Thickening Agents

Thickener Ingredients Thickening Ability Formula Breastfeeds KCAL/G Comments
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). 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.

ACKNOWLEDGEMENTS:
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.

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.”

  • Hello - wondering if you can help, my now 5 year old had silent reflux, my 5 month old also has reflux, I saw a specialist in Auckland for my first child but cannot for the life of my remember his name - do you have a list of specialists in Auckland? Many thanks Misty

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  • We only have six members in our Hawkes Bay GRSNNZ Local Support Network on Facebook. If you are coping with reflux and living in this area, we would love you to join us. http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/

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  • Do you live in Northland, New Zealand and have a child with gastric reflux? We would love you to become a member of the Gastric Reflux Support Network NZ and join our latest Private Facebook Group - for the Northland GRSNNZ Local Support Network. We currently have five families who would be grateful to have contact with others in the Northland area and share their experiences. We have Local Support Networks throughout NZ and set up Private Facebook Groups as requested. We already have Yahoo Mailing Lists for each region, but many prefer Facebook. To join complete a membership and confidentiality form: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz.../ Membership is free, and this gives you opportunities to discuss gastric reflux related issues with others in a safe, private and confidential setting. You will also get access to our newsletters.

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  • Hi there, I was on your website reading that doctors should prescribe the Losec granules instead of the suspension. Does this apply for 2 month old babies as well?

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  • Hi, I am interested in people's opinion on advice from a dietician re my 13 month son who has reflux and lower GI issues, both currently well managed. I have posted before: he's on a restricted diet - no dairy, soy, gluten as well as a random no tomato/potato (latter done by me without paed knowledge following nasty flare up). He is still bf and not a great solids eater - picky, limited finger foods only, no mush. He is small (prem, lbw) but not at all underweight for size. He is on iron supplement (formerly anaemic) and trying to wean off losec. Dietician wants us a) to go on to neocate advanced and b) to reintroduce gluten. Neither of these sit well with me. I ate non-GF oats and small amount non-GF pasta yesterday - now I have an unsettled boy stretching and groaning after a month of calm. Coincidence?? Re neocate - is it really necessary to give him this or can I find the iron and vitamin boost elsewhere? He hates the taste and doesn't eat porridge/mash/stewed fruit to mix it into. The dietician really p***ed me off for her manner and lack of knowledge of son's history (in spite of having met before) and I don't trust her judgment. Thoughts? Sorry long post. Thank you for reading.

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  • On 16/02/2014, this page reached 2000 likes. we now have 2059 likes with a total of 23 new likes last week. We hope this page and our website, www.cryingoverspiltmilk.co.nz is helping support your families coping with gastric reflux. If you are in NZ, and want to have support in a confidential setting with other families, please complete our membership form: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/ We currently have around 700 members.

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