|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.”
http://www.treasures.co.nz/Explore-your-stage/Article/?contentId=1784920 These won't work if your child is unwell or in pain, but are otherwise good tips.
Sleeping through the night At this age and stage research by Dr Marc Weissbluth indicates that hunger is no longer why your baby is waking at night if they are a healthy weight and continuing to gain weight we can teach them to sleep from 7pm-7am. Your baby needs to be eating a healthy diet of carbo…
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. ...