You won't be overmedicating him. The Zantac works best immediately after meals and the Prevacid works best for overnight. The two meds work in different ways. Your child should improve in time. The problem is that the muscular valve at the top of his stomach (cardiac sphincter) is weak and allows stomach contents to back up. On top of this, the infantile stomach is horizontal and contents come back up easily, which is why babies tend to spit up anyway. After feeding, keep him upright for one hour to allow his stomach to empty. Don't bounce or play with him. Elevate the head of his bed to 30 degress to allow gravity to assist in keeping stomach contents where they belong and use a sheet as a sling between his legs, anchored to each side of his crib to hold him in place and prevent him from sliding. Do not place him on his left side -- that's the side the stomach is on and pressure on the stomach can encourage regurgitation.
As he matures, his stomach will drop into the adult position. He will likely outgrow the reflux. Speak to your son's pediatrician about adding Reglan. Reglan (metaclopramide) improves mucsle tone of the cardiac sphincter. It is most important to prevent aspiration.
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