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Posted 06 January 2017 - 03:59 PM
I've posted a few times about DD2s reflux. We saw the GP today. He's a great GP - doubles as an emergency physician at the children's hospital so in really comfortable with taking his advice.
His suggestion was to top her up with 20mls of thickened formula after each breastfeed. Does anyone have experience of doing this? The goal at the moment is to limit the chucking and to extend her to around 4hours btw feeds - at aeast overnight. Any recommendations for a brand of feed? Bottles? Both of my DDs have been EBF so I'm new to this.
Posted 06 January 2017 - 08:31 PM
Oh OP I replied in your other thread, i have no advice on actually doing this. Having had 3 with reflux, 2 requiring strong medication, i got all types of advice and came across a lot of parents who also got all different types of advice.
What is his experience in reflux?
Is there a reason he preferred this to trialling reflux medication?
I have no issues with formula or parents who wish to introduce or switch to it, but just wondering since introducing formula and bottles and stretching feeds could all effect breastfeeding, and also may not solve your issues.
Posted 06 January 2017 - 08:41 PM
I don't understand why formula is suggested to "treat" reflux in a bf baby, thickened or not.
Formula stays in the stomach longer than breastmikj so ? more chance to rise up the oesophagus.
From reading, apparently thickened milk can reduce spitting up but there apparently isn't any evidence that it's an effective treatment for reflux.
Let alone introducing cows milk protein.
If thickened fluids must be given, can't breast milk be thickened and given by spoon or cup, so as the protect the exclusive bfing relationship that is already been established?
Its different if baby isn't bfing well and supplementation and/bottles are needed.
Would you consider seeing a LC?
Depending on the age of your baby, scheduled feeding isn't usually recommended, especially for bf as bmilk is easily digested, usually!
Posted 06 January 2017 - 08:52 PM
My friends paediatrician recommended this for her BF baby. Lucky2 it wasn't meant to replace BF, it was just some thickened liquid intended to weigh down the breastmilk and reduce some of the acid reflux ie the liquid couldn't rise up the oesophagus so easily. My friend found it too difficult (her babies ended up on prescription formula for pretty severe CMPI anyway in the end) but it must work well for some people for paeds to still be recommending it. I hope it works for you OP- if your baby has CMPI then a formula like Allerpro, or even some EBM mixed with something like Karicare thickener, might work? Can you ring or email the dr and get their opinion?
Good luck OP, reflux is tough, I'm sure you are doing a great job
Posted 06 January 2017 - 08:55 PM
Eta I agree with dearydo that reflux meds like Losec may be a better option to discuss with your dr if your baby is in pain- they don't stop the reflux but remove the acidity so that the liquid going back up the oesophagus doesn't hurt as much. If your bub is a "happy chucke" though the meds would be unnecessary
Posted 06 January 2017 - 08:57 PM
Sorry- one more thing- I know it's not for everyone but scheduled feeds were way better for my babies than feeding on demand- they were in a feed-pain-feed for comfort- more pain type cycle and spacing feeds helped with that. I would only do it on medical advice obviously.
Posted 07 January 2017 - 07:35 AM
We tried thickening ebm and also formula with ds1. It didn't help at all, neither did starting solids.
For us medication was the key to easing his pain and nothing stopped the constant throwing up, except time.
Posted 07 January 2017 - 08:11 AM
My first baby had reflux and was breastfed. A thickener was one of the things suggested to me by a GP (they suggested using it with EBM though). However after looking into it the info I found said that thickeners may reduce the amount of milk vomited up but that they don't reduce the pain or other symptoms of reflux (screaming, feeding aversion/fussiness etc). The pain and screaming was more the issue for us, so given the hassle of trying to fit expressing/washing bottles etc into our day I didn't use the thickener. Medication (Zantac) made a difference.
There's a book by Dr Brian Vartabedian on reflux in babies which is good.
Posted 07 January 2017 - 08:24 AM
I haven't seen your other posts so have no idea if the reflux is painful or more just "happy chucker" (with meds my first turned into a happy chucker - unfortunately he chucked too much and whilst he was "happy" he was loosing weight).
Have you tried gaviscon infant? There are instructions for how to use it when breastfeeding on the packet.
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