Answer

<p>Hello;</p><p> </p><p>Thank you for responding. Also, before I begin, I apologize for the HTML coding appearing in the response. It is a technical glitch that we are currently working on.</p><p> </p><p>First of all, let's address the GERD concerns. Gerd can appear at this age, and one resource mentions a peak around 4 mths. of age. However, I'm more interested in the timing of his symptoms and your recent use of antibiotics. That particular antibiotic is transmitted via breast milk. Now, there has never been any harm associated with use during breastfeeding, so it was safe to use. But, with that being said, it's possible that your child may be reacting to some of the exposure to the antibiotic. With the use of the antibiotic, there are two possible causes to consider. First, and most obvious, would be an alteration in his gastric flora (healthy bacteria). Thrush is the most obvious manifestation of altered flora after antibiotic use; however, there could be a small, subclinical amount of gastric flora imbalance and gastric irritation. In addition, certain medications can reduce the sphincter tone in the esophagus. This makes it easier for acid to reflux. Sometimes antibiotics are implicated in the increased ease of gastric reflux.   Although, there is a possibility of GERD, again, I question more of a gastric irritation, given his acute onset of symptoms and your recent use of antibiotics. Although you stopped taking the medication on Friday, it does take the body a little time to get rid of the medication. I suspect your son's symptoms will improve almost as quickly as they began. However, I do recommend he be evaluated by his pediatrician. If his thrush check wasn't recent, since Friday, his provider will likely want to assess for it again. Also, his provider will likely want to do a full physical and may be able to provide a little symptom management, such as Pepcid, if indicated.   Finally, if you have any expressed milk frozen before you were on antibiotics, you may consider using this for a couple of days to see if his symptoms resolve.</p><p> </p><p>I hope this helps. If you have additional questions, concerns, or would like to discuss this further, please let me know.</p><p> </p><p>Lisa</p>Ms. Lisa40030.2058719097