3 month old, reflux, short napper

[katie_osterritter]

My son is 14 weeks old and dealing with severe silent reflux. He is good at dealing with pain but it makes him unable to move from one phase to the next easily, so he wakes after a 45 minute nap. My question is, if he is only taking 45 min naps how long should subsequent wts be? I try 1.5hrs like the 1st one but by nap 3 he is ot and it can take up to 2 hrs to get him down.

[ENMS]

First off, is he medicated for his reflux? Have you tried elevating his crib? Do you keep him upright for at least 20 mins after feeds?

When my DS was about 4 months old, he'd be on 1h50 or so of A time, and if I had a short first nap, he'd be good on 1h30 of A for the subsequent A.

BUT, if your LO is in pain, I think no matter what the A time is, he will wake early. When his reflux was uncontrolled, I had to use a lot of APOP to get my DS to sleep - swing, stroller, arms if need be. It was the only way he would rest well otherwise, he'd end up so OT.

Also, a lot of LO's have developmental short naps around that age. How was he napping before?

Can you post your EASY?

[katie_osterritter]

He is on meds for his reflux but they were just upped. I am def doing a lot of apop, but it is not helping to extend them. Right now we don't have much of an easy due to short naps & seemingly constant feeds to help reduce / push back the acid

[ENMS]

What if you start the nap with APOP? I could never really extend with APOP, but if I allowed him a full nap in the swing, or the stroller, he'd take a longer one. So I'd take one nap a day (more if needed), and APOP it completely. I found that helpedhim, if he had one good nap he'd not be as OT.

And don't worry too much about the EASY. We didn't have one at this age, but once his reflux gets better, you'll be able to get on an EASY.

Hope the news meds help him feel better soon

[katie_osterritter]

In arms, nursed to sleep, pretty much anything results in a 45 min nap & eventually ot baby, should I try for really short a time after a 45 min nap? If so, how short? Nap 1 is usually pretty easy, nap 2 is a bit harder but nap 3 is just terrible.  Literally 2 hrs from start to sleep!

[ENMS]

Maybe he is UT for nap 1, then becomes OT by nap 2?

Would you post your a typical day?

[ZacsMumme]

Hugs Hun, Elise is giving you great advice so I'm just popping on to offer hugs and
BTDT

Also I found no matter what I did with short naps Z was OT by BT ... tBH I think the pain takes it out of them until 4 mths or so EASY was tough but at 4 mths we were doing ths with 35/45 min naps and uncontrolled reflux when Z was in the cot. ...makes for a rough day though
WU 6
A 2 hrs
Nap 8-8.45
A 1 hr. 45
Nap 10.30-11.15
A 1hr. 30
Nap 12.45-1.30
A 1 hr 30
Nap 3-3.45
A 1hr 15
cN 5-5.30
BT 6.30/7

X

Come over to CRC if you want lots of support for the reflux

[katie_osterritter]

I will post what happens tomorrow exactly to show you but days are so messed up it is all but impossible to give y'all a schedule. He is finally asleep now (10pm) after trying since 8pm but I am certain if I put him down he will wake right back up & scream for who knows how long. I just feel so bad for him bc I can hear the acid coming up in his throat...even now...and now he is back awake crying...while on my chest...I didn't even move.

[ZacsMumme]

Hugs, I remember those days 2hrs APoP to get a 20-30 min nap! It does get better I promise!

What meds is he on Hun? What dose? Do you use a paci?

[katie_osterritter]

He is on 2ml zantac 2x per day & just started 7.5mg prevacid last wednesday. I also eliminated dairy beginning last wednesday.

[ZacsMumme]

Los Weight? Are you giving the Zantac 4 hrs apart from the Prevacid?

[ENMS]

(((HUGS))) hon, I remember those days very vividly too.  Sara is right, it will get better.

If, after a full week you don't see any improvement with the Prevacid, I'd go back to the doctor to get it increased. A lot of LO's do well on 7.5mg but it did nothing for my DS, but when they increased it to 15 mg - MIRACLE.

