Secretion of acid by the stomach is a normal function of the body. Acid is secreted by parietal cells found in the stomach lining, involving a mechanism known as the proton pump. Acid in the stomach is useful for breaking down foods, making them easier to digest, and also for helping prevent infection by providing an unfavourable environment for growth of infective organisms.
Long term PPI use has been associated with problems with iron absorption
When you stop using a proton pump inhibitor (PPI) a spike in stomach acid production is inevitable. That’s right, inevitable. So your child will very likely be in pain. This does not necessarily mean that the wean has failed. You need to consider pain management for the duration of the wean which could be several weeks. Talk to your doctor about appropriate pain management during this time.
Here’s why: the body will produce a hormone to tell the body to start producing acid again. The acid needs to reach a certain level before the body will realise it can stop and levels will normalise. In the meantime, you need to expect that stomach acid production will be a bit haywire.
Medication is NOT the first line of defense in helping a child with GORD, but when you’ve tried all the management strategies under the sun and it’s still not working, your doctor may prescribe one or a combination of the medications listed below.