Anyone Use Reglan for Reflux?

Hi S.,

A friend of mine who recently had a baby (now 2 months old) discovered he had acid reflux, too. What has helped her greatly, without medication, is eliminating all dairy from her diet, spicy food and fried foods. It's been a huge adjustment for her, as you can imagine, but well worth it.

Hope that's helpful.

S., I JUST RECEIVED THIS EMAIL.

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amazes me how quick we are to put our children on medication that most likely doesn't work. My 2nd son, who ate non-stop at birth, filled himself so much that he stopped breathing on 2 occasions and spit up alot because of wanting food so much and the drs. were wanting him to go on meds. I didn't, I found another source. That would allow him to lay on a 30 degree incline when I wasn't holding him and when he slept. He didn't wake up as much for feeding, he ceased alot of the spitting up and without drugs. We need to give the babies time to get use to all this formula and let their bodies do what they do. I would suggest you read about the Tucker Sling. I think the website is www.tuckersling.com. I used this device and it was great.

I haven't used Reglan, but my little boy was on Zantac for reflux also. It helped the discomfort, but never helped the spit up issue. He spit up constantly for the first 9 months of life until he started walking. Whew...I feel your pain. I have researched Reglan though because someone suggested to me that it was sometimes used for increasing milk supply. I wasn't impressed with it and would never take it! Lots of possible side effects that I wouldn't want. So it's something I would stay away from.

Hi S. -

Our boy, until he was about 8 months old, spit up a lot too. Sometimes it was all-out projectile vomit! :) His ped prescribed Prevacid for him, if I remember correctly, but he also explained to us that there is a muscle in everyone's intestinal stomach called a "sphincter" whose sole purpose is to close off the stomach when you eat to prevent food from flowing back up into your esophagus. Reflux occurs when the sphincter muscle isn't strong enough to prevent food from flowing backwards, ergo the the spitting up, the vomiting, the heartburn (caused by the stomach acid). The sphincter muscle doesn't really get stronger until babies start to crawl/walk. Something about the motion strengthens the sphincter.

Anyway, although the Prevacid did help a little, we didn't really see results with our boy until he started crawling. If you don't already, make sure you keep your baby upright after fedings for at least a half-hour. With gravity on your side, it makes it even harder for food to flow back up. And, it buys your little one precious time to properly digest their food. I personally don't remember seeing a difference in the frequency of spit-ups once we started feeding him cereal and Stage One food (at four months).

If you don't feel comfortable giving your kid medicine, and it isn't absolutely necessary for him to survive, I'd do more research and just wait it out. Since there are no meds to help strengthen the sphincter, you're kinda stuck waiting anyway.

Now our ped told us that in EXTREME circumstances, they can go in and surgically tighten the sphincter, but again, that's for extreme cases.

Best of luck!

(I originally typed "best of LUNCH"! I must be hungry.)

Both of my kids had reflux.. they both outgrew it the medicine is not very effective.

my daughter had reflux and was on zantac it helped her .. she was fussy and couldnt lay down and so she couldn sleep so I couldnt sleep the zantac reduced her discomfort and she was better and slept better and I slept... she stopped spitting at 6 months when we started solids.

my son had reflux.. he was a happy spitter ..never cried but spit up every single day...all day.. we tried zantac and prevacid neither drug did much for him prevacid was $57 a month and that was just my copay..

I stopped the drugs for him at 4 months as it didnt help him one bit .. he spit up every day for 14 months.. then it stopped his stomach matured and he has no problems now..

I would just wait it out... he will outgrow it. just have lots of burp rags handy..

My daughter was never prescribed anything because she didn't seem uncomfortable, ate well and gained weight...however, she spit-up (puked non-stop is more like it) for a long time. It was horrible and stressful but we got thru it. She started with cereal/babyfood at 4mths and that didn't even help but then it magically stopped on day when she was about 7months. We learned to stop stressing about it and change our clothes/her clothes multiple times a day and we had towels covering the floor where she'd play. People used to say "oh, I had a spit-up baby too" until they see her in action and say "oh, not that much" and promtly hand her back to me. It was non-stop even with regular burping, being up-right, eating less at a time...I didn't find anything to fix it except time. Good luck.

Hi S.,
Unless there is a medical reason for the spitting up try this. Feed him less. In otherwords, time the feeding.
I had this problem with my daughter, and that was my doctors suggestion. When we nurse, the sucking action and the amount of time on the breast determines how much milk we make, so you are producing possibly more than he needs. If that does not help, you may want to see a specialist.

My now four year old daughter did Reglan AND Zantac for reflux. While the drugs together helped with some of the spit up, hers was severe enough that we had to add cereal to her bottles (due to medical issues, I was unable to nurse). She wasn't just spitting up though, she was a pro at projectile vomiting. We also found that keeping her upright (90 degree angle) for at least 30 minutes after every feeding and then she slept at a 45 degree angle. We didn't have any bad effects from the Reglan.

unfortunatly the cereal maybe the only savor. I have had two kids on reglan one was fine. The 2nd kid had a seizure reaction to it and found out she was allergic so we ended up just doing cereal. With an acid reflux baby you just need to keep them up write all the time. After they eat keep the baby in the car seat for a an hr or so. If you could pump and feed the baby in the car seat that would be good too. The more the baby is upwrite the better. Good luck!!!

I`ve done daycare for YEARS and have had lots of little ones with the same thing-There`s a "flap" that sometimes doesn`t develope until they`re about 5 months old. Usually it will end around that time-sometimes a little longer.

A lot of kids spit up and it's no big deal, messy though. Good for you for nursing! Forget the cereal idea at this age. Nurse frequently and he will outgrow this. I wouldn't mess with all this medication, but that's me. My 2nd child did this and I put her on formula and it was worse and never ending for her first year. She is in her 40's and still has a sensitive digestive system. The meds are only providing a bit of control of the symptoms. My other daughter, who's a doctor, says this relux diagnosis has become very popular with doctors and isn't even true for most spit-uppy kids. I'd just live with it. He won't do it at his high school graduation or even at preschool! Whatever you do, don't make it worse by adding formula or cows milk to his diet. Breast is best! Put off solids until sometime in the 2nd half of his first year. You might try holding him more upright when he nurses, burping and keeping something handy to mop up the mess at all times. You'll both survive this! Relax, Mama!

Hi S.,

My son now 10, was on started on Zantac at 11 mos. wothout great results. His doctor added Reglan and the 2 together worked wonders. His issue was more stomach pain/gas that was so severe it would wake him in the night screaming. My daughter started much younger with her stomach trouble, both pain and spitting up. She was started on Zantac & Reglan at about 5 weeks. This combination didn't work for her. We see a great pediatric gastroenterologist and at 22 mos. he switched her to Pepsid. After waking every 20 to 30 minutes every night for 22 mos. and constantly spitting up, she finally slept through the night! The doctor assurred me that the drugs were very safe for them. I had known him from working at the same hospital and knew that he was up on all the latest and attended many continuing education seminars. I knew that I could trust him. We just kept trying until we found something that worked. If you need his name, let me know.

S.

I thought Reglan was banned from use with pediatric patients? I would check with the pharmacist you use and investigate further the side effects.

All 3 of my kids had reflux and were on Zantac and my youngest who had it the worst was also on Prevacid. I asked our Pediatrician about Reglan and he said that thru research it has been shown to cause heart problems so that they only use it in severe cases where there is growth retardation. Just be careful and maybe do some research on your own before you give it to your son. Best of luck