Thank you very much for sharing your experience and doctor's advice. Dr. Lemberg is the Paed Gastro we're seeing in Nov.
I learnt that Losec dosage for infants needs to be adjusted as they grow. Most people say it can be reduced when they sit up, which I found to be presumptuous.
Assuming the Losec is well-preparead and hasn't lost its efficacy (we abide by the expiry), we found 0.9ml/day to be tolerable but up to 8-10 days. 3-4 days without any medication is bad news! Whilst at the GP for his third routine vaccination a month ago, I asked this same question I posted. The GP wasn't prepared to comment, but he said I could try dropping it 0.5ml since he is already sitting up. I wasn't convinced but gave it a go anyway for 2-3 days. Our boy didn't like that. It was also around that time that he began to eat solid food (we take the BLW approach) but not drinking enough water.
He's been back on 5mg/ml 1ml/day for 3 weeks now. He still exhibits symptoms such as having regular wet burps, sour-smelling breath, occassional regurgitation and hiccups, appearing to be in pain, and screaming excessively. He also has sleep issues such as taking cat naps, having disturbed sleep, disliking lying down in general - it's also interesting to note his sleep position (lying on his stomach, occassionally tilting his head and/or tucking his hand under his belly, sticking his bottom up) as though to relieve pain or discomfort from reflux or constipation.
We have many questions. We just know his gastric system isn't doing so well (as opposed to just experiencing ‘separation anxiety’ or requiring ‘sleep training’). Is his reflux really under control? We're assuming the current dose is right for his size. Is his constipation making his reflux worse? We're picking less-contipating and acidic food, and increasing water intake - this has improved his bowel movements and reduce wind (he sleeps slightly better in the evening). Is it food sensitivity that's aggravating his reflux? He's exclusively breast-fed so I'm testing with not having any cow's milk protein in my diet and taking lactose-free milk instead. Thanks for mentioning probiotics. I've always been wary of mixing anything in the bottle as it changes the composition of the breastmilk, but there should be forms of probiotic that can be given directly. I shall explore.
By the way, would you know if there is an optimal time for Losec to be given? I know that most medication has recommended hour to be administered for the body to respond optimally - this is to do with the circadian biological clock in humans.
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