|Cornflour||Maize or wheat starch. Use maize cornflour for infants under one year of age.||Must be cooked.||One level teaspoon per 100 ml of water. Boil then simmer for two minutes. Cool and prepare formula using thickened water.||Not suitable.||? absorbed||Not recommended for preterm infants.|
|Karicare Food Thickener||Pregelatinised maize starch, maltodextrin, locust bean gum.||-Thickens instantly.-Can be added directly to feeds.||Add to formula feed (1 – 3 teaspoons per 100 ml).||Prepare gel and feed before, during or after feeds (1 – 2 teaspoons per 20 – 30 ml breast milk or water).||3.6||Provides additional calories for babies with poor weight gain.|
|Nutilis||Modified maize starch.||Thickens over a few minutes, but does not continue to thicken. Remains thickened in the stomach but not as thick as when first mixed.||1 – 1.5 scoops per 100 ml.||3.6||Not recommended under 12 months.|
|Resource Thicken Up||Pregelatinised waxy maize starch||3.3||Smoother but use in neonates not well documented. NB high sodium content (9.6mmol Na per 100 g).|
|Carobel (Cow and Gate)Not available in New Zealand.||Carob bean flour, calcium lactate.||-Requires several minutes to thicken.-Can be added directly to feeds.||Add to formula feed (0.5% – 1%)||Prepare gel and feed before or during the feed 1 – 1½ scoops (1.8 – 2.7g) per 100 ml water).||May increase stool bulk.|
These thickeners are all currently available here in NZ (as indicated) through your local pharmacy and maybe some supermarkets. Please note though that pharmacies do not always keep such products in stock, and so you may need to ask that they get them in for you (usually takes 2-3 days).
Also, you may like to try:
· AR formula – dairy based formula with natural thickener added. Available through most supermarkets. e.g. Karicare Aptamil AR, S26 AR.
· Thickening feeds with rice cereal (baby rice). Please check the ingredients as some brands of rice cereals, contains milk products. You can experiment a bit with the consistency, but usually 1 tsp of rice per 30-50 mls of formula is adequate. Some parents in countries other than New Zealand have been advised to use different cereals such as oatmeal because rice cereal may cause constipation. This is not recommended in NZ as it contains gluten – the early introduction of this may increase the risk of gluten intolerance developing.
· It also pays to remember when using thickened feeds that you may need to use teats with larger holes (medium/fast flow), and it is also best to mix Karicare food thickener and AR formula with cold liquid (heat bottles after mixing).
· For very smooth results, Karicare food thickener may also be boiled into the water that you make up your formula with. Mix 20 teaspoons of Karicare food thickener with 1 litre of cold water in a pot on the stove. Bring to the boil, stir frequently. Once boiling point is reached, remove from the heat and allow to cool. When cool re-measure the thickened water and add the appropriate number of scoops of formula powder. An electric mixer is ideal for mixing the formula powder into the thickened water. The amount of Karicare food thickener in the recipe can be varied to suit, however, do remember that the mixture thickens the most as it cools.
Please consider checking with your doctor, child health nurse or dietician before including these in your baby’s diet especially if they are under the age of six months.
Tara Chaplow, Babytimes Dietician
Neonatal and Infant Nutrition Handbook, Second edition.
© 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. (Some content originally prepared by a Nutricia Dietician). Used and edited by GRSNNZ 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.”
A question on giving up dairy for relux please... Do you need to go 100% dairy free or does cutting back help? I drink ALOT of milk (ill go through nearly 4 litres a week, bit excessive). Can I still have milk in tea/a small amount of cheese etc, or do i need to go 100 % cold turkey? My daughter is 2.5 weeks old and is doing alot of regurgitating, back arching/night crying, has acid smelling breath, gets frequent hiccups, coughs and gags alot and cries every time I lay her down. Shall I book a GP visit ASAP? What is usually the first treatment they try? Many thanks :)
http://www.cryingoverspiltmilk.co.nz/new-baby-on-the-way-taking-probiotics/ - New story from one of our Kiwi Health, Pregnancy and Parenting Forum users. Nice to have positive stories.
