Childhood Diseases

Question
Posted by: Boni | 2011-06-20

Q.

Reflux

My son is 14weeks and was diagnonised with reflux at 4weeks. Initially it was very severe where the vomit would come out of his nose and at some point it was as if he is choking. My first paed felt that there is no need to treat it because he was thriving and the weight gain was healthy. Out of concern i sought second opinion and he was put on 1ml of gaviscon in every feed. This subsequently made it better. On another consultation the paed prescibed losec mups and thick and easy to thicken the milk. but he didnt enjoy it and i stopped it. i have continued with gaviscon, and the reflux has quietened down but there are days when its severe. Is there a cure for this, and when can i expect it to go. Would introducing solids assist, he is almost four months now.

Expert's Reply

A.

Paediatrician

Reflux is extremely common in babies and almost 70%of babies will have some reflux. It is difficult to say with certainty when it will go away in your baby as this is very variable. Some babies lose their reflux by 6 months othere go on to 18 months or longer. It all depends how long it will take before your baby's valve at the end of his oesophagus takes to mature and start working normally.Gaviscon is the mildest of all reflux tretament and cannot be expected to do any more than to slightly reduce the acidity of the reflux. You should keep your baby on Losec or on of the generics such as Omez which is easier to use.The dose is 10mg daily.Introducing solids will not help your baby's reflux and you should wait until he is 6 months if possible.

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