Itty Bitty Baby Tips
Dealing with reflux

8. Avoid using baby swings or any type of vibrating baby seat. Both can cause the liquid to move back up the esophagus.

9. Schedule any physical therapy or range of motion activities (if required) 1 hour before a feeding. The same follows for any weight checks at the doctor’s office or by a home nurse. This allows them to recover from the activity to have energy to eat. Do not attempt these things after a feeding.

10. Discuss thickening the baby’s formula or breastmilk with a small amount of cereal

11. Try to nurse exclusively from one breast per breastfeeding session, and try to remain in a sitting (versus lying down) position. This keeps the baby from being shifted during the feeding.

12. Burp VERY OFTEN! Usually every 1/2 ounce (15cc) or 1 ounce.

13. Hold your baby more upright when feeding, instead of cradling in your arm.

14. Consult with your pediatrician about medications for the reflux, if your baby isn’t already on them. Cisipride (Propulsid), Zantac, and Tagamet are common reflux medications for preemies. (A warning: Reglan used to be used as well, but was found to possibly aggravate/cause heart problems in premature babies.) Cisipride speeds the movement of food through the stomach, while zantac and tagamet act as a type of barrier to help with the discomfort.

15. Ask about using small doses of regular adult Mylanta to help coat the esophagus. Be warned though - it can cause constipation easily.

16. Before having any medications filled or refilled, check with your doctor and have her explain on the new dosage and strength. (My son received 4x the amount of zantac for 4 months due to a pharmacy error.) Write it down and compare with the label on the bottle you receive from the pharmacy.

17. Check into mail ordering your prescription if possible through your insurance company to save money.

18. Remind the doctor to recalculate the dosage every time your baby gets a check up or weight check. As their weights increase, so will the dosage to remain effective.

19. Ask your doctor about going 24-48 hours without medication when the bottle empties. This is a good way to find out if your child still requires the medication or if it is causing any adverse effects that disappear when temporarily discontinued.