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Reflux and AR formula
Doesnt seem to be helping


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#1 Miss Kiwi

Posted 15 March 2012 - 09:37 PM

I have a 5wk old DS who has been diagnosed with reflux and is on Zantac.

He is fully formula bottle fed, we started on Karicare Gold then changed to HA. I then found out there was an anti reflux formula so have just started on that. On previous formulas he was doing large vomits and I hoped this would end on the AR formula but it hasn't:(

On the Standard formula I was using a slow teet (pigeon) which meant he was taking up to 40min to drink a bottle but he would be so tired at the end which meant he was very easy to settle. It did mean though that sometimes getting more than 50ml into him was a challenge.

Since changing to the AR I obviously had to change to a faster teet given the thickness of the formula. This has now meant he is demolishing 130-150ml a feed in the space of 20min!!! I stretch this out as much as possible by giving him plenty of breaks to wind etc. once the bottle is finished he is not tired like he was on the other formula and is harder to settle. And like I said he is still vomiting!

I'm at a loss at what to do, shall I just go back to the standard formula - gold or HA knowing that he is tired after working for the bottle with the slow teet? I'm getting the vomiting on both anyway so that problem has not been fixed.

Any help or advice would be much appreciated. TIA original.gif

#2 Jack's Mummy

Posted 15 March 2012 - 09:42 PM

My sons also suffered from reflux and ar formula was just too thick.

So I just purchased normal formula and the thickener separately and adjusted the dose of the thickener. ( tin advises three scoops from memory I would add one or one and a half.)

Instead of going to the next sized teat I cut the slow teats a little bit more to allow more through as the next size up was too fast.

#3 Miss Kiwi

Posted 16 March 2012 - 07:53 AM

Bump

#4 Carmen02

Posted 16 March 2012 - 08:10 AM

I had a huge issue with 16mth old DS and reflux when he was born. We tried AR formulas and they just didnt agree with him and he went onto Nan HA formula and we thickened it with karicare thickener which was the best thing for him, he was on losec as well. Zantac did nothing for him.

#5 Miss Kiwi

Posted 16 March 2012 - 09:01 AM

QUOTE (Carmen02 @ 16/03/2012, 09:10 AM) <{POST_SNAPBACK}>
I had a huge issue with 16mth old DS and reflux when he was born. We tried AR formulas and they just didnt agree with him and he went onto Nan HA formula and we thickened it with karicare thickener which was the best thing for him, he was on losec as well. Zantac did nothing for him.

Thanks so would you continue with a thickening agent? I was considering losing it all together given he is still vomiting. The Zantac has def helped settle his reflux overall.

#6 Ella'n'alex

Posted 16 March 2012 - 09:10 AM

130-150mls is quite a lot for a 5 week old tummy - could you try feeding less, more often?

I BF, so it's obviously a bit different, but my DS was still feeding every 2 hours over the day at 6 months, which works out to about 100ml a feed. So the 150mls seems an awful lot to me for a reflux tummy to handle.

#7 meggs10

Posted 16 March 2012 - 09:30 AM

My first DS had bad reflux. We found that Novalac Reflux formula worked well for him using a Nuk bottle with a colic teat.

A nurse recently recommended Karricare Feed Thickener in regular Karricare Gold + formula for my DS2's reflux issues and that seems to making him more comfortable. DS2's reflux isn't as bad as DS1's but changing to Thickener helped him to sleep better.

http://www.productreview.com.au/p/nutricia...-thickener.html

#8 IsolaBella

Posted 16 March 2012 - 09:39 AM

I continued to use the Nan HA formula with Karicare Thickener (like PP I used half the amount suggested).

I used Pigeon Y Cut Peristaltic teats without problem.

It did not stop DS2's chucking but it slowed down the volume. Basically before the Thickener he would chuck up a whole feed (at 21d of age ended up in the ED as he was chucking up fluro yellow bile and we discovered he had not been gaining weight - continued to loose weight since birth). He was then moved to EBM and then formula with thickener.

