Dr. Alexa and Dr. Kris Keep You Informed
being regurgitated, many parents worry that they aren’t
getting enough nutrition. With this concern in mind
Colic, reflux and constipation are three common
many pediatricians will immediately prescribe a drug
difficulties for infants, generally considered to be treatment regimen.
separate conditions that need to be treated individually.
But in reality, the opposite is true. Digestion and
Chemical Treatment of Reflux
elimination are two bodily systems that are directly
linked and controlled by the central nervous system.
The drugs most commonly used to treat infantile reflux
are H2 blockers such as raniditine, famotidine and
Your Family Wellness Chiropractor recognize
nizatidine (also known as Tagamet, Zantac and
when your infant’s central nervous system is worki
Pepcid). With all of these chemicals the side effects
properly, and the child being given the proper nutrition,
can include sleepiness, dizziness, rapid or changed
these three nightmares of motherhood can be
heartbeat, diarrhea, nausea, vomiting and trouble
controlled if not completely eliminated.
breathing. It should also be noted that since this is a
Colic
Colic has been defined as excessive, inconsolable
crying of the infant, and research has shown that 10-
20% of all infants under the age of 4 months suffer from
infantile colic. Episodes of colic can happen anytime
day or night but will usually begin to follow a pattern.
The general consensus between pediatricians is that
colic is caused by excessive gas in the gastrointestinal
tract and so their response is, of course, to medicate.
prescription that has to be given on a regular basis at
The most commonly prescribed medication for the
specified times, missing doses can also cause irritating
treatment of colic is dimethicone. The side effects of
this drug include fatigue, sedation, blurred vision, loss
of appetite, constipation, nausea and headache. While
The second round of treatment when H2 blockers fail is
this list is certainly reason for pause, the most alarming
usually proton pump inhibitors. These include
fact is that the makers of this drug note on their
esomeprazole, omeprazole and lansoprazole (also
literature that this chemical should not be given to
known as Nexium, Prilosec and Prevacid). With these
chemicals the side effects can include headache,
diarrhea, abnormal heartbeat, rash, dizziness, muscle
Reflux
pain as well as nausea and vomiting. Has it not
occurred to them that they’re actually causing what
While most infants will spit up a little after eating, infant
reflux or gastro-esophageal reflux (GER) is a whole
different matter entirely. It typically happens due to a
Constipation
relaxation of muscles at the bottom of the esophagus
and is considered a result of a lack of coordination
Constipation is generally defined as infrequent or hard
between the organs of the upper digestive system.
stools. Our bodies naturally remove water from the
stool while the fecal matter is in the colon, if the fecal
Sometimes the matter being regurgitated is breast milk
matter remains in the colon too long and too much
or formula, but a lot of times it will include stomach
water is removed then the stool mass will be dry and
acids causing the infant to be extremely distressed due
to the discomfort caused to the esophagus.
The highest concern when an infant is suffering from
I N S I D E T H I S I S S U E
infant reflux is the fear of “failure to thrive”. Since sometimes a large amount of the child’s nutrition is
Page 1 Digestion and Elimination 2008 Generations
Generally, a child that has not had a bowel movement
the digestive system is directly controlled by the
in three days or more may be constipated; however,
central nervous system. Many parents report an
your baby grunting or straining when passing stool isn’t
improved quality of life for their children shortly after
Typically a pediatrician will recommend either lactulose
In regards to constipation, vertebral subluxation can sometimes be the cause of this discomfort. Parents
or a glycerine suppository. The problem with these is
who have chosen to take their child to a Family
that they both have uncomfortable side effects that
Wellness Chiropractor have reported improved bowel
function and regular bowel movements with the
initiation of a Chiropractic adjustment.
Current Chiropractic Research
A randomized clinical trial by Wiberg, et. al. studied infants that had been diagnosed with colic and reported
that adjustments were proven to be more effective in relieving the infants’ symptoms than the drug dimethicone. In fact, the final results showed that
Chiropractic care was 200% more effective than the typically recommended drug therapy.
The International Chiropractic Pediatric Association
has a parent e-newsletter – sign up by visiting
Another case study by the International Chiropractic
Pediatric Association followed 132 infants with colic. In
this study, 91% of parents reported their infant
improved within one week of beginning care with just
The Role of the Nervous System
Since your baby’s digestive and elimination systems
are controlled by their central nervous system, a healthy spine is going to be conducive to a healthier
infant. When vertebral subluxation is present in the
spine it leads to the interference of nerve impulses,
which may affect how your infant’s muscles, tissues
This information is not meant to imply that a Doctor of Chiropractic
Reflux has been attributed to a lack of coordination
treats, cures or prevents any disease.
between the organs of the upper digestive system, and
Dear Parent, Dr. Alexa and Dr. Kris are dedicated to providing you with the absolute best in family wellness care and with that dedication comes an understanding that an informed parent makes wise decisions for their child. So, take a moment to discuss with your Family Wellness Chiropractor any concerns you may have regarding your child’s overall health and wellness. The Chiropractic Office of Dr. Alexa Valdez-Fagan and Dr. Kris Fagan at 3605 Madaca Lane Tampa, FL 33618 813.265.8200 2008 Generations
The following is a list of commonly prescribed drugs covered under the EmblemHealth pharmacy program. To obtain the complete formulary, please visit www.emblemhealth.com . The list is not all inclusive and does not guarantee coverage. We encourage you to ask your doctor to prescribe generic drugs whenever appropriate. PLEASE NOTE: Drugs listed on this document may become non-Preferred if a g
Investigación original / Original research Initiation of effective postpartum contraceptive use in public hospitals in Guatemala Edgar Kestler,1 Maria del Rosario Orozco,2 Silvia Palma,2and Roberto Flores 2 Suggested citation Kestler E, Orozco MR, Palma S, Flores R. Initiation of effective postpartum contraceptive use in publichospitals in Guatemala. Rev Panam Salud Publica. 2011;29(2):