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14 week vaccination
My 15-week-old baby received her routine vaccinations today, including the oral rotavirus vaccine. She already has silent reflux/possible GERD symptoms.
After vaccination, she became much more uncomfortable, restless, and refluxy (severe regurgitation even when held upright, coughing) than usual. She seems unsettled after feeds and is having difficulty sleeping comfortably. I also gave Domstal (domperidone) at night for reflux symptoms.
Wanted pediatric advice on:
1. Can the rotavirus vaccine temporarily worsen reflux, gas, or stomach discomfort in reflux babies?
2. Is increased fussiness/restlessness common after the vaccine in babies with silent reflux?
3. What symptoms would require urgent medical evaluation versus normal post-vaccine discomfort?
Answers (6)
Don't assume that your baby is having GERD..it is very common that infants upto 6 months, some times upto 1 year to vomit immediately after feeds..if your baby is gaining weight adequately, accepting feeds well,passing urine 6-8times a day nothing to worry
And Yes , Rotavac may cause little bit abdominal discomfort that will settle on its own. But give adequate and proper burping.. other vaccines will cause pain and fever,that may cause little bit restless
Maitain skin to skin contact, give small feeds and increase frequency of feeds, try to lay the baby with little bit extension of neck after burping with shoulder roll support
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Mild increased fussiness, gas, regurgitation, disturbed sleep, or temporary stomach discomfort can occur for 1–3 days after rotavirus vaccination and may feel more noticeable in babies already having reflux symptoms.
Continue:
• smaller frequent feeds
• upright position after feeds
• burping well
• avoid overfeeding
Urgent evaluation is needed if there is:
• persistent inconsolable crying
• repeated forceful vomiting
• blood in stool
• abdominal distension
• refusal to feed
• lethargy
• fever
• breathing difficulty/dehydration
If symptoms are mild and baby is otherwise feeding and active, observation is usually reasonable.
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Yes ..due to rotavirus vaccine there is possibility of irritability and abdominal discomfort which will last for 1 to 3 days .
Most of the times it will decrease.
There is one serious complication due to rotavirus vaccine ..that is intussception..
Look for danger signs like recurrent vomiting,blood in stools ,severe restless crying..need urgent evaluation
Next Steps
look for danger signs
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