The prescribed dosing for ranitidine syrup can be confusing. Many parents make mistakes in dosing their children.
Gastroesophageal reflux isn’t a simple issue, but remember, this is a normal phase of infancy. It gets better with time!
Increasingly I am distressed by the excessive prescribing of medications for our precious babies and the complete lack of support or decent advice for the unlucky parents dealing with their screaming children. As a mother of a child diagnosed with “reflux” I just wish I had had Philippa’s great advice to hand.
But other medications are often used off-label for younger children, including Axid and Prevacid. Babies commonly have acid reflux, but most don’t require treatment, such as Zantac. If they spit up after feedings but are gaining weight, sleeping well and aren’t fussy, they’re likely fine. However, some infants who make a mess after feedings do need intervention.
How is reflux diagnosed?
The muscle between the esophagus (or “food pipe”) and the stomach is called the lower esophageal sphincter. This muscle opens to let food move from the esophagus into the stomach. Typically, it closes to keep acid from moving up into the esophagus from the stomach. In some babies, though, this muscle isn’t fully developed. It may let some acid back into the esophagus.
Babies throw up, a lot. But caution is needed before turning to a drug to help. Infants prescribed proton-pump inhibitors to treat reflux disease broke more bones in the next several years than infants not given the drug. If you are concerned about your baby’s reflux, and seeing symptoms of GERD, keep a log of when your baby experiences troubling symptoms or complications. That will help your child’s healthcare provider in their diagnosis when you bring them in for a checkup.
Dosage for ulcers of the stomach, esophagus, and duodenum
- In some cases there are no symptoms at all.
- Later research led to one of one of them gaining approval after being shown to be safe and effective.
- Side effects related to the direct inhibition of gastric acid and reflex hypergastrinaemia, immunosuppression and drug metabolism have also been suggested (Table (Table22).
In this condition, the lower esophageal sphincter present at the junction of esophagus and stomach does not shut completely and allows some stomach acid to flow upwards towards the mouth. Ranitidine subdues the secretion of stomach acid, thus providing relief from acid reflux.
Younger infants could be given effervescent tablets that dissolve in water. The water can be administered to the baby through a dropper syringe.
Even after starting the medication, you will probably see the same about of spit up. You can’t beat time when it comes to the anatomy of reflux.
Some night time feedings can be very hard for parents to stay awake for an additional 20-30 minutes to keep their baby upright. I understand. It is extremely dangerous for parents to fall asleep holding infants, especially on couches or recliner chairs, due to the high risk of SIDS. Even if your child has reflux, it is better for them to fall asleep in their own bed on a firm, flat mattress. Try to hold your baby upright for 20-30 minutes after each feeding.
Which children are at risk for GERD?
some other interesting mechanisms by which PPIs can actually induce acid reflux. Essentially, what you need to know is that heartburn is rarely caused by excess stomach acid production. Heartburn is caused by a dysfunction of the lower esophageal sphincter (LES), which is what separates the esophagus from the stomach. Normally, that sphincter is supposed to stay closed.