Hi Terri,
Spitting up every meal *alone* is not justification for a diagnosis of
GERD. Is this 4-month-old also in apparent distress/pain and often in pain
when in a lying-down position?
If the baby's main symptom is spitting up every meal, then possibly an
over-active milk ejection reflex is to blame. Often-times the standing up
position (that you mention) is best for this and time for baby's gastro
system to develop further and also for baby to develop techniques for
controlling milk flow will help this situation.
If baby is not gaining at a good clip, then, obviously, it is imperative to
ferret out what is going on here.
You mention mom eliminating dairy from her diet, but did she truly
eliminate all forms of dairy, or at least the "top guns" (milk, cream, ice
cream, butter, cheeses, yogurts, etc.) totally for a good 3 weeks if not
longer before assessing effectiveness? Oftentimes, I have found, mom says
she isn't eating dairy products, but, when asked further, yes, she has in
fact had bits of dairy here and there. For a baby truly sensitive/allergic
to dairy, a little is all it takes for symptoms to persist. Dr. Jay Gordon
has a good dairy article I list below:
http://www.drjaygordon.com/pediatricks/dairy.htm
~Dianne Oliver, LLLL, IBCLC
Simi Valley, CA
>Baby is on Prilosec, Her weight is 12
>lbs. I don't know what her birth weight was I'm sorry to say but she
>felt that she has been doing ok with her weight considering she spits up
>after every meal. She has tried every position possible and finds that
>standing up walking seems to be the best if she isn't jiggling her too
>much. Any suggestions.
>Terri Klein RN, CLE, CLC, mother of three breastfed now grown men.
- - - - - - - - - - - - - - - - - - - - - - -
Holistic Lactation
805-582-2058
www.holisticlactation.com
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