A member asked:

My 4mon constantly spits up. been on zantac (ranitidine) for 3 months. no temp or loss of appetite. i'm afraid of aspiration. what's the next step?

2 doctors weighed in across 2 answers

Worsening GER: There are two top things to consider: 1. The dose of ranitidine needs to be adjusted or changed. 2. Your baby has a condition other than or in addition to acid reflux. Aspiration is a serious concern which can be evaluated with specific radiographic tests.

Answered 2/18/2015

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Dr. Amrita Dosanjh answered

Specializes in Pediatric Allergy and Asthma

Review feedings: If there are no signs of distress, poor weight gain, blood in stool or vomit, I would suggest reviewing feedings with your pediatrician. Feeding your baby at a 30 degree angle, thickening feeds with rice cereal may help reduce the spit ups. Feeding small amounts frequently is preferable to large quantities less frequently.

Answered 2/18/2015

3.3k views

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