Jessica,

www.reflux.org has a section in their "reading room" that is called
"Diseases that look like GERD". When you are on the reading room page,
scroll all the way down to the bottom.

Hope this is helpful,

Renata Mangrum, MPH, RD.
My blog: www.nurturingnotes.blogspot.com (nothing much on it yet)


On 1/1/07, Shaya & Jessica Billowitz <[log in to unmask]> wrote:
>
> Maybe someone can shed light onto this case for me.  I have mom's
> permission
> to post.
> I made a home visit to this mom just to make sure everything was alright
> at
> 2 weeks.  She had also taken my prenatal class and everything was going
> well.  Baby was born at 3.300 naturally, and had gained beautifully.  She
> was already 200 grams over birth weight and eating well.  I had nothing to
> suggest, and just encouraged her that all was fine.
> At 4 weeks, the mom called  that she was sure the baby had reflux.  She
> had
> begun to be very fussy at breast, sometimes refusing to eat, and had been
> spitting up tons.  She also did not gain any weight from week 4-5.  She
> began Zantac, and things almost immediately improved.  The spitting up
> stopped, and baby was happy and calm at breast.  This continued for about
> 2
> 1/2 weeks.  Now, the past week, baby has been often miserable at breast.
> She begins to eat, then fusses, pulls, turns, and eventually unlatches and
> then refuses to go back on.  The feed that I observed, in this time she
> had
> eaten 22 cc, and that was it.  After that, the mom pumped and she took
> another 60cc happily from the bottle.  Sometimes a feed will go better,
> but
> it is totally random, and most feeds are miserable.  It does not seem
> allergy related because she takes the milk by bottle with no problem.  I
> do
> not suspect that it is flow related.  Breast compressions did not alter
> the
> situation, and there is plenty of  milk available.  She also has only
> gained
> about 100 grams in the past 3 weeks.
> Help!  I cannot figure out what is going on.  The mom also says that the
> times she does do a total pumped milk feed, although it goes smoother, she
> never eats a very large amount-usually only 80 cc ( which at this point
> you
> would think she would be eating closer to 120...I know numbers don't make
> a
> difference if she was gaining well, fine, but don't forget she is not
> gaining well. )  By the way, she checked back with the Gastro, who insists
> that the zantac dose is correct and does not need to be adjusted.
> Anyone have any ideas?  This mother is desperate to nurse and have things
> go
> well, and I just don't know what to tell her.
> Thank you,
> Please email me privately as well as to the List.
>
> Jessica Billowitz, IBCLC
> Israel
>
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