Preemies

Formula issues.. not sure what to try next

My LO came home from the NICU on 10/18. When he came home the dr's there had us to fortify his breast milk with Neosure. Well, he doesn't do well with it and is having constant gas, cries, and pretty much refuses his bottles. I told our pedi about this and he gave us a can of Nutramigen to try. Well, we're getting the same thing. I'm really at a loss and don't know what else to do!Is there anything else I can do? Did anyone have a DC take a formula other than Neosure? He's already on Zantac twice a day for reflux. Has anyone tried soy? I'm about ready to try anything because he can't even sleep some nights because of his tummy. Time he starts a bottle you can hear his tummy gurgling.
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Re: Formula issues.. not sure what to try next

  • we were both on neosure in the nicu and it was really doing a number on their stomachs so we switched to enfamil enfacare- same amount of calories as neosure and still a preemie formula.

    so far we have seen much better results!

     similac is very tough on babies..

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  • If Nutramigen isn't working then you might have to get some prescription something.  I'm pretty sure that's the most tolerable kind.  How long has it been though since you switched?  It might take a few days to see a change. 
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  • We had the same issues with the neosure and breastmilk, so I had to go strictly to breastfeeding/pumping for awhile.  We also tried nutramigen, DD refused it (i tasted it, it was gross so I would have refused it too).  We ended up giong with Good Start Gentle Plus after trying regualr Enfamil (which also tasted nasty) She was like a new baby on it than the other formulas. If there is a calorie issue talk to your doctor about how to cut the formula so that it has more calories per oz. 
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  • You could also try strictly breatmilk and see how he does. If he is still having the problems if may be something in your diet that needs to be changed. Maybe cutting dairy or something along those lines. Hope you get it figured out soon!
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  • Ditto trying strictly breast milk, if he does better you know it's the formula and can try another one....still having problems, you can try removing things from your diet and see how that goes. It takes a good 3 days to see a change when you switch your diet though. For formulas, I'd try nestle good start next, IF you're going to try another one.

    GL!

  • My LO was released from the NICU on 10/18, too. I have been following your blog...we have a similar story.

     Anywho, to answer your question...I supplement breast milk with Similac's-Alomentum. However, it's very pricey. That seems to be be the only thing that LO stomach can tolerate reasonably. She is on Zantac for acid reflux, too, HTH

     

  • we were a good start family as well.

    It turned out that my LO couldn't handle the corn in the other formulas.

     

  • If your baby isn't handling Nutramigen, he's not going to like Alimentum or Enfacare either. Odds are he has a Milk Proteiin Soy Intolerance. Therefore, soy isn't going to help either. You can get a prescription from your pedi for Neocate / Elecare which is broken down even further....
  • I don't have any suggestions as to what to do to fortify the BM, but wanted to share my experience with regards to formula.

    My guys alternated between bottles of formula and BM. After weeks of dealing with tummy troubles my Mom remembered that neither me nor my brother were able to use any powered formula. We decided to give the ready to feed a try and noticed a positive difference right away.  Maybe you could give that a try for a couple of feedings a day to get extra calories in.

    Good luck!

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