She seems to react to a variety of foods. Good to rule this out! When young babies are truly lactose intolerant, they wither fast, because lactose is the only carbohydrate they get from milk or formula. Without it, they fail to grow and thrive quickly.
It is often normal in babies with reflux, because they may not spit up during the test. On the other hand, an upper GI can show reflux in babies who don’t have significant reflux if it occurs during the five minutes of the test. Diagnosis of gastroesophageal reflux is made by taking a medical history and physical exam. Testing is not usually needed. Some of the following tests may be done if your child doesn’t respond to treatment or if your doctor or nurse practitioner is concerned that something else may be going on.
pH probe. Your child will swallow a long, thin tube with a probe at the tip, which will stay in his esophagus for 24 hours. The tip measures levels of acids in his stomach.
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When your baby is only a few weeks old, his food pipe is short and narrow. The valve at the entrance to his stomach isn’t strong yet, and it sits just above his diaphragm, the muscle that stretches across his abdomen. These are reasons why the valve can open easily (NICE 2015b) . Lots of parents go through this stage, as it affects half of all babies.
She has an appointment in 2 weeks. Hi Paige, good for you for listening to your instincts!
Alternative pharmacological options for reflux and GORD in infants
In addition, there is a great deal of variability in the frequency of bowel movements so infrequent bowel movements do not necessarily mean your baby is constipated. Review your child’s symptoms with the doctor and get an accurate diagnosis first. Sometimes, medical therapy of GER is disappointing. There may only be partial control of the symptoms. There are no medications that permanently get rid of all symptoms.
Circles represent areas of fecal matter (stool is white surrounded by black bowel gas). For constipation, you can ask your GP’s for medication (movicol I think) but it might be worth exploring other avenues for the reflux. Firstly, they sometimes over prescribe the gaviscon so maybe ask if you can reduce the dosage?
I also add just a tsp of rice cereal to his 5oz bottles. (Dr. Recommended this.) Seems to help, we just started yesterday.
Normal activity is encouraged during the study, and a diary is kept of symptoms experienced, or activity that might be suspicious for reflux, such as gagging or coughing. It is also recommended to keep a record of the time, type, and amount of food eaten.
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