I know I have read this somewhere, but can't find where. Jackson's reflux has been crazing lately. Soooo bad he got kicked out of daycare....yes ladies kicked out. They couldn't handle his food aversions, so I am officially a SAHM. Anyway, back to my point. I called the GI today and spoke w/ his on call nurse, she told me he was maxed out for his weight on prevacid solutabs. He is 19lbs and on 15mgs per day, which honestly seems to be doing nothing. He is arching like crazing, screaming when I feed him in the high chair, slapping the bottle away and whimpering all night long. When I go into to check on him, he is arching and turning his neck, making all his Sandifer's movements. Not sure what to do. I was hoping for an increase....his GI is out of town until Monday at a conference. The nurse said we will have to wait till then, but we will probably be changing his med yet again...this will be his 5th. I would prefer an increase if possible as the solutabs were doing great for awhile. Any suggestions?:banghead:

The solutabs are not weight sensitive in the same way zantac is, there is a common guideline though some Drs stick to it and some done.

I am sorry to hear he got kicked out of daycare, they offer a service but then can't provide it. UGH!

I can suggest mylanta or even zantac, but I would push for the GI to increase it, when you get to see him, make sure to write all the symptoms down.

UGH... Anna, I'm sorry. Poor Jackson.
He is moving around alot more? Possible that he is flaring up because of his new mobility.
We have always been on 15 mg but he did go through the feeding problems and the arching, crying, etc. even on it, then it got better. I hope that it does for you too. :hug:

Thanks Em. Yes, he is rolling and trying to sit up. Also he's been on solids now for 3 weeks, and I suspect that is the problem. He is just doing awful on them. Loves eating them, but refluxes alot more and screams and retches in b/w spoon bites. This morning I had to feed him standing up....quite the task. I really hope this gets better soon.

Thanks Em. Yes, he is rolling and trying to sit up. Also he's been on solids now for 3 weeks, and I suspect that is the problem. He is just doing awful on them. Loves eating them, but refluxes alot more and screams and retches in b/w spoon bites. This morning I had to feed him standing up....quite the task. I really hope this gets better soon.


Is it any certain solid?
LIke, greenbeans for us, ARGH.. killer. He screamed bloody murder. Applesauce good, squash good, anything orange they say is easier on their tummies.
Poor baby. He is probably really flaring, that's about when we started getting pretty bad.

Allie's GI told us that the max dose for prevacid was 3 mg per kilo. I don't know how many kilos 19 pounds is, but I"m sure you could calculate it. Allie was on 18 mg per day at about that weight. We are now weaning her off, and it's going well.

Also, we have been told that nexium is stronger than prevacid. You may want to ask about this.

I'm sorry he got kicked out of daycare. We had to take Allie out of daycare and hire a nanny (we can't afford for me to quit my job) so that someone could help her with her feeding problems. Daycare just couldn't do it - Allie needed one on one care.
:hug:

Christyn

okay, 19 pounds is 8.6 kilos, so he could be on as much as 25 mg per day.

I would talk to your GI about this.

So sorry to hear that he is having such a struggle right now!

Josh's Ped upped his Prevacid to 30mg at 4mths of age. Aggressive, maybe, but it worked wonders for us. Talk to your GI about going to 22.5mg...that's a happy medium. :)

And, new movement like rolling and sitting can aggrivate reflux too. Josh became a not so silent refluxer for about a week until his tummy adjusted to all the new movement.

You might back off on the solids a bit and see how he does too. Poor sweet boy... :hug:

i'm so sorry...


we are on 30 mg of prevacid since bram was 4 months + zantac.
i know it's agressive but bram wasn't really responding to treatment at all before, he wasn't eating and dropped to the 5th centile.
since we started this treatment he started eating again and really got his weight back....
we have a lot of problems with feeding aversion though so it has been difficult anyway.

he takes a few feeds from awake now and i can really see when he is in actual pain....and he does get much worse if he eats something that doesn't agree with him (which are a lot of things...)
what is he eating?
bram can only take well courgettes, patatoes and oats.
he totally hates all fruit (he gags with them and they get his reflux worse) but the worst of all are pears....i tried today and he was refluxing like crazy all day long.....

hope things get better for you.:hug:

My boys went up to 30mgs a day when they were only 12lbs or a little less can't quite remember. Any who, Go to the Marci kids website and they have a ppi calculator. I took that with me to the GI when they boys were going through what Jackson is and I talked the dr into it. He gave me the discretion to up it when I felt it was needed from 15 to 22.5 all the way up to 30mgs. They only stayed at 30mgs for about 2 1/2 weeks but it got us through. They had been haveing a really bad time for about a month and a half before we got the increase. After they were doing better on the 30mgs I dropped them down to 22.5 and now they are back at 15mgs and doing great, Brendens even sleeping through the night! Something I never thought would happen. According to the Marci kids site you can't overdose on a ppi. There are side effects when on a high dose but I think they are way worth it to have your baby eating and sleeping comfortably. I may be a bad mom but I would increase my boys myself if they started to flare again without talking to the dr. But thats just me, I wouldn't recommend it to anyone else.

I went on the Marci kids ppi calculator and put in Jacksons info it says he should be taking 8-11mgs 3 times a day for a total of 24-33mgs daily. I would talk to the GI and ask for the increase and let him know that you'll drop back down once hes under control. Thats what I had to do to get the increase and it worked for us. Hope that helps.

Thanks everyone for the great advice. I think I will discuss upping the prevacid at his next appt. in Feb., for now they put him on a combo of the prevacid 15mgs and axid 2x per day. Hopefully this will alleviate some of his discomfort. I think I will also back off the solids a bit. And yes Em- we are on greenbeans this week....guess I will toss those out!

Thanks again!

I cant believe they kicked him out of day care! Is there another type of day care that he can go to? Like we have ones here in Massachusetts that are runned by the VNA association and they are supposed to be very understanding. I am so afraid of putting my son in day care for that exact ( and many more) reasons. But like you said we cant survive on just one income. I hope things get better.