History:

My daughter was born at 34 wks 5 days. I developed preclampsia.   She weight 4 lbs 15 oz and was in NICU for a week.  She was provided O2 for a few days.  A GI was referred when taking her to the hosptial secondary to , what we know now as a bad reflux episode.  The milk escaped from her mouth and nose causing her to choke.  This has happened on several occasions.  After seeing the GI he ordered an ultrasound to rule out pyloric stenosis.  Ultrasound came back with no pyloric stenosis.  Then after several more scary episodes he addmitted her to the hosptial for an upper GI which came back fine.  While at the hosptial we found out she has a milk protein allergy and was  switched from neosure to alimentum with rice cereal.  After 2 weeks on the new formula, my daughter continued to have scary episodes and was then switched to neosure.  I then switched her rice cereal to organic brown rice cereal which contains no soy.  She has done so much better.  She still has a scary episode every now and then, but not as bad.  Sorry this is so long.