At 9m we forgot to add the thickener, luckily I had a bucket beside me to catch the chuck.... I then measured it and it was 140mls out of a 150mls bottle.

So no, do not expect thickener to stop all chucking, it can slow it down though and decrease the amount chucked.

I also agree that 150mls is too much for a 5wo (my bubs were only getting up to that at 5m of age).

The general formula for calculating amount is 150mls per kg of body weight divided by number of feeds per day.

So if you have a 5kg baby who feeds 8 times a day...

150mls x 5 = 750mls for the day

750mls / 8 feeds per day = 93.75 (so I would offer 100mls per feed).

(eta: Babylove books says 150mls up to 3m and 120mls post 3m. My sister's paed says 125mls no matter the age).



#9 Miss Kiwi

Posted 16 March 2012 - 12:21 PM

Thanks everyone for your advice. It was the early child nurse that told me this week that he should be having 150ml now. So not sure what to think now...

I am going to try the AR formula with an Avent Bottle and teet especially for thickened formula which I just purchased now. Will see how that goes.


#10 Ella'n'alex

Posted 16 March 2012 - 02:00 PM

QUOTE (Miss Kiwi @ 16/03/2012, 01:21 PM) <{POST_SNAPBACK}>
Thanks everyone for your advice. It was the early child nurse that told me this week that he should be having 150ml now. So not sure what to think now...


It doesn't matter how much per feed (or how often) so long as he gets the right amount over the day. You could break the 750mls (from IsolaBella) down however you like, or into whatever amount bubs can keep down!

Most adults eat 3 meals a day, but some graze all day, skip lunch, aren't hungry in the morning etc. etc. Babies are individuals just like adults - the amounts on the tin are just a guide, you can adjust them to suit  original.gif

Edited by Ella'n'alex, 16 March 2012 - 02:04 PM.


#11 Logging out

Posted 07 April 2012 - 02:22 PM

I use Avent bottles with the teat for thick formulas found that one to be the best (I tried a lot). I was using karicare AR but had to change as DD had lactose intolerance as well. So I now use S26 lactose free gold and karicare food thickener which I can up the dose as much as I like and lessen it as she has got older. However if you can I'd stick to the AR formula because the karicare thickener is $16 alone and you will need to buy it every week.

I recommend pre-making bottles as this works better with reflux in my experience. If you don't the flow is too fast at the start and doesn't thicken in time in the stomach so they throw up more. Doctors recommend small amounts more often so less is in the stomach and upright positions. Also solids at 4 months this helped a bit I only did this once a day as I didn't want to use medication.  

Almost 7 months now it's getting better I don't have to use as much thickener just get random blobs of sick dripping throughout the day and the occasional big chuck up.

Hope this helps  original.gif

#12 BeachedAsBro

Posted 10 April 2012 - 12:28 PM

I can't help from the formula perspective, but my refluxy baby (on losec) would vomit fountains too. I would feed her sitting in a quite upright position, then make sure she was sitting upright after a feed too. She would also be most comfortable before she could sit independently in the Baby Bjorn or Ergo carrier and then from around 3.5 months, I had her in a Bumbo when she wasn't on my lap or in my carrier.

I agree, try to stretch out his actual feed so he's not taking too much too quickly and also make sure he has a good seal around the teat. The time where my DD didn't latch on properly was when she gulped air and had worse reflux after the feed. My friend whose daughter also had severe reflux from birth was advised by Karitane to use a dummy. The sucking motion can help. I know it's more work for you in terms of washing and sterilising, but what about making him 50ml feeds and feeding him more regularly. I know my BF baby liked to feed hourly to two hourly because the milk would help with the pain of the reflux acid coming back up her food pipe.

I certainly found that my daughter's reflux started to settle around the 6 month mark. I started her on solids at 5.5 months, she liked the Apple/Pear and cinnamon rafferty's garden pouch. Farex etc was an epic fail (and still is).

Good luck OP. I don't miss those days. It's so hard to watch your baby suffer. Just know there is light at the end of the tunnel.




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