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    Old 09-22-2007, 06:56 AM   #1
    baj406
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    Silent Reflux

    I took my son to his ped yesterday for a weight check. While we were there I told her that he's been absolutely miserably after he eats for the last two weeks. He throws his head back and arches his back and just screams for up to two hours at the time. It always starts within thirty minutes after finishing the bottle, but usually immediately. He has ALWAYS arched his back after eating to some degree but other than that never really showed much discomfort. It got a lot better when his formula was changed a couple months ago but now is worse than ever, so I decided I could wait no longer to bring it up.
    She asked if he throws up when he does this. I said occasionally, but not often. Her response was, "So he's a silent refluxer." I'm not sure what this is as she didn't really explain it. I'm guessing it just means that he doesn't throw up? I'm not sure. Anyway, she put him on Zantac twice a day. My husband and I are REALLY hoping that it helps him out. I can't stand to see him so miserable after he eats. Fortunately, he seems to enjoy the taste of the medicine, so that's a bonus. (Weird kid, the stuff just SMELLS awful, lol)
    So, if anyone has heard of the term maybe just let me know what it is. Thanks.

    Last edited by baj406; 09-22-2007 at 06:57 AM.

     
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    Old 09-22-2007, 06:03 PM   #2
    Heyknack
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    Re: Silent Reflux

    Sounds like she's referring to acid reflux, which is relatively common in young babies. This is where the valve that leads from the esophagus to the stomach is loose/weak and stomach acid refluxes or leaks back into the esophagus. This erodes the esophagus and causes pain (like bad heartburn). My 10 week old has this pretty bad (and actually, so do I), but it is much better with medication. Your DS may also benefit from being upright for 30 minutes after feeding and elevating one side of the crib so that his head end is about 30 degrees higher than his foot end (so no stomach contents seep into his esophagus while he sleeps). From what I understand, many kids outgrow this. But if it's not caught and dealt with, it can cause major damage and require surgery (some need surgery anyway though, just because the valve is so loose).

    Anyway, hope that helps...
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    Old 09-22-2007, 06:19 PM   #3
    baj406
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    Re: Silent Reflux

    Quote:
    Originally Posted by Heyknack View Post
    Sounds like she's referring to acid reflux, which is relatively common in young babies. This is where the valve that leads from the esophagus to the stomach is loose/weak and stomach acid refluxes or leaks back into the esophagus. This erodes the esophagus and causes pain (like bad heartburn). My 10 week old has this pretty bad (and actually, so do I), but it is much better with medication. Your DS may also benefit from being upright for 30 minutes after feeding and elevating one side of the crib so that his head end is about 30 degrees higher than his foot end (so no stomach contents seep into his esophagus while he sleeps). From what I understand, many kids outgrow this. But if it's not caught and dealt with, it can cause major damage and require surgery (some need surgery anyway though, just because the valve is so loose).

    Anyway, hope that helps...
    Thanks, we all ready keep him upright after eating and use a sleep positioning wedge. I know she's referring to acid reflux, but I didn't know if the "silent" part really meant anything. I'm just so confused. I don't know what made him get so bad so fast. He's not even eating now. He took half an ounce and started screaming bloody murder. He took another half ounce and now is just refusing the bottle. I don't know how to help him! I don't know what to do and I feel really bad b/c I can't even sympathize. I've NEVER had heartburn though it runs in my family. Nearly ALL the men on my mom's side had pretty bad reflux/indigestion and my husband gets heartburn pretty badly too, so it's no real surprise.
    So do you have any ideas why he would suddenly not eat. He's always been a real good eater, except for one instance which resolved itself pretty quickly, but this is different.

