New Born Spitting Up Formula

Snake

We've tried him on a few different ones (SMA Gold, Cow and Gate & Aptimil) he keeps aptimil down well, but still spits up, could it be reflux or are we doing something wrong? We give him 3 ounces a feed every 3 hours, and we keep him upright till he's fully winded etc. Oh he's 5 days old as well.

Suucee

I dont know much about reflux as neither had it but my 2nd (lil boy) was awfully spewy/mucasy for the first week or 2. i thought we were in for reflux.
We raised the moses basket a bit and just winded him alot. he could spewy loads. nearly like projectile vomit it. we went through loads of changes for him and me and the moses basket and the bed. (thankfully have leather furniture) . I did calm down though fairly quickly and he's fine now at 4.5 months.

Moonbeam

All babies spit up,it is only a worry if it is alot.
Talk to the PHN if you think it is more then he should and changing formulas too often is not good so seek medical advice please.

pwurple

Moonbeam is right, all babies spit up a bit, it's also called possetting.

Reflux tends to be a longish while after they have fed, and the milk is partly digested/curdled.

icescreamqueen

If I were you , if he is only 5 days old, I wouldn't be changing formula so much. They're all so different and this will upset his tummy more. If he keeps the Aptamil down more, keep him on this. Sorry this is just speaking from experience as my daughter's tummy was very upset when I changed formula.

January

Stop changing formula so much the poor things tummy will be in bits.

Small amounts of posseting is normal.

Snake

January wrote: »

Stop changing formula so much the poor things tummy will be in bits.

Small amounts of posseting is normal.

I haven't been changing it. We tried him with those bottles in hospital. And it's not a small amount, just a while ago (2 hours after his last feed) he was spitting up his food. And that's been going on for days. I'm quite aware not to change his formula, but we didn't have a choice when he was just born, we needed to know what he liked. And Aptimil was the one he kept down. I know spitting up a bit is normal but he can do it an hour or two after feeding as well.

Chattastrophe!

C&G and SMA are both a heavier consistency than Aptimel, so more suitable for pukey/spitty babies. (They're also much cheaper than Aptimel. ) The main advantage of Aptimel is that it's closest in consistency to breastmilk, so good for combined feeding. If you're not going for combined feeding, I'd pick either C&G or SMA, and stick to it for at least a month - then you might see a pattern, and maybe consider changing - you can't go chopping and changing based on what you observe over just a few days! Not good for their little tummies.

If you want to change something, maybe try different bottles - what ones are you using now?

Some babies are just pukier than others. Ours is seven months old and has always been very pukey (not as bad now that he's on solids.) It's a pain in the arse for us, but it never bothered him, and he's always been putting on weight fine, so we were advised against changing formula etc. Stock up on bibs and muslims (Guineys are good value), keep him in babygros most of the time (easier to change), and always have a change of clothes (or two), and a spare Tshirt for whichever parent has him, in the nappy bag.

cyning

I know it's really easy to say don't worry but honestly dont. At 5 days it's next to impossible to say if he has reflux. Even if he has, unless he starts getting very upset and not gaining weight it's considered a laundry problem! He's so small still. Maybe give your phn a call today? That's what they are there for, and she might help reassure you. I'd stick with the aptamil, don't worry about consistency etc for now. Especially if he's happier on it than the others. Also Guineys sell cloth nappies that make fantastic burping cloths

ariana`

5 days is very early to diagnose reflux. Keep your PHN in the loop, get him weighed regularly to make sure he's gaining. To be honest even if it is reflux there's not much the doctor/phn will do unless baby is diagnosed as FTT (failure to thrive). My 2nd had reflux but he was thriving (gaining weight) so the doctor and phn just said to carry on as we were (breastfeeding). It was very upsetting at times seeing him in so much discomfort and of course there was the constant washing of his clothes, my clothes, bedsheets, carpets/furniture (as he started crawling) but he was thriving in spite of it and he eventually grew out of it, from about 8mths gradually and by 15mth it was gone completely.

Snake

Had to bring him to the K Doc because he projectile vomited. He has a spout of reflux and needs to be on comfort formula.

cyning

GrayFox208 wrote: »

Had to bring him to the K Doc because he projectile vomited. He has a spout of reflux and needs to be on comfort formula.

That's not nice: make sure you check back with your own GP if that projectile vomiting happens again. Practically speaking: tilt his mattress so he's not lying flat. Keep him upright for a minimum of half an hour after all feeds. A proper sling is a godsend... My little one couldn't lie flat in the buggy. Also tummy time is even more important for refluxy babies if they can tolerate it.

Snake

cyning wrote: »

That's not nice: make sure you check back with your own GP if that projectile vomiting happens again. Practically speaking: tilt his mattress so he's not lying flat. Keep him upright for a minimum of half an hour after all feeds. A proper sling is a godsend... My little one couldn't lie flat in the buggy. Also tummy time is even more important for refluxy babies if they can tolerate it.

I know that yeah. They said themselves. Luckily he's been much better since getting the comfort formula.

cyning

GrayFox208 wrote: »

I know that yeah. They said themselves. Luckily he's been much better since getting the comfort formula.

