Preemies

Question about solids & reflux

So, Reagan is apparently having a reflux flare and/or teething. I'm not sure which. She's all of a sudden not wanting to eat as much and she has been vomiting more. This is so frustrating and I don't want her to lose any weight.

I was wondering if I could increase her to solids twice a day? When did you guys do that? She does GREAT with oatmeal mixed with formula from a spoon. I'm thinking that maybe fruits are causing her reflux to flare up. So, I'm going to hold off on those. She does pretty good with vegetables but she does the best with the oatmeal. She will eat a ton of that. I know she gets some formula mixed with the oatmeal and I make it pretty soupy. I know this will not take the place of her bottles. I will still try to get those into her as much as possible. But the other day, the most I got in her as far as milk was 16 ounces! That's not good. Yesterday was better. She ate 22.5 ounces. But that's still not enough. The most she has eaten in a day is 31 and that was just once. Most of the time, it's around 27 ounces. So, she's not a big eater anyone. She's only around 12.5-13 pounds. What would you guys do? She seems to have these ups and downs and eventually everything ends up ok. It always stresses me out though.

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Re: Question about solids & reflux

  • Have you spoken to your Dr? Are they happy with her weight gain?

    DS will be 7 months on Saturday (He was born 30w 5d). He currently has 4 bottles a day and solids 2x day. He had bad reflux for a while but it has gotten much beeter, we are even off zantac. Don't get me wrong-he still spits up and will continue to do so for a while but it's nothing like it was before and he is a happy spitter. The most he will eat in a day is 28oz and the pedi is fine with that. In fact, she told me that at 6 months he should not be having more than four bottles a day (I should add the he is FF ans sttn 11 hours straight thru). After his 6 month appt we dropped the 5 and smallest bottle and redistributed into the other 4. He LOVES solids we started 2x a about a week after trying for the first time. He takes oatmeal with fruit in the AM, and a veggies in the PM.

    I was constantly worrying about his weight, but the Dr's are very happy with him and he is a very happy baby. Its hard not to worry especially all that you go through with preemies, but I just keep telling myself "he is happy, the Dr is happy, and he is doing great developmentally" He is weighed once a month now because of synagis so we can keep track and watch it.

     

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  • Both of my twins had reflux and had to be on meds.  DD couldn't eat green veggies at.all.  Poor thing cried so much the first night.  DS couldn't eat apricots.  They made him vomit instantly.  Maybe she needs her meds upped?  That was our first clue is that their symptoms would reappear/worsen.
    Wendy Twins 1/27/06. DS and DD
  • DD eats two jars of baby food a day and takes 15-17oz of formula. I noticed a massive change in her reflux after introducing solids twice a day, breakfast and dinner time. She is also on half a tablet of Prevacid a day. The only fruit I have really noticed her steering clear of is bananas. Veggies it would be peas. I've tasted both and "Ew." I don't think it's a reflux thing for E. 

    I have no advice on oatmeal because I skipped that step. My pedi said it had zero nutritional value so if DD was fine with normal baby food then to go that route. GL! 

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  • imageDeblondie1:

    DD eats two jars of baby food a day and takes 15-17oz of formula. I noticed a massive change in her reflux after introducing solids twice a day, breakfast and dinner time. She is also on half a tablet of Prevacid a day. The only fruit I have really noticed her steering clear of is bananas. Veggies it would be peas. I've tasted both and "Ew." I don't think it's a reflux thing for E. 

    I have no advice on oatmeal because I skipped that step. My pedi said it had zero nutritional value so if DD was fine with normal baby food then to go that route. GL! 

    So, is your DD on the prevacid solutabs? They told me those were on back order and we couldn't get them. Are you having any trouble with getting them?

    Also how much does she eat of the vegetables? A 4 ounce jar? On the day DD only ate 16 ounces, I had given her oatmeal mixed with formula and pears. She threw that up. So, then I tried just plain oatmeal with formula and she ate it like a champ. Probably 2-3 tablespoons. So, they may have been why she ate less for that day. She eats Sweet potatoes fine and she likes peas ok. The weird thing is...she throws up after the initial bite but then if I try again...she eats the whole jar.

    She didn't qualify for the Synagis because she was 6 days too old at the start of the season and she's not in day care. (ticks me off) so, she doesn't go for monthly weight checks. According to my way of weighing her at home, she's almost 13 pounds. So, she's gaining but slowly.  

