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BeccaSueCongdon 08-13-2012 02:16 AM

Reflux in toddlers
Anyone dealt with this? my 15 month old can't sleep for longer than an hour at a time bc of her reflux. I know the first step is talking to her pedi. What treatment options did you have success with? We've coslept since she was an infant (she slept in an arms reach cosleeper for four months and then a mattress on our floor) and I've been trying to get her to sleep in a play pen (so she can't wander and get into anything dangerous if she wakes up while I'm slowing), but she is so accustomed to snuggling with me for comfort that the play pen isn't working. J want to resolve her reflux before we try any sort of "letting her fuss/cry."

HugeBabyBoy 08-13-2012 02:38 AM

DS is 7 month now and on a Zantac suspension twice a day.

Reflux can be minor, moderate or severe. Long term untreated reflux can erode the esophagus and even teeth. (eww!). In infants when untreated, it can also lead to more health problems if erosion has occurred.

If baby is waking that often, see a Pediatric GI and get this addressed as soon as possible. The last thing you'd want is not only for your child to be uncomfortable, but also to have any damage. The Zantac helps heal damage as well as medicate.

For infrequent reflux, you can always use Semthicone as needed.

mekat 08-13-2012 04:50 AM

Re: Reflux in toddlers
Hard mattresses (not firm but hard like pnp mattresses) can make reflux worse. PNP was the worst investment ever, my son couldn't tolerate the mattress. Don't feed her before bedtime if you can help it; if you must then try to lessen the amount. They will probably try a lesser drug like Zantac then move to a PPI (Prevacid, Nexium etc) if that fails. A ped should be fine especially if you want to be seen right away. Pediatric GI's rarely have appointments withing a couple of days time (most book at least 6 weeks out here) but a pediatrician can usually see a child same day. Although you may want to go ahead a reserve an appointment with a ped GI just in case. You can always cancel if the ped gets it under control in time. Reflux is very painful so you may want to try Tylenol or Motrin (be careful with Motrin if you suspect dehydration since it is processed through the kidneys) before bedtime until you can get her some relux meds. No child should have to suffer pain. We have a pain protocol worked out with my son's pediatric GI.

Don't worry about teeth rotting out. My son has severe GI issues and has had reflux since infancy (he will be 8yo this month). For a period of several months during infancy the only thing my son didn't projectile vomit was pedialyte, how I avoided having to put him back on TPN (IV feeds) I don't know but I did. There is zero damage to his enamel. His pediatric dentist said it is rare to see severe damage unless it goes unmedicated for a very long time which IMO would probably be unlikely because most kids show some type of symptom eventually even if not right away.

smashncakes 08-13-2012 08:23 AM

Re: Reflux in toddlers
Definitely try to see a pediatric GI, although you'll likely be able to get into see your pediatrician son's GI books initial appointments 6-8 weeks out, first follow-up appointments 3 months out (books at your first appointment), and books yearly follow-up appointments at least 6 months in advance. Bed propping can help and watching diet is BIG thing, every person has different "trigger" foods.

ODS was on Zantac from about 4 weeks old, it helped a little when he was much younger, but by 8 months old it wasn't working...with our insurance, we could not see a ped. GI without a referral, and our pediatrician at the time was a jerk, pretty much refused to believe that a child with "infantile reflux" couldn't NOT outgrow reflux by around 6 months old, and he refused to renew DS's medication after 8 months. We did the elevated bed thing when he was in the crib (and yeah, hard mattresses in a PNP seemed to make it worse) and let him start sleeping propped up on a pillow when he was about a year old. He essentially nursed through the night until he was almost 2 because that constant swallowing motion was the only thing that kept him feeling better--ped insisted that it was just a bad habit and he wasn't in pain, but throwing a temper tantrum, tried night weaning, didn't help. With a careful diet, his symptoms were cut down significantly by 2.5 years old...he could only drink skim or 1% milk, no chocolate, no "gassy" vegetables, no tomatoes or tomato products, no cheese...we also noticed that higher yeast content homemade breads seemed to aggravate his reflux, as did white breads & pastas (that wasn't really a big deal at our home because we do whole wheat everything, but it was a pain in the butt at DH's parents' home) ...essentially he was on the full-out reflux diet. Around 3.5, he started waking at night, screaming...ped insisted it was night terrors...but DH & I could tell it was reflux symptoms, the gulping sound (like he was starting to have stuff come up and he was swallowing it in his sleep), where he was complaining of pain, etc...I pretty much walked into the ped's office, sat in the waiting room, and told him I wasn't leaving until he gave me a GI referral...finally got one. DS ended up on a pretty high dose of Prevacid for almost a year to help heal damage to his throat & stomach, and now at 6 years old he's finally not on it everyday...we do keep it on hand for when he eats his trigger foods though, and still have to monitor his diet pretty carefully.

And his baby teeth? Oh my, they're horrible. He's already had 8 fillings, all in his back teeth from there pretty much being no enamel. Before he went on prevacid, he had sealants put on his back teeth, and when we went back in to a different dentist 6 months later, they couldn't see any evidence that there had EVER been any there...but I watched them put the sealants on, and it was all over his records that they had been put on...that dentist pretty much thought I was an idiot, put more on, and when we came back in another 6 months, guess what? Yeah, you couldn't tell. His reflux was so bad it was just eating through everything. His new dentist says its obvious that there was significant enamel damage from reflux, and we're just hoping that his adult teeth are better because the reflux is under control now.

BeccaSueCongdon 08-13-2012 09:28 AM

Thank you!!

My son seemed to have the same problems but never had it diagnosed. He had to have four back teeth filled before 2 years old and his four front tops removed shortly after bumping them. The dentist was shocked to see the horrible state his teeth were in and had no explanation. This would totally explain it!

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