Mothering Forum banner

1 - 3 of 3 Posts

·
Registered
Joined
·
2,268 Posts
Discussion Starter · #1 ·
My friend is currently exclusively pumping for her preemie dd who was born at 32 weeks. She is now 6 weeks old (38 weeks) and has been diagnosed with reflux. Her pulmonologist recommended rice cereal and/or zantac. Anyone think rice cereal sounds like a really bad idea? I know it makes the milk thicker and more likely to stay down, but what about her immature digestive track? Can anyone help or give me links to send to this Mama. She needs to read it rather that hear it from me. I suggested a chiro and she thought that was a pretty strange idea.<br>
TIA <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/innocent.gif" style="border:0px solid;" title="shy">
 

·
Registered
Joined
·
18,562 Posts
I am not a doctor, but rice cereal is a common thing to try. Unfortunately, as you pointed out, it can make things worse sometimes. That's wonderful that sh'e pumping though!! She needs to keep that up! Breastmilk will digest the most easily of all foods that there are. You want the baby to have something that passes through the system quickly, and rice cereal will cause the food to sit longer in the stomach, therefore increasing reflux duration.<br><br>
Your friend should try feeding the baby half as much, twice as often and see if that helps.<br><br>
Zantac is a good start, but it's not the strongest med. If the baby appears to be in pain (crying, arching back, turning head, refusing feeds) the med needs to be changed to something stronger such as Prevacid or Prilosec.<br><br>
She needs to examine her own diet for possible allergens or irritants. I would suggest that she try the elimination diet, or at the very least cut out dairy for awhile, as well as spicy foods.<br><br>
Is the baby vomiting, spitting up, or having silent reflux (wet, gurgy voice, couging, stuffy nose)? If there are any signs of reflux 1 hour or more past the last feed, the baby could have delayed gastric emptying. A simple, non-invasive test can show if this is happening, and there are meds that can help.<br><br>
Have her avoid holding the baby in a curled positions after eating, such as in the sling. Instead, baby should be carried fully upright in a front carrier ideally. If that's not possible all the time, at least put the baby on an incline. The baby's bed needs to be elevated at one end, and baby should ideally be put in a side positioner so if she vomits, she will not aspirate it. It will instead flow out of the mouth and onto the sheets.<br><br>
I'm not sure about chiropracters. I never tried that with my dd but have heard some good stories from others.<br><br>
If she's interested in an on-line support group for parents of reflux babies/toddlers/children you can PM me for the address. Reflux is an incredibly hard thing to deal with if it starts to affect feeding or the baby's general health.
 
1 - 3 of 3 Posts
Top