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  • Either it was coincidence or because of the solids, but when we started solids we had to up DD's prevacid dose.

    My pharmacy was also on BO of the solutabs in the 15mg dose, we got the 30mg and use a pill cutter to split them.

    My non-reflux DD is my small appetite baby. She has 16-18 ox of formula (2oz mixed with oatmeal) and eats about 10ox of solids a day, (3 breakfast, 4 lunch, 3 dinner). She eats this much because for 2 of those solids meals we feed her the solids right after she's done with the bottle. I thought that since she was barely taking a 4oz bottle there was no way she'd eat more, but surprisingly for lunch and dinner she will have a 4oz botttle, a 10 minute break while i make lunch/dinner and then 3-4oz of solids.

    And interestingly I have one gag baby too. If I just give her a teeny tiny bit of solids (like a pea size) as the first bite she's fine from then on out, but if the first bite is big, she gags and spits it up.

    And our girls are only 15 and 16lbs so I know your weight gain concerns! Maybe consider trying avocado since it's such a high fat starter food?

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  • Reagan is on compounded liquid prevacid because they told me the prevacid solutabs was BO and she's not quite up to 15mg a day. The nurse said she was too small for 15mg? When did your LOs start with 15mg a day?
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  • At some point they do start taking a little less especially with solids.

    I would talk with your Pedi and I'd also try adding just a little bit of plain Rice Cereal to her bottled to thicken it a little and help keep it down. You'll have to play with the consistancey to see what works and you might have to go up in nipple size, we do 7 or 8 ounces of formula to a tablespoon of Rice cereal.

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  • imagelwmooney87:
    imageDeblondie1:

    DD eats two jars of baby food a day and takes 15-17oz of formula. I noticed a massive change in her reflux after introducing solids twice a day, breakfast and dinner time. She is also on half a tablet of Prevacid a day. The only fruit I have really noticed her steering clear of is bananas. Veggies it would be peas. I've tasted both and "Ew." I don't think it's a reflux thing for E. 

    I have no advice on oatmeal because I skipped that step. My pedi said it had zero nutritional value so if DD was fine with normal baby food then to go that route. GL! 

    So, is your DD on the prevacid solutabs? They told me those were on back order and we couldn't get them. Are you having any trouble with getting them?

    Also how much does she eat of the vegetables? A 4 ounce jar? On the day DD only ate 16 ounces, I had given her oatmeal mixed with formula and pears. She threw that up. So, then I tried just plain oatmeal with formula and she ate it like a champ. Probably 2-3 tablespoons. So, they may have been why she ate less for that day. She eats Sweet potatoes fine and she likes peas ok. The weird thing is...she throws up after the initial bite but then if I try again...she eats the whole jar.

    She didn't qualify for the Synagis because she was 6 days too old at the start of the season and she's not in day care. (ticks me off) so, she doesn't go for monthly weight checks. According to my way of weighing her at home, she's almost 13 pounds. So, she's gaining but slowly.  

    E is on the tabs. I just refilled her prescription Monday and picked it up same day. I had no idea there were supply issues.

    She is only eating the 2.5oz jars. We stay in the Stage 1 zone so the jars are smaller. As far as the throwing up a little and then eating the whole thing, maybe she has a gas bubble in there? Or swallows wrong? E does that sometimes too and it is such a small amount I figure she needed to burp and some came up with it.

    We found out at her synagis appointment that E's weight gain has actually plateaued (14lbs 15oz). She only gained an ounce in a month. We actually have weekly weight checks now to make sure everything is alright. She is crazy more active now and hardly naps and I think that is affecting her weight gain. 

    __________________________________________________________________________________________ 

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  • imageDeblondie1:
    imagelwmooney87:
    imageDeblondie1:

    DD eats two jars of baby food a day and takes 15-17oz of formula. I noticed a massive change in her reflux after introducing solids twice a day, breakfast and dinner time. She is also on half a tablet of Prevacid a day. The only fruit I have really noticed her steering clear of is bananas. Veggies it would be peas. I've tasted both and "Ew." I don't think it's a reflux thing for E. 

    I have no advice on oatmeal because I skipped that step. My pedi said it had zero nutritional value so if DD was fine with normal baby food then to go that route. GL! 