[katie_osterritter]

Here goes, starting from 10:10pm when he finally fell asleep.
10:20 - placed sleeping in rock n play (normally dont sleep him here, but using to help with reflux for now because it is very inclined) - woke a little when placed but went back to sleep with heavy hands & shhing. Also, I turned on white noise when putting to sleep.
11:27 - Woke, tried resettling in rock n play, was unable, tried to give paci, spit it out. Decided to use as a dream feed.
11:30 - 11:39 - fed left, very sleepy on boob.
11:41 - placed back in rock n play asleep, woke a little when placed, heavy hands & shhing put him back to sleep
12:43 - woke, tried settling in rock & play, tried paci. Began screaming. Continued thru walking around the house until 12:49 when I poured a little breastmilk into his mouth and it calmed him enough to take his paci. I found this helps soothe his throat but if I try to feed him then he wants a full feed even though he is not hungry.
12:53 - seems asleep but afraid to put him back in rock n play to early for fear we will have to start all over again. I think crying hurts his throat which makes him scream and from there it is a vicious cycle.
1:00 - placed back in rock n play
1:08 - woke, wouldn't resettle, cries quickly escalated to screams, did breastmilk trick, took paci
1:23 - back in rock n play
1:29 - woke, wouldn't soothe in rock n play but cries did not get hysterical. Let me walk / rock him back to sleep wihtout (too) much fight.
1:43 - back in rock n play. I am beginning to feel a clog form in my left breast (happens every week & a half or so)
1:52 - woke, gave him a few mins to resettle himself, cries escalated, wouldn't soothe in rock n play, soothed quickly & easily in arms. I am feeling my resolve crumble. So much easier to bring into bed with me and feed every time he stirs, but I will try to be strong.
2:03 - back in rock n play
3:06 - woke, was able to give paci & resettle in rock n play (woohoo, little successes!) Rewoke a few times but settled in rock n play with paci, shhing, heavy hands & rocking. Finally back asleep for good at 3:20
3:23 - woke, unable to resettle in rock n play. Passed gas. Couldn't settle with walking/rocking. 3:28 - Went ahead & fed (right) as it had been 4 hours and I was leaking. At least it is better than every time he wakes up like I have done the last few days :/
3:39 - took a full feed then straight to sleep & back in rock n play
3:44 - woke, unable to settle in rock n play, I could hear the reflux, picked up to rock & got a burp. Easy to settle with rocking. Turned off white noise as it was obviously doing no good & was keeping me awake.
3:53 - back asleep in rock n play. Passed more gas, thankfully it didn't wake him.
3:57 - woke, passed more gas. Wouldn't settle in rock n play, seemed uncomfortable, but settled easily in arms.
4:09 - back asleep in rock n play. At this point he has only gotten 3 sleeps of over an hr (1:20, 1:06 & 1:04) plus several very very short sleeps. I have slept maybe 2 hours. Maybe. I really, really need help. This just isn't healthy.
4:19 - woke. I can't do it anymore. Pulled him into bed with me and nursed him to sleep on empty right side.
4:29 - back asleep beside me...really tempted to try to move him but the poor kid needs his sleep. Don't know what to do here...
8:00 - awake.so glad I didn't move him as I haven't gotten that much solid sleep in a very long time.
8:07 - fed left. Very sleepy on the boob. Normally we wake up around 8, but I feel like I should let him sleep if he wants due to bad sleep last night.
8:19 - asleep
9:25 - latched back onto mostly empty left. I would wake but still very sleepy & I need him to remove the clog. Seems like he did.
9:33 - asleep

I will keep him awake next time he wakes and start a new post from there and this one is quite long already.

Please, help me.

[katie_osterritter]

To answer questions that were asked during the night - Josh weighs 15 pounds, was 10.5 at birth so he is a big boy.

I was not told to give prevacid 4 hrs different. Does that help??

The doctor said that if by Wednesday things do not improve to move to 15mg prevacid as that is what she wrote the script for she just wants to try less first.

[ENMS]

Yes, giving prevacid and zantac 4 hours apart is best for absorption of both meds. also, prevacid needs to be given on an empty stomach - 2h after last feed, 30 mins before the next feed.

(((HUGS))) on the rought night. you must be so exhausted. How were his nights before the reflux started? Are most nights like this one? Does he usually sleep for longer stretches at night? How about during the day, does he sleep better? When did he start to be in pain from the reflux?