Preemies

Reflux!!!

Nia is 3 weeks today, she's preemie, supposed to be born 12/26. She eats well and is growing great. But DAMN this reflux is driving me mad. I seriously am scared to sleep, I'm nervous she'll choke in her sleep. We had an appt today with her pedi, she is having us try some different formula. Also trying diff nipples. But she has so much congestion. She spits up bubbles, and formula. I'm so worried, I seriously am feeling depressed about all of this, I just wanna be a great mommy.

Any reflux advice?
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Re: Reflux!!!

  • Definitely hold her upright 20-30 minutes after she eats.  My LO is on previcid after being on Zantac. I would definitely ask if there is something you can give her.
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  • Sounds like she needs meds. Also try putting cereal in her bottle that's what we do. 1 tsp for 2 ounces of formula.
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    Lilypie - (ugiy)


  • I also noticed a difference with ready feed formula vs powder. He seems to have less of a reaction with ready to feed. I wonder if it has less bubbles?!!! Not sure, but experiment a bit between formulas and bottles.
  • My preemie has GERD! It's definitely stressful, but manageable! He is on omeprazole in the morning an Zantac at night. Ready to feed formula was a night and day difference for him compared to powder. He is now on alimentum ready to feed. He's a totally different baby! I don't recommend rice cereal in formula bc it made my LO sooooooo constipated. He was miserable!! Hold up right for 20-30 min after feeding. We also put a flat pillow under his crib sheet to keep him at an incline while he sleeps! Hang in there! It will get better! Good luck!
  • My DD had reflux, but was considered a "happy spitter" it was just a laundry issue (TONS of spit up, but it never bothered her). The Rock N Play is amazing! 
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  • We are still in the NICU going through this. I've been through it with my older kids and it's amazing how much "things have changed" since they were this age.
    Definitely try Dr Browns and keep upright after feeds, even putting your LO in Mobywrap/ergo carrier/whatever you may have, if your arms need a break. The way you are describing it, I would also be one to recommend asking for a rx to help reduce the amount of acid being produced. Sometimes you have to try a few out until you get one that is strong enough. It does take a few days for the meds to buildup in LO's system, so it's not always an immediate relief like chewing a TUMS for an adult.
    One thing I was told by my NICU nurse practitioner the other day, is that they are no longer mixing cereal with breast milk as there was some study that basically showed rice cereal breaks down breast milk and in one extreme case is "believed" to have led to a case of NEC at a NICU in Anytown, USA. Although that last part is sketchy, the liability side of it is preventing them from doing it anymore.   A friend of mine who nannies for a mom with 4 month old twins that have severe reflux told me that she uses Xanthan Gum to thicken breast milk and gets the same result as if it were rice cereal. So maybe see if that would also be an option, even though you are giving the formula a go.
    Hang in there. It is VERY stressful and exhausting as a mom watching your baby struggle through this pain. I hope the answer for Nia is found soon!

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