Hopefully it works my 5 month old has to take losec for her reflux, and it's hard out on them. Hope he's much better after the day on it. I know some people swear by the Dr Brown bottles for refluxy babas too, may be worth trying too.

Snake

cyning wrote: »

Hopefully it works my 5 month old has to take losec for her reflux, and it's hard out on them. Hope he's much better after the day on it. I know some people swear by the Dr Brown bottles for refluxy babas too, may be worth trying too.

Losec? You should try the generic brand. Much cheaper. Losec are great but terribly expensive! Dr. Brown bottles are supposed to be great but extremely expensive! Luckily our tommee tippee bottles came with anti colic teats

Chattastrophe!

GrayFox208 wrote: »

Losec? You should try the generic brand. Much cheaper. Losec are great but terribly expensive! Dr. Brown bottles are supposed to be great but extremely expensive!

I hear they're a complete pain in the ass to wash, too! But apparently they work very well.

Suucee

Oh there a major pain to wash and try fitting them in a steriliser but so worth it. No 1 was colicky and about 4-5 weeks old before we discoverrd these. Bought 2 initially and then bought the rest. Thankfully no 2 is grand so avent work fine for us. The Dr Browne brush is now so handy for cleaning around the blades of the blender after making a batch a fruit puree.

Ps glad you lil guy is doing better.

cyning

GrayFox208 wrote: »

Losec? You should try the generic brand. Much cheaper. Losec are great but terribly expensive! Dr. Brown bottles are supposed to be great but extremely expensive! Luckily our tommee tippee bottles came with anti colic teats

I didn't realise there was a generic brand of Losec... Wonder do they dissolve better! All the bottles are anti colic in some ways afaik, but I know a lot of people swear by the dr browns... You hopefully won't need to the new formula will do the trick!

PLL

Buy Infacol from the pharmacy, amazing stuff. If we didn't give it to our daughter before her bottle the whole bottle would come up.

Snake

PLL wrote: »

Buy Infacol from the pharmacy, amazing stuff. If we didn't give it to our daughter before her bottle the whole bottle would come up.

We have it. A drop in his mouth and a drop in his bottle he's much better with it!

Sligo1

cyning wrote: »

I didn't realise there was a generic brand of Losec... Wonder do they dissolve better! All the bottles are anti colic in some ways afaik, but I know a lot of people swear by the dr browns... You hopefully won't need to the new formula will do the trick!

Cyning, losec is OMEPRAZOLE which comes in a few different brand names. Some are cheaper but as the generic is the same they do the same thing...

Ocean Blue

Sligo1 wrote: »

Cyning, losec is OMEPRAZOLE which comes in a few different brand names. Some are cheaper but as the generic is the same they do the same thing...

But not all are suitable for use in babies as they don't break down as required e.g. Some are capsules rather than tablets. Chat to your pharmacist about your options!

cyning

I'm actually back with paediatrician tomorrow I'll ask about capsules that would be so much easier. She's on losec Mups does that make a difference do you know? I dissolve a half a tablet in 5mls of water (has to dissolve in syringe or else you lose some of the precious beads!) and give 2.5mls morn and evening! Pain in the neck. The liquid losec is extremely expensive and not as good apparently.

Sligo1

Ocean Blue wrote: »

But not all are suitable for use in babies as they don't break down as required e.g. Some are capsules rather than tablets. Chat to your pharmacist about your options!

Very true. And they will obviously come in different doses. So for paeds I would hazard a guess and say there's probably only 1 or 2 variations suitable. But ud need to talk with your gp or pharmacist about this.

As far as I'm aware cyning the Losec Mups are pretty specialised. And prob the most expensive (I think i remember this from work a few years ago)... They're prob the best for what your using them for. They are a total pain but "I think" are meant to be very good. Chat to your paediatrian.

Drdoc

Sligo1 wrote: »

Very true. And they will obviously come in different doses. So for paeds I would hazard a guess and say there's probably only 1 or 2 variations suitable. But ud need to talk with your gp or pharmacist about this.

As far as I'm aware cyning the Losec Mups are pretty specialised. And prob the most expensive (I think i remember this from work a few years ago)... They're prob the best for what your using them for. They are a total pain but "I think" are meant to be very good. Chat to your paediatrian.

The MUPS in losec MUPS stands for multi unit pellet system if I remember correctly and is the only form of omeprazole that can be dissolved in water. All the other generics etc only come in non dissolvable tablet form which is why you'll always get losec MUPS prescribed for baby rather than omeprazole.

cyning

Drdoc wrote: »

The MUPS in losec MUPS stands for multi unit pellet system if I remember correctly and is the only form of omeprazole that can be dissolved in water. All the other generics etc only come in non dissolvable tablet form which is why you'll always get losec MUPS prescribed for baby rather than omeprazole.

I think they are the beads I am talking about! Because if you dissolve the tablet outside the syringe, you can't pull all the beads up into it, so they don't get the full dosage! I'll ask tomorrow anyway, but I think what your saying is probably right

Drdoc

cyning wrote: »

I think they are the beads I am talking about! Because if you dissolve the tablet outside the syringe, you can't pull all the beads up into it, so they don't get the full dosage! I'll ask tomorrow anyway, but I think what your saying is probably right

Oh yeah they're the beads alright. My little fella was on it too, they're such a pain in the a$$!