Feeding – Ideas from Parents

IN GENERAL…

  • Ideally, reflux babies should have smaller, frequent feeds. Try to keep baby in an inclined position whilst feeding and for half to one hour after.

  • If breastfeeding try feeding in the twins’ position or sit the older child up on your lap or by straddling his/her legs around your hips.

  • If bottle feeding, try as above or try sitting infant in a highchair, pram or baby chair.

  • It may be helpful to thicken feeds. Have you tried Karicare Food Thickener? Or if you are bottle-feeding, using rice cereal or a pre thickened formula (Karicare Aptamil AR or S-26 AR) may also be appropriate.  Please see: Thickening Agents.
    Depending on the age of the baby, a spoonful of solids after a milk feed may also help to keep the feed down.

  • Juice drinks and some fruits can aggravate the problems associated with reflux.

  • Some children do best when they feed themselves with finger foods.

FOR DIFFICULT FEEDERS, HAVE YOU TRIED…

  • Feeding whilst rocking, humming, ‘sshing’, singing, standing and rocking gently, any monotonous rhythmical pattern?

  • Having a dummy in, taking it out and quickly replacing with breast, teat, or spoonful of solids?

  • Feeding when baby is half asleep e.g. immediately on waking, or rock baby to sleep before feeding?

  • Using distractions whilst feeding e.g. threaded beads, mobiles, animal sounds, television?

  • Feeding in a quiet room or with soft music? Even talking may disturb this baby.

  • Feeding during the night when infant is asleep (avoid turning on lights, changing or disturbing the infant unduly)?

  • Some babies only like one flavour a meal; others feed better if you change flavour several times.

  • Do not worry if your infant will only take a limited variety of foods. This will improve as the reflux improves.

  • Some infants improve with the early introduction of solids. Others do not cope well with solids, and need these introduced carefully and slowly.

  • If baby is distressed and continues to fight feeds, return to your doctor.

COMFORT FEEDERS…

  • These babies want to suck all day. Many mums have found that trying to get a comfort feeder into a routine improves the situation.

  • Feeding too often e.g. hourly, does not give sufficient time for the stomach to empty, thus increasing the incidence of reflux.

  • Perhaps try gradually to increase the time between feeds. Check weight gain regularly.

© Gastric Reflux Association for the Support of Parents/babies (GRASP) and Crying Over Spilt Milk Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust (GRSNNZ) 2004 – 2013. Used, edited and added to by GRSNNZ (and parents) with permission.  Last updated August 2014.

Page may be printed or reproduced for personal use of families, as long as copyright and Crying Over Spilt Milk‘s URL are included. It may not be copied to other websites or publications without permission and acknowledgement. This information (unedited) was also provided (by GRASP) to health professionals in New Zealand to use ” to continue to support and inform families with babies/children with Gastro-oesophageal Reflux.”

  • Hi everyone, It has been pointed out that new posts to the page by non-admin don't show up in your newsfeed. I don't want to repost them, but if you want to pop on over and share your experiences there are a few new posts from October.

  • Please do not advertise on our page. This is for sharing our experiences about Infant Reflux/GOR/GORD. If you would like us to link to your organisation or your page, please message the page. The GRSNNZ Committee will make the decision once you have provided us with information on the Governance of the Organisation, Source of your Information or your relevant NZ Health or Nutrition Qualification etc. Grumble over...

  • https://www.healthed.govt.nz/system/files/resource-files/HE2309.pdf Cool pictures, lovely mothers. Not saying that women who choose to bottle feed aren't wonderful mothers too, but this is neat promotion.

  • Hi there. Posting from the UK. Wanted to share our story to gain some more insight. We've had a really tough time. My first baby is 8 + weeks now and we've had no end of issues. She was tongue tied..snipped...but latch still a problem. She is mostly breastfed but using nipple shields. Occasional top up when i can't tolerate feeding her. She feeds or wants to feed constantly. Thought it was hunger but no different after a bottle of formula. Anyway...a friend mentioned she could have silent reflux...symptoms are constant feeding hand sucking...back arching fussing through feeds like she wants it but doesn't too. Struggles to sleep although sooo tired. Falls asleep on boob but wakes immediately after. Hiccups a lot. Sneezes a lot. Crys after feeds...weight has been slow to gain tho. Prescribed infant gaviscon...any experiences of this and is it likely to make her constipated if mostly breastfed?! Worried it feels like trial and error at her expense. She's so unsettled and we are really struggling....opinions welcome :)

  • The Cards are now available in an app for Android and Apple devices: http://allright.org.nz/our-projects/tiny-adventures/

    Our Pack of Tiny Adventures was developed to help parents to enjoy quick, fun and affordable activities with their children. It was developed in partnership with SKIP (Strategies with Kids Information for Parents) gives parents easy ways to connect with their kids - even if they only have a few min…

  • My 12 week old baby has reflux, currently on 5mg of losec in the morning novelac reflux formula, she also suffers with painful wind, lately she has been choking on her vomit, not sure if I should change to novo lac colic formula instead, we have tried soy and goats to which she spewed up a lot more than the ar formula, please help with suggestions , it is hugely stressful for our family

  • Cn u get formula made for babies with reflux on script?

  • I'm getting the September Newsletter ready. Is there anything anyone wants to contribute? Please let me know: https://www.facebook.com/roslyn.ballantyne.rn

  • Hi there are there any formulas that you can get on prescription or financial assistance? Pretty sure my 8 week old isn't coping with his formula that he's on. He has reflux and on ranitidine but now he has green mucousy poo so im thinking he might need some different formula? But I see specialist formulas are expensive!!

  • Hi, my 5 month old has started solids and we have been ok'd to feed these before milk as otherwise he spills most of it. He takes losec granules, which was have been giving with pear 30mins before a milk feed. Can we now just give these with his solids with milk following half an hour+ later? Or not due to the higher volume of food in his stomach so it wouldn't be digested by the time he has his milk. Thanks

  • Hi. We've used the karicare thickener in our boys bottles on top of losec and neocate to control his reflux. Now he's 4 months old I was looking at using watties rice cereal to thicken his bottles before moving to solids at 6 months. Looking to find anyone who thickens with rice cereal. Advice? Thank you

  • Argh! I don't know if I'm doing the right thing for my wee girl. We discovered her reflux early 8 days old and has been on goats milk formula for 3 months. Did it help? Hard to say but she was happy enough. We were reffered to the hosp dietician by our plunket nurse and on Thursday started neocate. Its made things worse and she seems in pain.. her poops are slimy green. We gave her a few gaviscon feeds with it to help her tum cos she seems to have a sore tummy a lot. So its Sunday, we've been on it three days but I am continually second guessing myself. Should we have seen a change in her by now. Is it normal to take a few days for the tummy to get used to it? I hate putting her through all this esp if it doesn't end up working... sometimes I just want to throw it in and put her back on goats milk... would love some advice from others on neocate or just any advice/encouragement please and thank you :)

  • Hi mums I have recently taken my daughter off losec on advise from a paed to see how she went. We didn't notice the symptoms coming back and also started solids around same time with it going great. She's had a cough and cold but is over it except this nagging cough which is day and night until she eventually throws up. My question is could the cough actually be the reflux and should I start losec again.

  • A Good News Story ... http://www.cryingoverspiltmilk.co.nz/his-gastric-reflux-stopped/

    Hi Roslyn, Thanks for the updates over the past several months. I am leaving the group as my little boy no longer suffers from gastric reflux and is also no longer dairy intolerant! FYI he was on Neocate from 3 months old and had a combination of formula and my milk until he was 7.5 months. ...