Childhood Diseases

Posted by: Pip | 2010-07-11


Weight Gain &  Reflux Questions

Hi Doc,
My LG nearly 8 months (but 6 months corrected), now weighs 5.7kg''s. She was picking up with along one of the curves on the growth chart, but has now drop down to the curve below. The clinic sister suggested including protein in all her meals. She now gets almonds in her cereal, half a kiri cheese and a teaspoon of butter in her veggies at lunch, and meat and veggies for dinner. She also suggested yoghurt, but I found that it caused too much spitting. I have also found that her spitting now smells more like vomit than before. Could the dairy be bad for her reflux, and if so, what can else can I try for her weight gain.
She is on 1ml Zantac and 0.7ml Clopamon, twice daily. And 10ml altosec, daily. What is the correct dosage for her current weight. How often would these dosages change?
I just find that she is moaning most of the afternoon, and is back at her tongue thrusting, so I''m not sure whether she is in a bit of pain.

Expert's Reply



The average weight for a baby of 6 months is just over 7 kg. Your baby's weight is obviously below this and falls on the 9th percentile line on the growth chart, the lowest 9% for baby girls of 6 months. Your baby is on reflux treatment and the doses are correct. She does not need 2 acid reducers and the Zantac should be stopped and continue on the Altosec 10mg only.Your little girl sounds as if she is still having problems with reflux and the Clopamon may not be effective enough to prevent reflux. She may have problems with lactose intolerance or possibly milk allergy as you find that she cannot tolerate yoghurt. She also has more stools than expected at her age.Her diet may also not be right for her at this age as she won't be able to digest almonds at her age and the Kiri cheese is probably too rich for her as it contains cream as well as fullcream cow's milk.So there are several issues here. Try her on a low allergy formula such as NAN HA2 and ask her doctor to review her antireflux treatment to try to stop her actual refluxing.

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