Jump to content

Reflux and AR formula
Doesnt seem to be helping


  • Please log in to reply
11 replies to this topic

#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.




2 user(s) are reading this topic

0 members, 2 guests, 0 anonymous users

 

WIN a $500 Visa debit card

Are you a parent? Simply take our survey for your chance to win a $500 pre-paid VISA debit card.

Breastfeeding doesn't make you a better mum - feeding your baby does

Given my immense dislike of Hopkins and her opinions, I was genuinely shocked to discover that last week she actually said something that I agreed with.

'Toni, another baby has died': the anguish of watching governments fail our babies

It has been six years since whooping cough claimed the life of four-week-old Dana McCaffery. Her parents are angry that lessons learnt weren't enough to save other babies.

Longer breastfeeding linked to higher IQ

A study of 3500 infants has found that babies who are breastfed grow up to be more intelligent and wealthy.

The 2015 flu vaccine: what's new, who should get it

For certain members of the community, catching flu can lead to severe illness or death. A vaccination can be lifesaving.

Dealing with a nappy escape artist

I hear about the tots that have a penchant for ripping their nappies off and the odd one that even smears the brown stuff on the walls and fine home furnishings, and I shudder.

Hospital apologises for 'traumatising' baby mix-up

St Vincent's Hospital has apologised "unreservedly" for a baby mix-up that left one new mum traumatised.

Tips for flying with a baby

Travelling with kids requires a whole other set of skills - ones that I have learned through (sometimes unfortunate) trial and error.

How to stay calm in an emergency

I’m not expecting you to be as calm as you might be right now. What I mean is that if your panic levels are through the roof during a stressful situation, let’s bring them down to just under the ceiling.

Toddler gets 'drunk' after cranberry juice mix-up

A toddler was taken to hospital after a waitress served her sangria instead of cranberry juice at a US restaurant.

We need to stop using this word when we talk about childbirth

Is it shaming to point out that women are often being let down in birth?

The certificate helping parents deal with pregnancy loss

For some people, this certificate will offer a sense of validation that their child was acknowledged as being here and now gone, and will help them with life post-loss.

Grieving families give warnings after toddler deaths

Two Queensland families are grieving the loss of their toddler sons after the boys drowned in separate incidents last week.

The phenomenon of phantom pregnancy kicks

'Phantom pregnancy kicks’ are encountered by many mums months - or even years - after their pregnancy is over.

The health insurance advice you can't afford to ignore

There's one simple switch that could save you hundreds of dollars a year in private health insurance.

4D scans show how smoking affects babies still in the womb

The harmful effects of smoking during pregnancy on unborn babies may be seen in tiny movements in their faces using 4D ultrasound scans, research has found.

How to babyproof your job interview

Once upon a time, I was a fan of job interviews. That all changed after I'd switched careers, had a baby and decided to spend the first year at home with her.

Sign up to our 30 days of #PlayIQ challenge

Sign up to receive 30 amazing tips and ideas for play with baby during the month of April and submit a picture or tip on our social wall for a chance to win an amazing Fisher-Price prize pack.

The most dangerous toddler food trends

Pete Evans' paleo cookbook for kids caused a storm, but there are plenty of other unsafe food trends for babies and toddlers.

Infection killed new mum of twins

Modern medicine could not save 19-year-old Sophie Burgess who died 48 hours after giving birth to twins in the UK.

Win a Ben & Holly's Little Kingdom prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, we are giving away five DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Sign up to our 30 days of #PlayIQ challenge

Sign up to receive 30 amazing tips and ideas for play with baby during the month of April and submit a picture or tip on our social wall for a chance to win an amazing Fisher-Price prize pack.

Man faces jail after giving woman abortion pill smoothie

A Norwegian man is facing jail after putting abortion pills in his ex-girlfriend's smoothie, causing her to have a miscarriage.

'He's a blessing': family of baby born without eyes

Jordy Jackson was born without eyes. He has anophthalmia, which affects one in every 100,000 babies born.

Win one of 5 Cadbury Easter Hampers

With Easter fast approaching, Cadbury are giving away 5 Cadbury Easter Hampers. Enter Now!

Super fit model Sarah Stage defends her pregnancy body

Model Sarah Stage has defended her pregnancy body after critics claimed her slim figure at eight-and-a-half months pregnant wasn't "normal".

Win a Ben & Holly's Little Kingdom and Peppa Pig prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, Essential Baby and Entertainment One are giving away five bumper DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Why I post breastfeeding photos online

I love to take pictures of my children. In some of the pictures, my younger son is nursing.

The day I broke my baby

There are things I wish I didn't know. I wish I didn't know that companies make tiny braces, small enough to hold necks no bigger than a wrist.

The place just for dads of multiples

When a couple discovers they're expecting multiples, the dad can sometimes be almost forgotten in all the excitement and preparation. But one group offers a space just for dads of twins and higher-order multiples.

Brave mum calls for domestic violence law reform

A brave mum of two has shared details of the harrowing attacks she suffered at the hands of her partner in a bid to help other victims of domestic violence.

Why I had the new test for Down syndrome

Early last year I turned 35, and having just found out I was pregnant, I opted to have the new test for Down syndrome.

Geeky baby gear

If your family is more into Star Wars, gaming and the periodic table than most, you might want to check out these geek-chic baby items.

2015: the year of the sheep

According to the Chinese zodiac, babies born in the year of the sheep are creative and enjoy spending quiet time with their own thoughts.

Breakthrough genetic testing now available in Australia

Pregnant women will for the first time have access to locally analysed, accurate, non-invasive pre-natal genetic testing when the first Australian clinic to offer the services opens its doors next week.

Grandbabies: the babies born looking old

Not a day under 65 and a lifetime of struggle! That's the look of these newborns, who look adorably older than their real age. Social networking site Reddit recently featured user submissions of adorable grandbabies, here are our favourites.

Family kicked off flight after toddler seatbelt drama

An entire family was kicked off a Cathay Pacific flight when a misbehaving toddler refused to put his seatbelt on.

Stolen baby found after 17 years

A baby stolen from her mother's arms shortly after birth has been found through an astonishing coincidence.

53 creative pregnancy announcements

Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.

IKEA hacks for the nursery and kids' rooms

Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.

36 baby names inspired by food and drinks

A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Sign up now!

30 days of #PlayIQ challenge

Receive a daily email from Essential Baby during April with great play tips and ideas, then submit your baby at play photos to our Playwall, Instagram or Twitter for your chance to win.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.