     
    Old 09-25-2007, 08:06 PM   #4
    mcr285
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    Re: Silent Reflux

    hi there. i know you posted this several days ago, but in case you still have those questions....

    my oldest daughter had some serious spitting up issues as a baby, and even though it didn't seem to bother her, at around 2 months (maybe just before), her doctor put her on zantac for it. i asked him what the heck for, and what he said was something like, "well she is a happy spitter now, but if this keeps up, she'll eventually get sores in her esophagus and she'll be miserable and no fun to live with." so we gave her the zantac and she stayed a happy spitter for nearly a year (before she finally outgrew the spitting up!).

    but my doctor is thorough (and likes to hear himself talk) so he went on to talk about if she wasn't a spitter, but had silent reflux instead. according to him (and my memory from a few years ago!), "silent reflux" means your son has reflux that fits heyknack's definition, "...the valve that leads from the esophagus to the stomach is loose/weak and stomach acid refluxes or leaks back into the esophagus. This erodes the esophagus and causes pain..." but the normal spitting up that usually accompanies reflux isn't there.

    what made him get bad so fast? well, i'd guess he's been on his way to bad for awhile now, with the stomach acids slowly eating away at his esophagus, and after awhile, and enough damage is done, it probably started hurting like heck everytime he ate (which would be the cause of him suddenly not wanting to eat!).

    but not to worry, the zantac is designed to soothe and heal the damage done, and then will continue to protect his esophagus from further damage happening. i think if i recall correctly, you said in a later post that he does seem to be getting better???

    anyway, i was going to mention that zantac should only be flavored with a certain flav-rx flavor, and that you need to have your pharmacist look it up to be sure, BUT since he loves the regular zantac flavor (weird!), nevermind!

     
    Old 09-25-2007, 08:43 PM   #5
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    Re: Silent Reflux

    Quote:
    Originally Posted by mcr285 View Post
    but not to worry, the zantac is designed to soothe and heal the damage done, and then will continue to protect his esophagus from further damage happening. i think if i recall correctly, you said in a later post that he does seem to be getting better???

    anyway, i was going to mention that zantac should only be flavored with a certain flav-rx flavor, and that you need to have your pharmacist look it up to be sure, BUT since he loves the regular zantac flavor (weird!), nevermind!
    LOL Yeah, that was short lived. By the fourth dose he was looking at me like I was horrible, though still taking it. It's just the faces he makes, oh my. His ped said to feed him right after giving it b/c it tastes so awful but the thing is, even though he makes awful faces when he takes it, he swats the bottle away for at least 30 minutes. Still, weird. I guess I just have a bizarre child.

    Anyway, after I got home from work today his daddy said that he hadn't cried at all after his bottle, which is a first in QUITE a long time. Then...he had another bottle. He arched his back and whimpered but still no crying. I was really starting to get excited. His last bottle of the evening he cried some, but not hours of incessant crying like before. HOPEFULLY this is doing the trick.

    And yes, I got confirmation from another board that silent reflux is when stomach contents go up into the esophagus but rather than being vomited or spit up the just go back down. Poor little guy, wouldn't he be better off to just throw it up rather than have it irritate his esophagus going up AND back down? *sniff* And I feel even worse as I've never had heartburn a day in my life so I can't even relate.

     
    Old 09-25-2007, 11:06 PM   #6
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    Re: Silent Reflux

    poor little guy! well, my daughter is absolute proof that zantac does work.... but since your little guy was already irritated, he's going to need a bit of time on it. as far as his doing great with one bottle, no so great with the next, and then crying a bit with the last... i'd guess (and i'm sure you've come to this conclusion as well) that as the day wore on, the zantac wore off? not like it wasn't working, because obviously it was.... do you know what i mean? too brain fried right now to explain it right, so maybe tomorrow........

    ANYWAY.... there were two things we did that made the zantac more appealing to my daughter.... and she tolerated both about the same, so it realy just depended on if my brain was functioning right when i picked up her prescription, if i remembered to have it flavored! when it was flavored, she didn't hate it and spit it out like she did unflavored. if you go that route, make sure your pharmacist checks about which flavor to use, because there is only ONE that you can use with zantac. i want to say it's grape, but check to make sure! and all that may have changed since then (almost 4 years ago), but again, check to be sure. they had a book and looked it up and it said only one flavor would not interact with the zantac.

    the other thing we did was get a medicine pacifier and dilute the dose of zantac with a little water, and she didn't hate it that way either. diluting it is how her doctor said to give it to her.

    well, i hope your little guy keeps on improving! you're in my prayers.