Well I thought I would update you all on our baby. She was born on 24th August, the day before her due date and on my birthday. I was taking 3 x 2 caps of Probiotics per day in the last month of pregnancy which can seem excessive, but as I can’t overdose on them and I only get one chance...
Are there any breastfeeding Mums out there? My little girl is about to turn 7mths and has finally been diagnosed with silent reflux (alot of people dismissed me when I suggested it months ago). We have started on Gaviscon sachets nearly 48hrs ago and she is much better especially at settling in the evening. She is usually OK at night so haven't given her the powder when she wakes at night yet. Any tips on how to use at night? I have been mixing it up and syringing it into her mouth. Packet says not to make up in advance but I wondered if I could for nighttime so I don't have to make it up when she wakes. Thanks
Anyone else dealing with older children with reflux would love to hear from you my Miss 11 year old seems to be having a relapse . So after nearly 4 years losec free in this household we have it back.
There have been some new posts - sorry I haven't had a chance to pop on over and answer. Can anyone share their experiences? Remember, no medical advice. :-)
As per my post yesterday, our membership form and newsletter archive for members is now available again. Please consider joining Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust for access to our Newsletters and Private Local and National Support Networks: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/ Membership is free, and this gives you opportunities to discuss gastric reflux related issues with others in a safe and confidential setting. Thanks to one of our amazing webhosts http://www.webmad.co.nz/ for the smooth change-over.
Gastric Reflux Support Network NZ for Parents of Infants & Children Charitable Trust Membership & Confidentiality Agreement Form / Newsletter Admin Page First Name Last name Email Street Address City/Town Area Postcode Do you live in NZ? Country and Area if not NZ Home Phone (include area code) Part…
The website our membership form is on and where are newsletters are archived is down for maintenance until late tomorrow evening - Monday at the latest. If you were wanting to complete a membership form, please do check back as we would love to meet you. I'll post an update when it is available again. www.cryingoverspiltmilk.co.nz is available as usual although it the server it is on is changing tomorrow evening also - hopefully there will be no disruption.
For infant and child gastric reflux support in New Zealand: Phone/Text 022 585 5935 Phone 0800 380 517 Contact GRSNNZ via email form GRSNNZ has brochures available which explain what Gastric Reflux is, a few simple tricks, the support GRSNNZ offers and our contact details. If you are Health...
A question please -my daughter has twin girls aged 3 weeks.They were premature born at 35 weeks 3 days.One of them is fine breastfed and sleep.However the other one grunts and groans,pulls her legs up and sometimes cries after each feed.She does not settle well at all.Could this be reflux or what.I know it's early days but my daughter is exhausted!!Any suggestions would be great.Thanks
I have a question for mothers who have tried feed thickner. Can constipation occur when using this? I have checked the karicare website but does not state any side effects.
I have removed the recent video to our page on how to give Losec mups that was shared by someone. These are not available in NZ.
Hi there, I just want to say how helpful your website is, it is jam packed full of useful info! Thank you for being here!!!!!
Wahoo, Ben Ataya
My 10 week old son is in starship due to heart condition. His omeprizol has just been doubled to try and ease his discomfort with reflux. He is now on twice daily but a nurse said she had heard it was more effective given as a single dose? What are the advantages and disadvantages of a single dose? Sometimes the doctors listen to me and sometimes they dont so id need to have my facts straight if wanting them to change it. He has his omeproxol via ng and gaviscon mixed with pepti junior
Almost at 2,500 likes to the Page. Please comment if you are the 2,500th so we can congratulate you. :-)
Keep looking at the new posts to the page by others...on the left hand side...
My baby is 10weeks (5weeks corrected) and can not sleep on her back at all since this has her coughing and spluttering when not just straight up projectile vomiting. It seems to be worse now she is on thickened formula (alongside omaprozole) esp at night it's like she can't actually spit up the feed anymore (or multiple hours later) as its thicker and therefore she stays choking on it. Does anyone have any nighttime tips it scares me
Thank you New Zealand Post.