Hi there and thank you for your question. First up the disclaimer: dosage and prescription changes are outside of my scope of practice; these really need to be discussed with your health practitioner who provided them in the first place. BUT. The question is what you are on and why. If for unsettled behaviour (as I see being done far too frequently), then you should be stopping immediately as reflux medications are not for this, nor do they help. If your bub is experiencing reflux, there are three possibilities: 1. Reflux is their normal. About 20% of babies experience "physiological reflux", by which their muscles are not quite developed to keep stomach stuff down. This is less likely in a 6MO as they should have developed by this age. 2. They are experiencing a reaction to something they are eating, in which case you would need to be reviewing your/your bub's diet. Biggest culprit here is dairy, which may require a full month of exclusion to see any changes. I'd say almost half of the babies with reflux have this going on. 3. They have a control issue - meaning there is something going on with the control over the vagus nerve and its action on stomach sphincters. The biggest cause I see for this is a problem in the neck. Would be worth getting a musculoskeletal review by osteo/physio/chiro/health practitioner along those lines to assess for this. #2 and #3 would both fit your child's presentation of regression with reduction in dosing, so it would be worth investigating further! Let me know how you go, and if you want to discuss more privately, email askdrchristian @ gmail.com Thanks, Christian
@@AskDrChristian thanks for the reply! Yes so he has CMPI and just discovered he is allergic to eggs. He is EBF and I have eliminated both dairy and eggs. Dairy free for over 4 months now. Hoping that now with being egg free his symptoms will get better when I try weaning again. I will for sure email you! He also does go to Chiro :)
How would you suggest getting a 6 month old off a does of 5mg? I tried going to 3 mg for 3 days and symptoms came back.
Hi there and thank you for your question.
First up the disclaimer: dosage and prescription changes are outside of my scope of practice; these really need to be discussed with your health practitioner who provided them in the first place.
BUT. The question is what you are on and why. If for unsettled behaviour (as I see being done far too frequently), then you should be stopping immediately as reflux medications are not for this, nor do they help.
If your bub is experiencing reflux, there are three possibilities:
1. Reflux is their normal. About 20% of babies experience "physiological reflux", by which their muscles are not quite developed to keep stomach stuff down. This is less likely in a 6MO as they should have developed by this age.
2. They are experiencing a reaction to something they are eating, in which case you would need to be reviewing your/your bub's diet. Biggest culprit here is dairy, which may require a full month of exclusion to see any changes. I'd say almost half of the babies with reflux have this going on.
3. They have a control issue - meaning there is something going on with the control over the vagus nerve and its action on stomach sphincters. The biggest cause I see for this is a problem in the neck. Would be worth getting a musculoskeletal review by osteo/physio/chiro/health practitioner along those lines to assess for this.
#2 and #3 would both fit your child's presentation of regression with reduction in dosing, so it would be worth investigating further!
Let me know how you go, and if you want to discuss more privately, email askdrchristian @ gmail.com
Thanks,
Christian
@@AskDrChristian thanks for the reply!
Yes so he has CMPI and just discovered he is allergic to eggs. He is EBF and I have eliminated both dairy and eggs. Dairy free for over 4 months now. Hoping that now with being egg free his symptoms will get better when I try weaning again. I will for sure email you! He also does go to Chiro :)
@@misscd7777 How did you bub do with weaning off? What worked, what didnt?