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Old 03-05-2014, 08:56 AM
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I have a baby that is 3 months old. She pukes every time you feed her. It doesn't matter if its 1 ounce or a full bottle. It doesn't matter if you burp her or what. Here is how it goes. You feed her (it takes a while since you have to burp her alot) and then she pukes and then she screams because she is hungry. The mom is having issues as well and the doc says it's really bad reflex. We are both at our wits ends. Does anyone have any tips or advise on things that might help?Thanks
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Old 03-05-2014, 08:58 AM
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Originally Posted by cara041083 View Post
I have a baby that is 3 months old. She pukes every time you feed her. It doesn't matter if its 1 ounce or a full bottle. It doesn't matter if you burp her or what. Here is how it goes. You feed her (it takes a while since you have to burp her alot) and then she pukes and then she screams because she is hungry. The mom is having issues as well and the doc says it's really bad reflex. We are both at our wits ends. Does anyone have any tips or advise on things that might help?Thanks
Did the dr prescribe any medications? I had a little baby with bad reflex and it was a process of elimination until they found a medicine that worked. I think they went through 5 before finding one. Now his baby sister is going through the same thing...
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Old 03-05-2014, 09:02 AM
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Did the dr prescribe any medications? I had a little baby with bad reflex and it was a process of elimination until they found a medicine that worked. I think they went through 5 before finding one. Now his baby sister is going through the same thing...

The mom told me that they did prescribe her meds. I don't give medication so she gets it at home before she comes. But the mom says it doesn't seem to be helping her anymore. I feel so bad but at the same time, Its hard dealing with it when you have 7 other kids all day. Don't get me wrong, Its no ones falut and it will pass. But I have never delt with this with my own kids so I didn't know if there were things that I could do to help it. She is going back to the doc Monday.
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Old 03-05-2014, 09:02 AM
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Is she drinking breast milk? Formula? Soy Formula? It's possible that baby is intolerant of whatever it is that she is eating. Also, how are you feeding her? (laying down cradled in your arms vs. sitting as upright as possible) Besides trying a different formula, I'd suggest having her sitting up as much as possible so the air bubbles don't get too trapped in her tummy, burp her after every ounce, and have her sitting up for AT LEAST 30 minutes after every feeding and don't rock her at all while feeding. I have a little guy that's almost 4 months old and is almost the exact same baby as you described. These techniques seem to help some, but not completely. As of right now he is on gerber goodstart formula, but if he doesn't improve more we are going to suggest that mom/dad try a soy formula to see if that helps.
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Old 03-05-2014, 09:02 AM
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I'm glad babe has seen the doc, however if doc says it's bad reflux WHY isn't she on meds?!

furthermore, reflux often has a cause, and it's usually food allergies. Have mom look into that. dairy is most likely culprit, followed by soy. If mom is nursing, she needs to eliminate things from HER diet. If babe is on formula, they need to look into different formula (preferably soy and dairy free for now--soy and dairy proteins are very similar and issues with one tend to be issues with both)
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Old 03-05-2014, 09:05 AM
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Originally Posted by MichellesKiddos View Post
Is she drinking breast milk? Formula? Soy Formula? It's possible that baby is intolerant of whatever it is that she is eating. Also, how are you feeding her? (laying down cradled in your arms vs. sitting as upright as possible) Besides trying a different formula, I'd suggest having her sitting up as much as possible so the air bubbles don't get too trapped in her tummy, burp her after every ounce, and have her sitting up for AT LEAST 30 minutes after every feeding and don't rock her at all while feeding. I have a little guy that's almost 4 months old and is almost the exact same baby as you described. These techniques seem to help some, but not completely. As of right now he is on gerber goodstart formula, but if he doesn't improve more we are going to suggest that mom/dad try a soy formula to see if that helps.
She is eating formula. I have wondered if it is a milk intolerant and the mom is going to speak to the doctor about it. I am feeding her up right, burping her after ever ounce and then sitting her up after she eats for a while after she eats. Im too scared to lay her flat or let her out my sight because she throws up so much
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Old 03-05-2014, 09:07 AM
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She needs to be seen by a GI specialist and have a test done and different meds. My friends baby had such bad reflux his vocal cords are permanently scarred and he'll always have a scratchy voice.
That poor baby sounds miserable. I would reconsider your med policy for something like this or term the baby so they can find someone who will give their baby the medication they obviously NEED! Everyone has their own policies but obviously you can see this is a problem!
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Old 03-05-2014, 09:09 AM
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Originally Posted by cara041083 View Post
She is eating formula. I have wondered if it is a milk intolerant and the mom is going to speak to the doctor about it. I am feeding her up right, burping her after ever ounce and then sitting her up after she eats for a while after she eats. Im too scared to lay her flat or let her out my sight because she throws up so much
Dairy intolerances usually manifest themselves in other ways then vomiting. Eczema, diaper rash, etc.
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Old 03-05-2014, 09:11 AM
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She needs to be seen by a GI specialist and have a test done and different meds. My friends baby had such bad reflux his vocal cords are permanently scarred and he'll always have a scratchy voice.
That poor baby sounds miserable. I would reconsider your med policy for something like this or term the baby so they can find someone who will give their baby the medication they obviously NEED! Everyone has their own policies but obviously you can see this is a problem!
Its not that I won't give the meds, the meds shes on she gets it twice a day and so they give it to her in the morning and then again in early eve. I have the baby from 6am to 2pm. I have no problem giving her meds if they need me to. Sorry if it sounded like It was a policy. I ment to say I don't give her the meds.
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Old 03-05-2014, 10:22 AM
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I had a baby here with the same issue. I ended up having to term because the mom refused to give her baby the prescribed meds and she refused to address other issues.

