Acid Battle Next Steps
Acid Battle Next Steps: You went through 2 weeks of hell and you're baby is still showing symptoms. WHY? WHAT DO I DO NEXT? HELP!
These are the questions to ask:
- Are there any improvements at all? If you filled out the infant acid reflux questionnaire, go back to it and review the symptoms. Are there any reduction in symptoms? If so, this is a good sign. We know it's frustrating but sometimes an acid battle can take longer than 2 weeks. In fact the MarciKids study showed that a substantial reduction in symptoms took anywhere between 2 to 4 weeks. If you are seeing some reduction in symptoms then keep doing what you are doing.
- Is my baby constipated? If the answer is yes, this is the first thing that needs to be addressed. Constipation is the enemy of effective reflux treatment. Use a little prune juice or you can give Miralax or milk of magnesia - 2.5 mL up to 2 x per day.
- Have I changed anything else during that 2 weeks? This includes any changes in medications or increase or decrease in medication. Did you add a thickener to your baby's formula? Did you change your baby's formula? Any changes you've made is like re-setting the clock back to 2 weeks because there is no way to know what's working unless you stick to the plan for a full 2 weeks without changing anything.
- Are you using your pharmacy to compound or are you using the compounding pharmacy we referred you to? Most pharmacy compounds use too much sodium bicarbonate and this can cause gas and colic like symptoms. Also, they tend to lose stability in 2 weeks even though they provide a months supply of compound. They also require you to time 1 hour before or after feedings.
- Am I shaking the compound formulation that I received from the partnering pharmacy each time I administer the dose?
- Does my baby have a cold? This can contribute to an increase in symptoms. Although the suggestion is to increase the dose 20% during a cold, if you are within the 2 - 4 week time frame, stick to the original dose until the cold passes.
- Is my baby teething? This can contribute to an increase in
symptoms. Although the suggestion is to increase the dose 20% during a
cold, if you are within the 2 - 4 week time frame, stick to the original
dose until the cold passes.
I know this is about the time when you start to question whether what you're doing is the right thing. You may be thinking this is not working and watching your baby suffer you may want to stop. We can't tell you what to do because you are the parent and you have to decide what is best for your baby. However, the MarciKids study has over 30 years of successful treatment history behind it. There are thousands of parents that have gone through what you're going through and have come out the other side with happy baby's and nothing but great things to say about the results.
Reflux is a puzzle. There may be small adjustments that need to be made but ultimately this treatment regimen works. Don't give up.
Reach out to the group for support or contact us so we can help you get through this.