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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Acid Reflux In A Child?

My 5 month old daughter only eats about 20 oz a day, last time she weighed ( 2weeks ago) 14.7 lbs, she has been diagnosed with acid reflux and is currently taking prevacid twice a day (15 mlg). Is only eating 20 oz OK or should I be concerned? Also, she tilts her head down consistently, she is able to hold it up but primarily holds it down and to the side, this is concerning to me.
Fri, 3 Nov 2017
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Pediatrician, Pulmonology 's  Response
Hi....by what you quote I feel that the kid is having severe form of GER (gastroesophageal reflux).

The stiffening is called Sandifer's syndrome and in this they arch their back so much to avoid recurrent reflux and aspiration into the lungs.

Your kid will need -
1. Antireflux therapy - Proton pump inhibitors + antiemetics
2. Always make the kid lie down in a propped up position - as in the care seat. The kid should not be sleeping completely flatly.
3. Avoid heavy feeding and feeding more times and in small aliquots.

Your kid needs expert gastroenterology consultation.
Regards - Dr. Sumanth
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What Is The Treatment For Acid Reflux In A Child?

Hi....by what you quote I feel that the kid is having severe form of GER (gastroesophageal reflux). The stiffening is called Sandifer s syndrome and in this they arch their back so much to avoid recurrent reflux and aspiration into the lungs. Your kid will need - 1. Antireflux therapy - Proton pump inhibitors + antiemetics 2. Always make the kid lie down in a propped up position - as in the care seat. The kid should not be sleeping completely flatly. 3. Avoid heavy feeding and feeding more times and in small aliquots. Your kid needs expert gastroenterology consultation. Regards - Dr. Sumanth