Posted by: Daisy | 2008/07/16



Dear Dr,

My LG is just over 5 months now. She suffers from reflux, and cannot take losec and motilium, as it does not help for the reflux, but gives her severe stomach cramps. All was under control for about 2 months now, but about 2 weeks back she suddenly started vomiting quite often. I took her to the GP as my paed was unavailable. According to the GP this is due to teething as he could find nothing else wrong. Eventually ended up at the paed who said that it is the reflux bothering. We tried a few days of losec and motilium again, but except for her stomach cramps nothing has changed. She does not cry as constantly and often as she used to in the first 3 months. It's almost as if she is not even bothered by her vomiting. It just literally "shoots" out of her mouth, and she just continues what she was busy with, not really bothered at all. She also suddenly brings up a lot of winds, and with every wind comes vomiting. Every now and again she also brings up some phlem, but not all the time. The last few days she constantly sounds like she's trying to cough / clear her throat. Paed said its not couching but due to nausea? Not too sure who to believe or what to do now?

Thank you very much.

Expert's Reply



From your description, your baby still has problems with fairly severe reflux. As she cannot take the usual medicines to control her reflux and her symptoms are still significant, she needs to have special tests to assess tha actual severity of her condition. The test is called a pH probe test and this should be carried out by a specialist in the field of gastroenterology in children.Please ask your paediatrician to have this test done. Depending on the outcome a decision about further treatment will then be made.

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