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A member asked:
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?
4 doctors weighed in across 2 answers
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.
Answered 4/18/2020
83 views
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
Answered 4/19/2020
83 views
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