Childhood Diseases

Question
Posted by: Elzeth | 2010-10-30

Q.

Sleeping issues

My son is 19 months. He is a restless sleeper, he " wakes"  up screaming, arching his body backwards, 50% of the time he will settle again, otherwise I have to console him. He falls asleep easily, he is very tired. He does not always wake up, sometimes he screams and is not aware of his surroundings. He was diagnosed with GERD when he was a baby, and was on Nexiam. It feels as if has the same " symptoms"  as previous, but he has not been on any meds since March this year. He has also been diagnosed with epilepsy and is using Epilum. I am tired and don''t know what to do anymore. I have tried giving him Stopayne during the night, thought it might be teeth. Nothing works. He has a normal day at home with me. Has an older brother. He eats well, plays all day.He has a normal development and is a happy child. He is however very attach to me. I appreciate your assistance with this. Thank you

Expert's Reply

A.

Paediatrician

You have set your problem out very well. Most importantly your son is a happy little fellow during the day and has developed normally. He is being treated for epilepsy with Epilim but this will not cuae the night time symptoms you describe. I am not happy about giving your son Stopayne as it contains codeine which can cause dependency and constipation.As you also say,your son's night time symptoms remind you of the time when he had reflux. That is in fact exactly what I think he still has and it is the acid reflux which is causing his symptoms. He should go back onto Nexiam or possibly something cheaper such as Omez 10mg capsules or Sandoz-Omeprazole 10mg capsules. You can give the contents of a capsule to your son once daily at the same time.He should be on this treatment for at least 6 months and may even need to carry on for longer.

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