Hi, my 3 and a half week infant is suffering from horrible silent reflux. doctor put her on 2.5mg nexium, once a day. this was 2 weeks ago. but it is only getting worse. baby is restless, cries, arches her back?

Other measures: The dose should be adjusted as the baby grows to treat her reflux, Monitor her growth and weight gain, add a thickener to the feeds and feed at an angle of at least 30 degrees. Avoid over feeding, burp mid and after her feeding. Discuss feeding during follow up visits.

Look at feed schedul: I see good results with thickening and feeding smaller amounts more often. breast vs bottle makes a difference with less air swallowing . Burp after feeds, consider trial of a rice solid formula that addresses reflux. Anti-reflux medications have about 50% efficacy & are a choice of LAST resort, if thickening, frequent/smaller feeds, positioning after feeds(30 degree head up x 30 min) don’t help