25 answers

Baby HATES This Rice Cereal for Reflux

Today my 13 week old son went to see a GI specialist for his awful reflux. He's been hospitalized for failure to thrive due to his reflux.Anyway, during his visit, he must have spit up 20 times. It was good for the doctor to see just how often this happens.

Doc told me that I need to start pumping breast milk (again) and feeding Wesley from a bottle. He also said that for each feeding, I need to mix one TABLESPOON to each ounce. Wesley drinks about 4 oz at each feeding, and he seemed to be okay with that. I thought that was an awful lot of calories, but since Wesley is under the curve for height and weight, he said that all those calories would be just fine for him.

When I got home from the store, I mixed up 4 tablespoons with 4 oz of some breast milk I had pumped last night. The mixture was as thick as paste. I was directed to feed it to him in a bottle, and I actually had to buy new nipples that had a big enough hole at the top so that the cereal mixture could flow through. This is supposed to help him keep his meals down, and keep him from refluxing.

When I fed Wesley the bottle, it seemed as if he was struggling. I checked, and none of the cereal mixtur, and even had an episode where he stopped breathing and his heart stopped. Thank God someone administered CPR which saved his life.e was flowing through the nipple, so I cut a hole at the top. It took him a good 1/2 hour to drink those 4 oz. Once he finished, he projectile vomited all over, three times in a row.

What the heck am I supposed to do now? Not only do I have to forgo breastfeeding (again), but I have to pump for each feeding, and watch him choke down this pasty mixture that takes forever for him to swallow! I wasn't informed whether or not I should decrease the oz he takes in, but I'm afraid that it might have been too much for him to handle.

I called the pediatrician, and had the nurse check to see if the doctor actually meant teaspoon instead of tablespoon. She called back, and said that the doctor DOES want him to take a tablespoon per oz of ebm, just as was written on the order. The doctor also said that if a tablespoon is too much, I can decrease it to 2 teaspoons per ounce of ebm.

I tried feeding him a bottle of 2 ounces mixed with one tablespoon of rice cereal. He cried, protested, pushed me away, and even went as far as putting his bib in front of his face with his little hands. I know he's hungry, because he eagerly breast feeds. Now, he's laying on his Boppy, moaning, and sucking his little fist. What am I going to do?
Do any moms have any advice for me?

What can I do next?

So What Happened?™

Upon the suggestion of you guys, and a ton of my friends/family, and even my son's at-home nurse, I took Wes to a chiropractor.

Wes is on prevacid, I should have mentioned that earlier.

After speaking with the nurses, and them in turn telling the doctors how he reacted to the cereal mixture, the doctor has decided it's best to let him start breast feeding again. Two BF sessions, he's still throwing up, but not nearly as badly as with the cereal mix. AND, it's a happy spit-up, instead of a painful, agonizing one.

He upped the dosage of the prevacid. I'm supposed to call in a week.

-------------------------------------
***UPDATE***

I'd like to clarify that the doctor's advice didn't almost kill my son. The incident that happened was while breastfeeding, three weeks before my son saw the GI specialist. When I said that he was choking down the mixture, I didn't mean that it literally choked him.

Featured Answers

Could there possibly be a miscommunication and the doctor actually meant to add tablespoons of formula to the breast milk (and not rice cereal)? That would still give the extra nutrition without making it so thick. There are also formulas that are helpful for people who might have allergies.

FYI--My neice had reflux when she was breastfed. When she was switched to a formula (I think it was lactose-free), she did extremely well.

Good luck to you--and maybe verify with the doctor what to add.

Have you tried not eating dairy for a couple of weeks? My son had a horrible dairy allergy that was causing his reflux, and when I stopped eating it, his reflux was gone (it took about 3 weeks).

At any rate, I would get a second opinion. It doesn't sound right!

More Answers

I second the suggestion to go see a chiropractor. I brought my son to the chiropractor when he was a little baby for acid reflux and it helped worlds! As long as you go to one that deals with children they can really do a lot for them. I also recommend that you use a powder childrens probiotic. You can get it at any natural food store. It will help increase the good intestional flora in the baby.
Good Luck

1 mom found this helpful

I am sorry you are going through this. I would talk to the doc more and demand better solutions. What is the reason for doing the bm in a bottle instead of at the breast? I would bfed him instead of the bottle, that would at least comfort him and, as you said, he nurses well. I would stop the cereal in the bottle, that is not safe. If your doc can't help you, see another doc, seriously. I feel for you and your little boy. I am sorry.
S.
mom of 3 and daycare provider

My instinct says the doctor is wrong and you should breast feed his little face chubby. I am wondering there may be an issue with his digestive track that is being over looked.
I think the more your nurse him at your breast the better chance your body has of making the special formulated milk he needs.

But please follow your instinct for your child. I have never delt with gerds.

I have been fortunate not to have had a child with reflux, but have had quite a few friends that have experienced similar issues. The were treated with meds and also had their heads elevated in bed by propping up the mattress on one side.

I am not a doctor, but a mother of four and have always heard not to feed cereal through a bottle because of choking issues. If I were in you shoes, I think I would seek a second opinion.

Also, is the bottle feeding being suggested to measure intake or for some other reason? It doesn't seem to be preventing the vomiting. Just one other thought, I had a child that could not tolerate rice, oatmeal cereal worked much better for her.

I wish you luck this is a very difficult situation. I hope you and your son will both be better soon!

G.

I am so sorry that you and WEsley are going through this!!!I thought my little girl had it, but thank God that it wasn't near as bad... I highly suggest finding an infant chiropractor immediately! And another opinion from a 2nd ped. Now, granted, I don't have a medical degree but (doctors hate this!!!!) it sounds like 2 problems. More often than not, a newborn boys top stomach valve isn't fully developed, and so doens't close all the way, allowing milk to come up more easily. My understanding is that a high percentage of boys have this, and can be misconstrued as GERD, reflux, etc... This valve will strengthen with time. 2nd: Have his pyloric valve (spelling?) checked, this can be done by ultrasound I believe. It's the lower valve of the stomach and it sounds by your description that it may not be opening, which would then not allow food/ milk to pass, so you just putting milk/ cement on top of milk already there.

It's amazing me that your ped would suggest to give him basically cement without checking with the technology available to him. Back to taking him to a chiro. they can teach you how to massage both valves (externally) to assist in the opening and closing.

You are Wesley's only advocate, speak up and don't be quiet in thinking you will anger the ped if you say anything that contradictes him. Good luck and I'll pray for Wesley's quick recovery!

has he actually had a swallow study to see what's really happening? I saw a "medical mystery" show where the FINAL diagnosis was that the child's stomach was actually herniated through up into the chest cavity. VERY RARE, but.....in that case, the child had surgery and has had NO issues since. Sorry I don't remember all the details. I guess my point is, have they done other diagnostics to come up with reflux, or are they going with that simply based on frequency of vomitting/spitting up. Good Luck!

If your child is CHOKING on the rice cereal, then this is not the solution. you should not have to worry about your child breathing on top of everything else you are worrying about. Thirteen weeks is WAY too young for cereal and everything I've heard is that cereal in a bottle is very dangerous for a tiny baby -- as you have seen yourself.
I'd get a second opinion. And maybe a third. You need someone who will work with you and support your breastfeeding relationship with your baby. Actually, I'd talk to a lactation consultant and see if they have any suggestions for a breastfeeding-friendly doctor.
Also, though it'll suck, I'd try cutting out dairy. That seems to cause a lot of issues for some babies.
Good luck! Don't be afraid to stand up for your son, he deserves it and he can't talk yet.

Is he on any type of medication for his reflux?

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