    So, is your DD on the prevacid solutabs? They told me those were on back order and we couldn't get them. Are you having any trouble with getting them?

    Also how much does she eat of the vegetables? A 4 ounce jar? On the day DD only ate 16 ounces, I had given her oatmeal mixed with formula and pears. She threw that up. So, then I tried just plain oatmeal with formula and she ate it like a champ. Probably 2-3 tablespoons. So, they may have been why she ate less for that day. She eats Sweet potatoes fine and she likes peas ok. The weird thing is...she throws up after the initial bite but then if I try again...she eats the whole jar.

    She didn't qualify for the Synagis because she was 6 days too old at the start of the season and she's not in day care. (ticks me off) so, she doesn't go for monthly weight checks. According to my way of weighing her at home, she's almost 13 pounds. So, she's gaining but slowly.  

    E is on the tabs. I just refilled her prescription Monday and picked it up same day. I had no idea there were supply issues.

    She is only eating the 2.5oz jars. We stay in the Stage 1 zone so the jars are smaller. As far as the throwing up a little and then eating the whole thing, maybe she has a gas bubble in there? Or swallows wrong? E does that sometimes too and it is such a small amount I figure she needed to burp and some came up with it.

    We found out at her synagis appointment that E's weight gain has actually plateaued (14lbs 15oz). She only gained an ounce in a month. We actually have weekly weight checks now to make sure everything is alright. She is crazy more active now and hardly naps and I think that is affecting her weight gain. 

     

    What weight was she when she started the tabs? They said R was too small...she's right around 13 pounds.

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  • imagelwmooney87:
    imageDeblondie1:
    imagelwmooney87:
    imageDeblondie1:

    DD eats two jars of baby food a day and takes 15-17oz of formula. I noticed a massive change in her reflux after introducing solids twice a day, breakfast and dinner time. She is also on half a tablet of Prevacid a day. The only fruit I have really noticed her steering clear of is bananas. Veggies it would be peas. I've tasted both and "Ew." I don't think it's a reflux thing for E. 

    I have no advice on oatmeal because I skipped that step. My pedi said it had zero nutritional value so if DD was fine with normal baby food then to go that route. GL! 

    So, is your DD on the prevacid solutabs? They told me those were on back order and we couldn't get them. Are you having any trouble with getting them?

    Also how much does she eat of the vegetables? A 4 ounce jar? On the day DD only ate 16 ounces, I had given her oatmeal mixed with formula and pears. She threw that up. So, then I tried just plain oatmeal with formula and she ate it like a champ. Probably 2-3 tablespoons. So, they may have been why she ate less for that day. She eats Sweet potatoes fine and she likes peas ok. The weird thing is...she throws up after the initial bite but then if I try again...she eats the whole jar.

    She didn't qualify for the Synagis because she was 6 days too old at the start of the season and she's not in day care. (ticks me off) so, she doesn't go for monthly weight checks. According to my way of weighing her at home, she's almost 13 pounds. So, she's gaining but slowly.  

    E is on the tabs. I just refilled her prescription Monday and picked it up same day. I had no idea there were supply issues.

    She is only eating the 2.5oz jars. We stay in the Stage 1 zone so the jars are smaller. As far as the throwing up a little and then eating the whole thing, maybe she has a gas bubble in there? Or swallows wrong? E does that sometimes too and it is such a small amount I figure she needed to burp and some came up with it.

    We found out at her synagis appointment that E's weight gain has actually plateaued (14lbs 15oz). She only gained an ounce in a month. We actually have weekly weight checks now to make sure everything is alright. She is crazy more active now and hardly naps and I think that is affecting her weight gain. 

     

    What weight was she when she started the tabs? They said R was too small...she's right around 13 pounds.

    Ahhh... She's been on them so long now. But she was definitely less than 13lbs. This is the fourth prescription refill, if that gives any reference.  

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  • Does she get 15mg once a day or 7.5 twice a day?
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  • 7.5 once a day. Her reflux has really calmed down. 
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  • Andrew had reflux and his reflux got worse when he was teethign. Elliott doesn't really have reflux (minor) and he's more spitty when he is teething. both kids eat less when teething from the teething pain and that is also normal.  Andrew when teething would take down to 10-12 oz because it hurts.

    If she'll take solids 2/day, go for it!

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