Hi G. - I hope I can help. I have three children 7, 5 and 2 and all of them have had reflux. From very severe to moderate. My oldest was a happy spitter and thrived. He was put on Zantac and Reglan. I don't think they use Reglan much anymore that was seven years ago. He also grew out of it when was about six months and was starting to sit up taller.
My daughter the 5 year old had reflux so severe it was awful. She would cry all night. She would be stiff as a board and act like she was hungry. Come to find out she ended up having severe allergies.
My youngest had it early on and would cry all the time in the car seat. The car seat is awful for kids with reflux because their slumped which puts pressure on the tummy.
So with all that said, I hope I can offer you advice on a few things you can try that I tried to help relieve your daughter's symptoms.
1. If you're using bottles I would use the Dr. Brown bottles they are great for kids with reflux. If you're nursing you may want to cut down on the dairy products or try a soy diet to relieve her discomfort.
2. Try not to over feed. Kids with reflux always act like they are hungry, but if you keep feeding them it builds up in their stomach and your sure to have them spit up every or just cry in discomfort.
3. After feeding her try to keep her in an upright propped up position for a little while. Sometimes laying her on the floor on her belly or on her side might help as well. Sometime kids with reflux like to feel that pressure on their bellies.
4. Definitely prop her mattress up in her bed so she's not laying flat and maybe position her on her side. I used one of those side sleeper supports for one of my girls so she wouldn't roll over.
5. You can also ask your doctor about Alimentum and Nutrimagin formulas. They are two formulas that have barely any milk in them about 17% casein, but seem to work well for kids with reflux. Both of my daughter's are on prescribed formulas because their dairy and soy allergies. They are called Neocate Jr. and Elecare.
6. If her symptoms or discomfort worsens you may want to see a GI doctor who handles reflux issues. I see Dr. Katz at MGH in Waltham, MA. I've also seen Dr. Biller there as well who is also great! They also have a nurse practioner who would be able to handle reflux problems who is also easier to get an appt with her name is Terry Schnorr. It's a great practice. I've been going to them for 7 years.
7. If you end up going to see the GI doctor you may want to ask them about allergies. Many children today are not able to digest the milk proteins in the milk based formulas or if you're nursing. I had to go onto a soy diet when nursing my son and he ended up on Prosobee soy formula. My middle and youngest daughter's ended up having a boat load of allergies and was extremely allergic to all dairy and soy.
I really hope I haven't overwhelmed you. I know having a child with reflux can be extremely overwhelming and stressful. Please let me know if you have any other questions and don't be afraid to ask your doctor about seeing a GI doctor or about the possibility of you daughter having allergies. My husband and I have no food allergies and all three of my kids do. We just found out recently that my oldest has a slight allergy to milk, which would make sense why he wasn't able to digest the milk based formula's as a baby and did better when I was on a soy diet and on he Prosobee formula.
Good luck and please let me know how you make out or if you have any other questions.
K.