M.M. asks from East Brookfield, MA on May 21, 2009
Cereal in Formula
My son is now a little over 3 months. He spits up a ton and it is often very chunky. The Dr says he has acid reflux. We have tried zantac and prevacid. We also have tried many different formulas and are now using Enfamil AR. He is better - no more kicking and screaming after eating - but like I said still spits up a ton. Some people have recommended putting cereal in his bottle. Has anyone tried this? Positive experience or negative? How much did you put in per ounce of water? Any special way to make the bottle when adding the cereal? I would appreciate any advice or feedback that any of you moms have. Thank you!
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J.M. answers from Bangor on May 23, 2009
I had to do this with my daughter starting at 1 month of age and it worked very well. We put 1 teaspoon of cereal to 1 oz. of formula. We found it works best with the rice cereal, it comes out of the nipple easier. You will need to get the nipple that are for juice since they have the wider opening. We have never had to put her on medication of acid reflux because the cereal took care of the problem. Good luck!
K.R. answers from Boston on May 22, 2009
I didn't do the cereal in the bottle for mine... he was on similac lactose free formula (not soy) and he was on reglan for awhile. it helps speed the digestion and so it doesn't sit in the belly... he out grew it in 4 or 5 months and he was fine.... I did sleep with him sitting upright on me for awhile and even put the carseat in the crib for a bit before I found the medicine...
G.F. answers from Boston on May 22, 2009
My youngest daughter had acid reflux as an infant as well... we did the zantac also... my doctor told me to add the cereal to her milk... i think we did a tablespoon or two to an 6-8 oz. bottle... it worked great!
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E.B. answers from Boston on May 26, 2009
You don't say what kind of cereal you are trying. Many people can be gluten sensitive and will have a reflux reaction and gas pains from any cereal made of wheat, oat or rye. Try a rice based cereal which may be easier to digest for your baby. Be careful about adding much in the way of solid food before your baby's teeth begin to erupt. The digestive tract is not fully mature before teething and complex foods given before then can lead to a lifetime of food allergies and sensitivities.
Dr. E.
J.R. answers from Boston on May 22, 2009
I have a 4 month old daughter who also has acid reflux pretty bad. I started putting cereal in her bottle at about 3 months and it really helped. Her ped had told me that once she started on cereal it would help and putting it in her bottle did. I put about a teaspoon in a 5 oz bottle. Something else I was doing without realizing was overfeeding her. Cutting back to 5 oz did the trick. I was also giving her her meds in her bottle instead of either 30 min before or 2 hours after. The combination of all those things has done the trick. I had her on Similac Alimintum b/c nothing else worked. Its crazy expensive but it eased her pain trimendously! Good luck with everything. I know how frustrating it is! Oh...and I also did this with my now 3 year old and I didn't have any problems.
B.M. answers from Boston on May 22, 2009
maybe your son is allergic to milk..i would consider nutramigen or an alimentum formula instead of feeding a 3 mo old cereal. introducing foods too early can cause other problems for your baby. Also, why medicate your child instead of getting to the root of the problem.
good luck.
L.L. answers from Portland on May 23, 2009
I can hardly believe how many infants are diagnosed with acid reflux.
I dont believe it.
Babies puke. All the time. Its what they do .
Puke and poop.
Granted some foods can set them off and are to be avoided...but at three months?
Good grief.
Ok. He pukes. You have him on adult meds for it..I totally disagree with medicating these babies and small children which seems so common to do these days.
You are not breast feeding...but you could...call the LaLeche league and they would help you relactate.
That would probably eliminate the problem all together.
Barring that, you simply need to find something that does not upset him.
If worse comes to worse you could give him lowfat dried milk with a bit of pasturized honey in it.
I have put rice cereal, and oatmeal, in a bottle, very thin..maybe an ounce of cereal, cut the nipple hole bigger so they could get it out of the bottle.
As they got older I thickened it up some...much easier than stuffing one spoonful of cereal into baby multiple times.
Actually I did not have enough time ( with seven children) to sit there and shovel cereal in so mixed it in the bottle.
Cant ever remember using water with it tho. Just milk , cereal, teensy bit of sugar or honey.
Best wishes and God bless
Grandmother Lowell
M.B. answers from New London on May 22, 2009
I think you should talk this over with your pediatrician before you start to add cereal. If your doctor ok's it then he/she will tell you how much to add. Usually they don't want you to add cereal to their diet until they are older. Your doctor might want to see if this helps. I would call them and talk to them about it, or make an appointment. Hope this helps......
K.R. answers from Boston on May 22, 2009
I didn't do the cereal in the bottle for mine... he was on similac lactose free formula (not soy) and he was on reglan for awhile. it helps speed the digestion and so it doesn't sit in the belly... he out grew it in 4 or 5 months and he was fine.... I did sleep with him sitting upright on me for awhile and even put the carseat in the crib for a bit before I found the medicine...
J.M. answers from Boston on May 21, 2009
Skip the cereal in the formula and invest in lots of extra burp cloths. All babies have acid reflux because the sphinter muscle between their stomach and their esophogus doesn't have any muscle tone and so the stomach acid comes back up. It just bothers some babies more than others.
The fact that his spit up is chunky just means that it's been in his stomach before he gets it back up (so it curdled a little). If it's not bothering him to spit up and it's just coming up with the burps, he's a "happy spitter" and it's totally fine and normal. Both of my kids were huge spitters until about six months (and my daughter is now 47 lbs at 4 years and my son 32 lbs at 19 months, so clearly they've gained weight just fine!)
Also, he's probably not actually spitting up that much, it just looks like a lot. Someone suggested to me to fill 3 tablespoons with milk and dump them on the table. Looks like a ton of milk, but its really just a small portion of whatever he's eating per bottle. As long as he's gaining weight he's fine.
Good luck! This will hopefully pass soon.
K.S. answers from Boston on May 22, 2009
Hi M.,
My daughter (now 20 months) had horrible acid reflux, as well. The Zantac helped with the pain for her (tempering the "burning" sensation that comes with the reflux, and hence, as you said, no more kicking and screaming after eating). But nothing helped with the spitting up. Our doctor told us nothing would except the maturation of her esophogeal sphincter, which would happen around 10 months to a year. Some kids have no problem with this, but for others is doesn't close entirely, hence the reflux and constanting spitting up. Anyway, the doctor was right in our case. She didn't really stop spitting multiple times a day until almost a year old. At least she wasn't in pain anymore thanks to the Zantac (the dosage did have to go up as she grew, and she was on it until 10 months of age). So I resigned myself to carry multiple (like no less than 6!) bibs and burp cloths all the time, and they would all be covered in spit up by the time we returned from any outting. I also kept a change of clothes for me in the car (needed more often than I care to recall). It was never a matter of if she would spit up, just when. Anyway, it did all end eventually, and once she hit a year old, it has stopped completely.
Good luck!
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