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This topic has 2 voices, contains 2 replies, and was last updated by  Roslyn, Website Manager 83 days ago.

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December 15, 2011 at 3:21 pm #7969

Roslyn, Website Manager

Hello everyone

This is a new forum here at Crying Over Spilt Milk. We haven’t had a general discussion forum up until now as we have had a longstanding forum at http://www.everybody.co.nz. This remains and I expect it will remain our predominant forum for discussions, as it is linked so well to the other communities there and also because we value the relationship we have with “everybody”. Our gastro-oesophageal reflux forum at http://www.everybody.co.nz existed before Crying Over Spilt Milk did.

Anyway we look forward to discussions here in the future.

RN, Regional Coordinator Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust (GRSNNZ). Mother of three girls, 19, 16 and 11. Gem – 11- had Nissen Fundoplication December 2006, revised February 2010. (Updated last November 2011)
January 25, 2012 at 2:30 pm #8074

ekin

Hi there,
This website has great tips and stories, such a good idea.

I would like to point out the latest findings regarding corelation between excessive crying and “reflux disease” (there is none apparently). Could you please direct your medical advisers to the article I am quoting below. They may like to review the last few steps in your flow chart of treatments (ie. use of omeprazole).

regards,
ekin sakin

Summary points from BMJ medical journal
BMJ 2011;343:d7772 doi: 10.1136/bmj.d7772 (Published 15 December 2011)

1 Excessive crying in the first months of life is usually benign and self limiting, although in a minority of families it is linked with more long term and serious problems
2 No routine investigations are needed for an afebrile child with no signs of illness on a thorough history and examination
3 Cry-fuss behaviour is linked to feeding problems; assess babies for feeding difficulties as early as possible and refer to experts
4 Assess mothers for psychosocial factors that may put the baby at risk of adverse outcomes; screen for perinatal anxiety and depression and refer as necessary
5 Gastro-oesophageal reflux disease is not linked to excessive crying in the first months of life and proton pump inhibitors are not indicated
6 Cue based care and even moderate levels of physical contact from birth are associated with reduced crying
February 25, 2012 at 2:47 pm #8208

Roslyn, Website Manager

Hi ekin
You are partially right. I have omitted putting http://www.bpac.org.nz/magazine/2011/november/infant_reflux.asp on the website here although I did put it on our Facebook page, and I have put a link to another page explaining the good and bad of Omeprazole. Thanks for pointing this out though, and I will keep your message in my inbox to remind me to add it to our medication section when I have time.

GRSNNZ’s recommendation in the first instance is to try and manage reflux with diet and simple measures such as upright positioning, unless advised otherwise by their health professional.
I think it is important that they seek their health professional’s advice if they have any concerns – it may not be reflux or there may be a reason why it does need treating medically – such as FTT. Health professionals need to be careful in the way they reassure – some of it comes across as being condescending or makes the parents not feel listened to.
There has been advice between parents that has come to my notice to “ask for…”. Parents should not be giving medical advice to other parents – each child is individual. GRSNNZ also discourages the comparing of dosages of medications that are prescribed.

RN, Regional Coordinator Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust (GRSNNZ). Mother of three girls, 19, 16 and 11. Gem – 11- had Nissen Fundoplication December 2006, revised February 2010. (Updated last November 2011)
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