Many reflux meds take a good month to see results and they have to be given on a regular basis. Twice a day isn't hard for a parent to keep up with on their own.

They should not discontinue the medication without consulting their dr first....not doing it because they think it's not working after a week is not a good idea.

I heard every excuse from not waking up early enough to not thinking their baby needed it anymore since they quit puking all the time. Lo and behold their baby started puking again but mom wouldn't use the meds because she literally said she didn't feel like it. And my policy is not to give meds when the parents either can give them at home (ie a prescription) or the child is too sick to attend while on said meds (ie ibuprofen). So I termed.

It's too much of a risk to have a baby with that serious of an issue and parents that aren't on board with parenting their child. As others stated, it can cause more issues depending on the severity of the condition.
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Old 03-05-2014, 10:27 AM
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Severe reflux is more than I can deal with. When you have a child that is not eating and is miserable all day, I would insist that parents take the time needed to get this under control and then call to ask if you still have the spot. I'm sorry but this is just more than I would be willing to do because with a baby that severe, there is nothing the provider can or should do about it. The parents need to be addressing this and/or finding care for a high needs child.

My second child was very severe like this and it was seriously hell on earth for about 8 months. I would never have a daycare provider try and deal with that. It was hard enough on me and her dad. I also would not take an infant that high needs in my daycare when I can get paid to take care of an easier child.
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Old 03-05-2014, 02:08 PM
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Originally Posted by cara041083 View Post
Its not that I won't give the meds, the meds shes on she gets it twice a day and so they give it to her in the morning and then again in early eve. I have the baby from 6am to 2pm. I have no problem giving her meds if they need me to. Sorry if it sounded like It was a policy. I ment to say I don't give her the meds.
Well maybe they need to try a higher dosage, different med, or something else. There's other options out there for babies with reflux. But I still think baby needs to see a specialist if she's puking after every bottle and so unhappy.
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Old 03-05-2014, 02:21 PM
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Originally Posted by cara041083 View Post
The mom told me that they did prescribe her meds. I don't give medication so she gets it at home before she comes. But the mom says it doesn't seem to be helping her anymore. I feel so bad but at the same time, Its hard dealing with it when you have 7 other kids all day. Don't get me wrong, Its no ones falut and it will pass. But I have never delt with this with my own kids so I didn't know if there were things that I could do to help it. She is going back to the doc Monday.
A big big thing with reflux meds... Is that they are VERY weight dependent.

If she gains even a half a pound it stops working.

Also, with severe reflux, the baby needs a referral to a pediatric gi doctor.

This is because pediatricians can only prescribe Zantac at a dose of 2mg per kg once or twice a day.

However, GI docs give 5mg per kg up to four times a day.

And this is true for most reflux meds.

So really, this child needs a referral to a specialist for her reflux so that she can get the proper dosage of meds.

Other than that, being sure she's never lain flat in her back would help, as well as propping a little higher (almost straight up) during feeding. Also, a slower flow nipple helps.

A big huge thing is adding rice cereal to all of her bottles. That usually helps quite a bit.
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Old 03-05-2014, 02:31 PM
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Originally Posted by Cradle2crayons View Post
A big big thing with reflux meds... Is that they are VERY weight dependent.

If she gains even a half a pound it stops working.

Also, with severe reflux, the baby needs a referral to a pediatric gi doctor.

This is because pediatricians can only prescribe Zantac at a dose of 2mg per kg once or twice a day.

However, GI docs give 5mg per kg up to four times a day.

And this is true for most reflux meds.

So really, this child needs a referral to a specialist for her reflux so that she can get the proper dosage of meds.

Other than that, being sure she's never lain flat in her back would help, as well as propping a little higher (almost straight up) during feeding. Also, a slower flow nipple helps.

A big huge thing is adding rice cereal to all of her bottles. That usually helps quite a bit.
Thank you so much! I talked to the mom and she is taking her to the doc on Monday and the nurse she talked to said a gi doc is the next step but the pediatrician wanted to see her first.
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Old 03-05-2014, 02:43 PM
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Yeah adding cereal can help! Oatmeal cereal is usually what I heard and sometimes they need high flow nipples only for cereal bottles (people sometimes boil them with a toothpick in the nipple hole to help the oatmeal flow better) and yes, always elevated. They have these Rock 'N Play sleepers that have an elevated surface for baby, some people can get a special dr's note to allow at childcare when it's normally not allowed.
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