    Last edited by mcr285; 09-25-2007 at 11:08 PM.

     
    Old 09-26-2007, 04:49 AM   #7
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    Re: Silent Reflux

    Quote:
    Originally Posted by mcr285 View Post
    poor little guy! well, my daughter is absolute proof that zantac does work.... but since your little guy was already irritated, he's going to need a bit of time on it. as far as his doing great with one bottle, no so great with the next, and then crying a bit with the last... i'd guess (and i'm sure you've come to this conclusion as well) that as the day wore on, the zantac wore off? not like it wasn't working, because obviously it was.... do you know what i mean? too brain fried right now to explain it right, so maybe tomorrow........

    ANYWAY.... there were two things we did that made the zantac more appealing to my daughter.... and she tolerated both about the same, so it realy just depended on if my brain was functioning right when i picked up her prescription, if i remembered to have it flavored! when it was flavored, she didn't hate it and spit it out like she did unflavored. if you go that route, make sure your pharmacist checks about which flavor to use, because there is only ONE that you can use with zantac. i want to say it's grape, but check to make sure! and all that may have changed since then (almost 4 years ago), but again, check to be sure. they had a book and looked it up and it said only one flavor would not interact with the zantac.

    the other thing we did was get a medicine pacifier and dilute the dose of zantac with a little water, and she didn't hate it that way either. diluting it is how her doctor said to give it to her.

    well, i hope your little guy keeps on improving! you're in my prayers.
    Well, I would have drawn that conclusion myself but the bottle he cried after was the one he took following his second dose of Zantac. As I said, I guess I just have a weird guy.
    Anyway...as far as taking it, even though he makes faces he doesn't spit it out. It's almost like he understands that it makes him feel better, weird. Of course, this is the same child that at 3 weeks old would stick his feet in the air after being dressed until you put socks on him. (Now he waits for shoes too, lol)
    As far as flavoring goes, my nephew is on the same medicine but he spit it out, so they had to get it flavored. The pharmacist told them the only choices they had were grape or cherry.
    I too hope he keeps improving, he's a bit grumpy right now, just ate, but maybe we're starting to make a turn around.
    Oh...at 14 weeks of age, he's finally able to wear 0 - 3 month clothes! But...his the pants are nearly falling off, so he has to wear a shirt that comes down over them so they don't look so goofy, lol. And the legs come down about 3" past his feet, hehe. My silly looking little guy.
    Ok, he's screaming, gotta run.

     
    Old 09-27-2007, 08:23 PM   #8
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    Re: Silent Reflux

    Hi,
    I have a big problem with my boy. He had serious reflux but not 'silent' at all. Almost every time he eats (he eats solid now), he vomits. He can vomit during the feed or after that, sometimes, during 1 feed, he vomits 3 times. He has had the reflux since he was 2 months old. At that time, I took him to the doctor, but docs said it can happen to many kids less than 6 months. However, now my boy is 13 months, the situation is still the same, sometimes worse than before. Please, if any of you have experiences on this matter, help me with advices. Can reflux be cured with medicine? or it needs surgery?

    Look forward to your response.
    Many thanks.

     
    Old 09-27-2007, 09:41 PM   #9
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    Re: Silent Reflux

    Quote:
    Originally Posted by hiensharpa9 View Post
    Hi,
    I have a big problem with my boy. He had serious reflux but not 'silent' at all. Almost every time he eats (he eats solid now), he vomits. He can vomit during the feed or after that, sometimes, during 1 feed, he vomits 3 times. He has had the reflux since he was 2 months old. At that time, I took him to the doctor, but docs said it can happen to many kids less than 6 months. However, now my boy is 13 months, the situation is still the same, sometimes worse than before. Please, if any of you have experiences on this matter, help me with advices. Can reflux be cured with medicine? or it needs surgery?

    Look forward to your response.
    Many thanks.
    Reflux can be effectively treated with medications. Zantac works wonders for my nephew, unfortunately, isn't even touching my son's problems. Ask for a referal to a GI if the ped isn't willing to prescribe something.

     
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