A.B. asks from Mohegan Lake, NY on April 07, 2008
7 Month Old W/ Reflux Feeding Schedule
Hi, my daughter is going to be 7 months on saturday and I have been trying to find a good schedule for her eating. She has acid reflux and gets 1 tablespoon of oatmeal per 2 ounces of formula in all her bottles(though i am slowly trying to decrease it so i usually omit 1/2 and ounce). I am having difficulties mostly with her breakfast. I was wondering if anyone has a baby with reflux who thickened the formula and how they spaced out their feedings. She enjoys ther solid food, especially veggies but I just don't know if I should give solids first and than the bottle which she did well on for a week or so or bottle than solid, though she gets so much oatmeal in the bottle that I don't feel she will eat the solids after the bottle.(she also went on a food strike a couple weeks ago when seh got her 2 bottom teeth and had been eating great since thna but again, not eating well..is she teething again??) Maybe I should give solids in the early am, than after her nap give the bottle. I haven't started doing lunch yet because i am trying to figure all this out. Should I completly seperate her solid feeding from her bottles. My dr. said she should be having at least 18 ounces of formula a day and sometimes it is hard to get that many ounces in her. My dr. also said to feed her solids till her doesn't want anymore but she gets so much oatmeal in all her bottles that i think she is soo full all the time.. She only eats 3 times a day and than once before bed. Any advice would be great!!!!Right now, this is how it goes
6:30-wake up
6:45-meds.....have to wait at least 30 minutes to feeed her
around 7:30-1 tbsp. oatmeal mixed with formula and 1/2-1 1st food fruit, sometimes she eats all sometime not much, than i wait about 30 minutes and offer her the bottle which is 6 oz. Latetly, she has only been eating 2-3 ounces and than refusing anymore. she used to eat the whole bottle.
nap-around 9ish....
12:30-1:30--7 oz. bottle, which she usually drains
4:30-meds again
5:30ish--veggies and fruit
6:30-8oz. bottle(my saving grace!!!)
7ish--sleeps though the night
Thanks and I can't wait till she outgrows reflux, it hasn't been easy!!!!
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S.A. answers from New York on April 09, 2008
Hey there;
My understanding is that an infant needs 18 oz a day to obtain the minimum nutritional requirements for the day
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S.R. answers from New York on April 08, 2008
I don't think it matters when she gets her solids versus formula. She may have lost interest in formula because solid foods taste so good to her. It's normal for babies to want less and less formula when they are introduced to solid foods. You may want to try introducing a little yogurt in her diet to see if that helps with the acid reflux. Her digestive system is in the process of developing, and gently introducing something with a probotic quality will help. Don't give her a lot, just a spoon or two to see how she reacts to the new food. Also, oatmeal is much harder for babies to digest than rice cereal at this age. You may consider switching to see if that helps with the acid reflux. I was surprised to read that you are feeding your daughter so much solid food. My son was not even ready for solid food until he was 7 months old, and he was a great big baby.
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S.C. answers from New York on April 08, 2008
Hi A.,
My 10 month old son also has reflux. I hate to say it, but he doesn't really have a good "schedule." When we realized that he had reflux, I googled it and read lots of articles. The best advice I found was that he needs small, frequent meals. We are now up to 3 solid meals a day, and I still breastfeed in between (on demand feedings).
It's tough because most of the feeding "rules" contradict what they tell you to do for a baby with reflux. I read that oatmeal shouldn't go in a bottle because they need to learn how to eat oatmeal from a spoon. But then doctors will tell you to put oatmeal in the bottle to make the formula heavier so it will (hopefully) stay in their belly! Everyone will tell you something different about giving your baby solids. I think that 7 months is ok for her to have solids. I think I read that your baby would have to eat 6 jars of carrots in order to get the same nutritional value from a bottle of formula, so obviously the bottles are still important at this point. But if she loves veggies, keep it coming! A lot of moms complain that their baby will eat the fruit but not the veggies.
I think 2 solid meals right now is good for her age. If she won't take 18 ounces a day, don't force it. Just remember that you know your baby better than anyone else does.
And lucky you - a baby who sleeps through the night... I don't know what that is like! lol
Best of luck to you!
PS - I read that most babies outgrow reflux by 6 mos of age and I was frustrated that my son didn't. It seems that a lot of moms on this site have babies who outgrew it after a year. Hopefully you just have a few more months to go!
B.S. answers from New York on April 10, 2008
I have an 8 month old daughter who also has reflux. Is your daughter on Zantac? My daughter has been on it since she was about 4 weeks old and we were able to ween her off of it at 6 months old. I never gave her a bottle at the same time as food and I never put oatmeal in her bottle. Every doctor tells you to do a different thing but what my doctor told me to do really worked. This is what I did and she did great.
6:30 Zantac and than bottle(right after med)
8:30 solid food (I give her the gerber fruit and cereal mixed together in the plastic container)
10:30-11:00 bottle
12:30 lunch-vegetables (1 jar of plastic container)
2:00-2:30 bottle
5:00 dinner( I give 1 jar of meat/fruit, they come mixed together)
7:30 bottle and to bed
I hope this helps and if you have any other questions please let me know.
