My baby Darragh is 10 weeks this week and last Thursday he started Neocate food on the advice of a Paediatrician. He has Silent reflux. Never brought up his bottles before but had terrible pain from the acid. He was prescrbed Zantac which he has been on for 4 weeks and his screaming episodes stopped although he was still very uncomfortable after his feed I put him on a comfort food which seemed to settle him a bit more but he was no way settled as much as he should have been. I was soexcited to start the neocate and see a difference. He started this last Thursday and the first few bottles he took he brought them back up immediately. I thought he may need Gaviscon as the other food he had been on was much thicke, he had also been using a thicker feed for the comfort food so I switched back to a newborn teat also. Gave him the Gaviscon and he has since been keeping them down. Just today he has has a dirty nappy after every bottle, 5 dirty nappies today and is very uncomfortable after his feeds still.
Basically I am wondering is this normal at the beginning until he gets used to it or should I be switching his food right away.I know that he has more wind aswell but heard this is normal at the beginning so hopefully this will go as he is crying with wind also. How long should this last?
Also, The guideline on the tin for feeding is very different and much lower than other guidelines on regular baby food, Im wondering is there a reason for this?? Darragh started on taking only 3 ounces sometimes only 2 and falling asleep and now its gone to the point where I dont know if he is hungry stiill and am afraid to give more incase it drives his reflux mad.
Also just to note, it seems to be hard to get advice from GPs, pharmacists etc on this food specifically. One nurse told me it is a very thick food and use the bigger teat when I did this he could not keep the bottles down. People seem to be guessing! I know you may not be able to advise me on all of this but any advice I could get would be much appreciated.
Hi Joy - welcome to LR. You are posting in the right place. Neocate is thin in texture so you may need to continue thickening it with either Gaviscon or Carobel. It also takes some time for the digestive system to adjust as it's broken down into very small molecules. It seems to cause increased wind, green poos and some discomfort initially for a lot of babies. This should settle down if you persevere with it.
Can't comment on the feeding guidelines but hopefully Nutricia will help you with this.
There's a great book on reflux I recommend to all newbies called Colic Solved. One of the most useful tips I took away from it was the need to be patient when you make changes. The analogy used was steering an ocean liner, you change direction on the bridge but it takes a while for the ship to swing around. If your little one is CMPI then there will be some damage to the gut from exposure over the last few months and it will take time to settle down. You need to be thinking in terms of weeks to see the improvements from the changes you've made. I know it's hard when your LO is in pain and you just want everything better quickly.
Hang in there. Jen xx
Thanks you somuch for your replies. I wasatmy wits end tryna get answers from the GP, pharmacy and couldnot get through to the paediatrician since last Thursday.Both replies have helped so much.
Veronica,hopeit works for your 8 month old.
Jenny,you seem toknow your stuff :) thats the most info I got regarding CMPI and any damage done to the gut, i did not know this and even this alone has given me some relief that maybe this needs time to clear up etc..
Today is the first day since Darragh was born, he has slept all day and is smiling since he woke this morning. I hopethis is a turn around!!!! This site has been great for me,thank you both again for responses. X
Welcome Joy! My little boy also had diahrroea for the first 4/5 days on neocate and increased wind and very smelly poos. He did settle down so do stick with it. Not sure why the feeding guidelines are different, but actually I always found that Harry didn't take the amounts recommended on the regular formulas. I think the recommendations are more to do with ensuring baby gets sufficient nutrients for their age rather than being linked to appetite? But then every baby is different, so I wouldn't worry too much unless milk intake drops drastically. I try to look at milk intake over a week rather than 1 day as they do vary sometimes with days where they are less hungry than others. He might pick up again once his gut settles down.
Thank you all so much for your replies, I have taken and learned something from all of them and hope you all and your LOs are well. XXX
Darragh was sent back to the hosp to be admitted bythe GP on the Neocate the other day, he went back to when he was 2 weeks old arching the back fussing and wriggling when feeding and actually bringing up the bottles with or without gaviscon it was all a mess( He never brought up bottles before, he has silentreflux). He seemed to be really hungry and it got to the point where i did not know if he was hungry or in pain anymore, the grunting and groaning all came back.
I saw 2 paediatricians in the hosp on the same day. ! told me to keep him on the Neocate and up the Zantac, i explained the zantac had already been increased by the GP aswell. He then told me go back to C & G Comfort, I got really annoyed at this point saying you took him off it saying he should be much more settled then he is on it so why are you telling me go back on it????
He told me not to go on Enfamil AR as he didnt like Darragh being put on a new food again, The 2nd Paed came in and told me not to put him back on the comfort but try him on EnfamilAR. Im so confused and angry over the whole thing in themeantime a little baby as you all well prob went through! Is in pain and is literally going days without sleep! I feel like I could faint any minute with tiredness. When does this ever get better! Am i doing something small wrong? Things seem to be going backwards. Darragh is now on the Enfamil AR. He stopped wriggling and grunting when taking his feed on it which is great hes much more relaxed but just tonight again he had an hour of screaming and criedso much he lost his breath. He then took his next feed and it was gone it about 5 minutes I noticed the nipple was ripped and the food was flowing quicker! He has now conked out and is fast asleep for the last hour! Im really sorry for the long post guys but every time i think it willget better it gets worse. Do any of you know what teats to use for a thicker food? He seems to take it now prob with the level 2 flow teat dr brownes but i just noticed with this teat he conked after it. Im so annoyed the hosp told me im over feeding him, i never feed him outside of the 4/5 ounces every 4 hours. Docs say its too much the Healthnurse said he can take up to 30 but whatever i give him he still cries the minute i take the bottle out of his mouth! Im soooo confused .
personally, I would go back to the neocate but thicken it with carobel, not gaviscon. You will need a fast flow teat for it though. The good thing is you can make it as thick as you like. I don't think Gaviscon thickens that much.
Does your LO take a dummy? If so, try putting the dummy in straight after his feed. When my LO was that age, he wanted to still suck because I think it soothed him but didn't necessarily need the milk. Just a thought if you did want to try feeding less but more often. If he doesn't want the dummy and is still distressed he prob is still hungry.