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Acid Reflux, Rice and nipples.... NEED HELP

Posted by on Feb. 19, 2013 at 9:00 AM
  • 7 Replies

My daughter was recently diagnosed with AR. She is 5 months and previously was eating 6 oz every three hours, sleeping a stretch of 9 hours at night.

The DR told me to add rice to her bottles.. 1 tsp per 2 oz, then 1 tsp per oz, then 2 per oz until the spitting gets better. I am using Dr Browns bottles, I got the level 3 and I'm adding 1 and 1/2 TBP to her bottles, but the milk is coming WAY to quickly - if I switch back to the level 2 she has to work so hard to get the milk! She is also going 4+ hours now between feedings. Should I decrease the amount of formula? How much formula does a baby need per day? Emma is 17lbs. I think its 32oz but not sure... I am very confused and stressed about this, the AR was so bad that she was chocking and couldn't get her breath and formula was coming out of her nose. I should also note that I keep her elevated for about an hr after her bottles. 

I'm just going to say thanks ahead of time to everyone... I look forward to recommendations and some tips and tricks from the mommies out there! 


by on Feb. 19, 2013 at 9:00 AM
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by on Feb. 19, 2013 at 9:03 AM
Maybe switch to bottles with variable flow nipple? That way she controls the flow.
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by on Feb. 19, 2013 at 9:10 AM
its perfectly fine for her to work to get the milk. Shell get use to it and it will become very natural and easy. Im wondering if the flow was to quick to begin with causing all the spit up and it coming out of her nose? Not sure... Just know that happens if the flow is to quick (oversupply) with breastfeeding. I wouldnt be worried about the amount of time between feedings though. Cereal takes longer to digest so shed stay full longer. as for how much formula she needs... I dunno :/
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by on Feb. 19, 2013 at 9:45 AM
They have nipples especially for putting rice in the bottles... or they did when I had my first 4 years ago. The hole in the nipple looks like an X... there are different flows. You might look out for those. I've seen them at Walmart and Target.
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by on Feb. 19, 2013 at 11:07 AM
Have you seen a gastro? I wouldn't be comfortable with rice as a treatment for AR.
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by Abra on Feb. 19, 2013 at 11:08 AM


by Gold Member on Feb. 19, 2013 at 1:00 PM
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Acid reflux is WAY overdiagnosed. Has baby been checked for dairy allergy? Have you tried feeding smaller amounts more frequently? Is the spit up coming with other symptoms? Is baby losing weight? Have you seen a GI specialist?

Rice cereal has major drawbacks.

Why not rice cereal, you may ask? Plenty of reasons -

- Rice cereal is nutritionally void: Rice cereal is very heavily processed. When the rice is processed it is stripped of all vitamins and minerals. When it it stripped of all of these important nutrients, it turns into, well basically, sugar in the body. It raises blood sugar and insulin, it can even be addictive over time!

- The added vitamins are harder for the body to absorb: The best thing anyone can do for their body is eat whole food in it's natural state. Your body can pull the most nutrients out of food that way. Since rice cereal is stripped of it's nutrition, it has some nutrients added back to it. These vitamins are not all of the vitamins and minerals that were taken from the rice, but some of them. They are not added back in to the cereal in the abundance that they are available from the whole rice form. Our body does not absorb supplemented vitamins as regularly as it does from whole food, so even if the box says it contains 50% of your babies Vit A for the whole day, their body will most likely not absorb the full amount of Vit A that it could have if it had been from a whole food substance.

- Young babies do not contain the enzyme in their gut that they need to digest grains: Yes, that is right. The intestines contain amalyse, an enzyme to help break down grains. In fact, babies don't make this enzyme in large enough quantities to help break down grains until over a year old! It is not produced until molars show up. When the gut can't break down grains, it can do a number on your baby, causing behavioral issues, food allergies, and many more problems.

- Rice cereal fills the belly: Sometimes when our babies start to go through their 4 month growth spurt, we start to worry. "Baby is eating all the time, is my milk gone?" "My baby is fussy constantly, he must be so hungry that he needs more then milk". No, this is not the case. 4 months is the age of a huge growth spurt. It is normal for baby to be fussy, grumpy, and eat a TON. That's okay, just sit back and nurse your baby. Moms will sometimes turn to rice cereal to help "fill up" the baby. That's bad, very bad. Infants need breastmilk as their main source of nutrition all the way to 1. Yes, even at 11.5 months your baby should be nursing more then he should be eating solids. Rice cereal sits in the belly and takes the place of nutrient rich breastmilk. That means that your baby is missing out on vital nutrients that he needs, because he is filled from a nutritionally void, starchy, sugary substance.

- Rice cereal does not make babies "sleep through the night" : This is a myth, a very large spread myth. True, some babies will sleep through the night after having rice cereal, but again, as the previous paragraph says, this is because it sits in the belly and is very hard to digest for a young baby. Babies need to wake in the night, in fact studies show that waking is the way a babies body prevents SIDS. Co-sleeping can help moms cope with night waking, cereal does not.

Really there are not a lot of good reasons to start rice cereal, in fact I can't think of a single one. It is really not a healthy substance for anyone, but especially babies, to be eating.
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by Gold Member on Feb. 19, 2013 at 2:29 PM
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