B.
my personal email is ____@____.com
J.V. answers from New York on April 08, 2008
Dear A.,
I had twin girls who are three yrs old now but were born with acid reflux and they had them on liquid Zantac three times a day. I also started adding the rice cereal to their bottle at two weeks old. I'm not sure how many onces of formula she needs to take in at 7 months old but you should count the ounces she's getting and ask your doctor. One thing I really loved was the Enfamil A.R.formula for babies with reflux problems, it has the added rice starch in it already. This let me cut back on the rice ceareal in their bottles during the day and I only gave them the extra cereal at night time. They stopped taking the meds at around 9 months old. The only problem I have noticed now is that when they have a runny nose or if they start to cough I have to make them look up and sit up or they tend to throw up. I truely believe that it may be a sensitivity from the gag reflux. Take note if that happens with your daughter as she gets older.(try the heads up thing- it really works)
J.R. answers from New York on April 08, 2008
My almost 9 month old has been on the cereal in the bottle thing since 5 months old. I usually use about 5 tablespoons per 6 oz bottle. He switched to stage 3 foods and "snacks" at 8 months old
His schedule is like this:
7:00 - wake up
7:30 - 6oz bottle with cereal
8:30 - stage 3 fruit
11:30 - 6oz bottle with cereal (drinks about 4 oz)
12:30 - stage 3 veggie
mid afternoon - some kind of snack like puffs or fruit
3:30 - 6oz bottle with cereal (drinks about 4 oz)
6:00 - stage 3 dinner
7:00 - 6oz bottle with cereal (drinks about 4 oz)
Then BED!!!
My little guy eats alot, weighs about 25 lbs. He would rather eat food than drink the bottle but the doctor said he needs formula for the nutrients. Sometimes I actually feed it with a spoon to him to get him to eat it.
I.M. answers from New York on April 08, 2008
My little guy is 7 months old today (yay!) and he's had reflux since he was 4 weeks old. It was horrible! I can so relate to what you're going through. This is what his daily menu looks like:
7:30 -- Morning Meds
8-ish -- 6 oz. bottle with no cereal in it. 2 tablespoons cereal in a bowl, thickened to a pasty consistency. Sometimes he eats it all, sometimes he doesn't.
12-ish -- 6 oz. bottle and jar of 2nd stage fruit baby food. Will always eat all the food, doesn't always drink all the milk.
3:30 or so -- 6 oz. bottle with no cereal in it. 2 tablespoons cereal in a bowl, thickened to a pasty consistency. Sometimes he eats it all, sometimes he doesn't.
5:30 or so -- 6 oz. bottle
8:00 -- 2nd stage veggie baby food.
9:30 -- 7 oz. bottle
Times vary of course based on his nap times. He doesn't always drink all of his milk because he is teething (ugh!). Because of the thickened cereal OUTSIDE of his cereal, which his Pediatrician said is key, he no longer needs his evening meds. Good luck!!!
A.C. answers from New York on April 08, 2008
Hi, A..
I'd be interested in any suggestions as I have a 4.5m old twin boy with bad reflux. We saw a gastro specialist yesterday and he recommended I feed him a 5oz bottle at 6am, 10am, 3pm, and 8pm with oatmeal (2T mixed with 1oz formula) in between those times...no more than 3x/day. He recommended the Beechnut oatmeal and Playtex drop-ins. We stopped giving him Zantac and also keep him either flat on his back or upright (in exersaucer) for at least 30-45 minutes after a feeding. And, no binky as he sucks in air while using it. So, he gets 20oz/day and the oatmeal. Oh, and if he hasn't pooped in 1-2 days I'm to give him 1/2 oz prune juice mixed with 1/2 oz water to get things going b/c it seems that constipation can accentuate the problem. Please email me (____@____.com) if you receive any helpful tips.
Thanks, A. (31 yr ol SAHM of amazing 4.5mo old twin boys)
C.F. answers from New York on April 08, 2008
Hey A.,
My daughter had acid reflux and she was a horrible eater. SHe always cried when eating her milk. And, it finally got better when she started solids. i stopped the zantac with her when she was 3 months old because everyone was scaring me about giving meds to a baby (mil, sil, etc....). well, i suffered with her.
NOW, My son, who is 6 months old has acid reflux. I have been giving him cereal since he was 3 weeks old. He is on zantac since he was 1 month old.
If I miss a dose or dont give him the zantac 1/2 hour before eating he throws up all day long. But, I can tell you that he is now doing so much better that he is eating jars. He wakes at 8 a.m. and I give him zantac and bottle 1/2 hr later then around 10 a.m. I give him a jar of fruit with cereal (mixed cereal with apples etc...), then he will want a bottle again around 12 (he will only take 6 oz, and most of the time he leaves 1 oz). So, here is his schedule:
830 a.m. - Milk with cereal in it
10 a.m. - Fruit jar
12 - Milk w/cereal
2:30-3 - zantac, then vegetable jar and fruit jar.
5:00 - 4 oz milk
6:30 - meat jar or now he is eating pastina in broth
9:30 - last bottle w cereal in it.
I feel like he is eating all day long, but it helps him. he is doing so much better, and i hope i can start reducing the zantac soon.
Dont be afraid to give her solids. I found that helps with the reflux. And, they should be getting more solids at this stage. I hope your little girl gets better and you have some peace of mind.
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