T.S. asks from Preston, MD on January 22, 2009
Bottle Feeding Nutrition
I have a 3 month old boy. I'm concerned because he still only eats about a four ounce bottle and totals about 20 ounces a day. He should be eating 28 ounces. Some days he doesn't eat hardly at all. For example yesterday he had a 5 ounce bottle at 8:30 and did not eat again until 3:00. He does spit up, some days a lot and some days hardly at all and is on Zantac for reflux. The formula he is on is Enfamil AR which is already thickened with rice starch. He does wake up once a night for a feeding. My Dr. does not seem to worried about it because he is gaining weight. I know all babies are different and eat differently but I could use some reassurance that this is normal.
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J.C. answers from Lynchburg on January 23, 2009
My daughter has always eaten less than she was supposed to. She always gained weight, but was also always in the lower weight ranges for that age, even being 3 lbs less than her cousin, who is 5 weeks younger, about 2 months ago. She's still developing fine, she just doesn't want to eat as much.
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J.W. answers from Norfolk on January 23, 2009
As long as he is gaining weight and is not dehydrated then don't worry, he should be fine. every baby is differnet
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L.D. answers from Washington DC on January 23, 2009
If your doctor is not worried than your baby is probably getting enough nutrition. Also the fact that there is rice starch in the formula is probably why he is not eating as much. It sustains him longer and actually in the long run he won't be chubby from having too much formula all of the time.
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M.F. answers from Norfolk on January 22, 2009
My child was like that as well and he also was on zantac for acid reflux. But as time went on he began to eat more. I had to change his formula to Enfamil Lipil with iron which was thickened a little bit more, but you feel uncomfortable than you should definitley give your pediatrician a call and voice your concerns.
MF
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J.C. answers from Washington DC on January 23, 2009
My son also had pretty bad reflux and was on Zantac and Reglan; he always took less milk than his twin brother, and I also was concerned about his weight the first several months (he started out at 4 lbs and his brother was 4 lbs 8 oz). Well, he grew just fine and is now the heavier twin by a pound at 16 months! Remember, the rice cereal in the formula adds calories, and if he seems satisfied after a feeding, he should be getting enough, especially if your MD is not concerned.
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J.B. answers from Washington DC on January 23, 2009
Hi T.! Boy i wish my daughter would slow down her eating! haha. My sister's son sounds just like yours - she breastfeeds him, and he probably only shows interest in eating every 5 or 6 hours, and for a 2 month old, that had me worried, but Riley is gaining weight well, hitting his developmental milestones, and the doctor isn't worried. I would not hesitate to express your concerns with the pediatrician, and explicitly state that you're thickening his formula, etc. Some babies (my nephew included) don't respond well to thickened formula- they may find it hard to digest, and if he's got reflux it may actually be hurting his throat when it comes back up. Try experimenting with different formulas- maybe he just doesn't like the taste? In any event, what I've always heard is that babies eat differently, and as long as they are thriving, it's normal for them. :) good luck!
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J.C. answers from Lynchburg on January 23, 2009
My daughter has always eaten less than she was supposed to. She always gained weight, but was also always in the lower weight ranges for that age, even being 3 lbs less than her cousin, who is 5 weeks younger, about 2 months ago. She's still developing fine, she just doesn't want to eat as much.
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A.S. answers from Washington DC on January 23, 2009
My little guy never ate more than 24 ounces a day of formula ever, even when he was a year old, and he had reflux as well. Since there is already rice in the formula it is adding a lot of calories to the formula which is filling him up faster, plus with our reflux babies their stomachs don't empty as fast as a normal babies stomach does so they are full longer. My guy ate 4 bottles a day at 5 ounces each most days, and occasionally one during the night and he is now 21 months old, outgrown reflux and in the 50th percentile for weight and height. Don't worry... he'll let you know if he's not getting enough, and if the doctors are happy, then he's doing just fine! Hang in there with the reflux... I remember that time all to well and it truly sucked! But he will outgrow it :)
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T.S. answers from Washington DC on January 23, 2009
I would definitely ask your doctor and mention that he went until 3 after his 8am feeding. That sounds like too long. Did you offer him the bottle inbetween and he refused? Or he just never cried for it? Babies do have growth spurts and then slow down, but again check with your doctor. Usually as long as they are gaining weight appropiately and thriving, they're fine.
I know my nephew never made it past 4 ounce bottles. He has always been a little guy, but now he's 8!
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