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

 

Australia's top baby names of 2014

The numbers have been crunched and it's official: Australian parents are having a bit of an 'O' moment.

As a guilty mum: the best advice for treating head lice

Just like a horror movie ... THEY'RE BAAAAAACK. So what works in treating and avoiding head lice and nits?

No, having a dog is not like having a human child

It's obvious these people dote on their pets, but they're barking up the wrong tree.

Confirmed: Kate Middleton is in labour

The Duchess of Cambridge is in the early stages of labor at St Mary's Hospital.

Baby-led weaning worked for us

My baby wasn't interested in food - until we tried something new. Now she's eating it all, and it often comes from my plate.

Parenting an early walker

Watching your child take their first wobbly steps is one of the best parenting highs you'll ever experience. But with that high comes a new reality.

Overdue and over it

A watched womb never labours ... or at least mine didn't.

Seven questions you should be asking about your health cover

If the last time you assessed your health cover was five years ago, there?s a chance it may no longer suit your needs. To ensure it?s still right for your family, click here for seven questions to ask.

'Paralysed bride' becomes a mum

Rachelle Friedman Chapman was preparing to marry the man of her dreams when tragedy struck four years ago.

Why the royal baby will look more like Prince Philip than Prince William

No matter what the occasion the world always seems to be waiting for Prince William and Kate Middleton.

Surprise baby born on toilet

Discovering your wife has just given birth on the toilet would be a surprise for anyone. But the shock would be even greater if neither you or your partner knew you were expecting a baby.

5 spooky photos with babies and children

These five photos show some ghostly images - but are they real? Do you believe in the spirit world?

Does it matter how much time you spend with your children?

Does spending more time with your kids help their development? This is a more complex topic than it may seem.

Rare condition diagnosed during optional scan

A mother who opted for a 4D scan late in pregnancy discovered her unborn baby had a rare brain disorder.

Cleveland captives speak about their decade of terror - and their futures

"I think we were just tired of people talking, trying to tell our stories, and they had no idea, no clue, what we went through."

Proof it's impossible to not join in a toddler's laughter

They say laughter is the best medicine. If that's true Tom Fletcher and his son should live long, healthy lives.

How I really feel about my drug-free birth

Do I feel 'smug'? No. Nor do I feel remotely superior. Each birth was valid and valuable in its own right, producing, as it did, a healthy baby.

How to talk about your pregnancy at work

The workplace isn't always a friendly place for pregnant women. Yet working women inclined to conceal a pregnancy from prying coworkers may be better off opening up and carrying on, according to a new study.

Tell us your story to win!

To celebrate Mother's Day this year we are giving you the chance to win one of five great prizes simply by telling us your story.

The Goss

Sonia Kruger: 'One baby is enough'

The popular TV host has no plans for a sibling for her new daughter Maggie.

Where to get help to help your baby sleep

There is so much pressure about having a baby who sleeps 'all night' , it's no wonder you worry about your baby if she wakes in the night.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Playtime guide:

A new area on our site for all your playtime and learning fun with baby - specially brought to you by Fisher-Price Play IQ?. PLUS your chance to win a year's supply of toys.

Celebrate being a mum with Offspring

This Mother's Day, treat yourself to possibly winning an ultimate Mother's Day gift pack valued at $250 including the Offspring Box Set. Enter now!

Vintage baby names having a comeback

What makes some names have comebacks while others silently fade into oblivion? A few factors come into play.

How to play with your newborn

Even though they're immobile and can't speak, there are plenty of ways you can engage and communicate with your newborn to stimulate their physical, cognitive and emotional development.

Mum of six faked cancer to get donations, police claim

Elizabeth Edmonds' husband posted some devastating news on Facebook last year.

I'll admit it: I have last child parenting fatigue

If you're a new mum and feeling ignored by the older mum/the old hand/the has-been, please know, it's not you, it's me. Blame the last child parenting fatigue.

Cobie Smulders speaks about her battle with ovarian cancer

The 'How I Met Your Mother' star has revealed that she was diagnosed with ovarian cancer at 25 - and was told she'd never conceive naturally.

Essentials your child needs to grow

What does your baby need to grow up healthy? The experts give their advice.

Coroner warns of 'dangerous' cot

A UK coroner has warned of the dangers of a bedside cot after the death of a newborn baby who choked to death this month.

Building your baby's emotional and social skills through play

Babies are social beings who enjoy being around people they know and love, especially you.

Why suicide prevention is everybody's responsibility

Everyone agrees we need to do more to care for people at risk from suicide, the problem is what.

Exhaustion is not the same as tiredness

Having a new baby isn't tiring - it can be downright exhausting.

Five posterior babies, four home births

I was on a high. I'd done it all by myself with no help from anyone.

Mum's list of birthday gift demands goes viral

We're big fans of kids' birthday parties - but this is one bash we're glad we didn't get an invite to.

Kate Middleton to receive 'loyalty discount' for second birth

Everybody loves a bargain - including the Duchess of Cambridge.

Fish & chip shop owner's sad note goes viral

A lengthy note put on the window of a fish & chip shop has gone viral due to the writer's serious doubts about the romance of travel.

Pregnant women need good nutrition advice, not judgment

Pregnant women are under pressure to do all the "right things" to have a healthy child. It results in women feeling judged about their decisions.

William Tyrrell's mum speaks out: 'We hope he is still alive'

The mother of missing toddler William Tyrrell says she has a vision that somebody "picked him up and moved him on ... that's the only way ... to explain for him not to be there".

Family comes first for 23-year-old Tommy Connolly

Most 23-year-old blokes spend their hard earned cash on fun times with mates or romantic dinners with their girlfriend, but not Tommy Connolly.

Newborn all-girl quintuplets 'doing great'

The first all-female quintuplets born in the United States were delivered last week, at 28 weeks and two days.

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.

 

Top baby names

Baby Names

The numbers are in and we can now bring you the 2014 top baby name list for Australia.

 
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.