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02/07/2013 at 22:31
How did you administer yours and how many times a day?
Sam has been prescribed this today and we've just given him his first lot through a bottle of formula. I've been exclusively bf prior to this, but due to the reflux he is bf too often for me to express ATM and I didn't fancy the water option! Not sure what the best way forward is and wondered what people found works best? I'm going to try and express in the morning though not sure that will be enough for 3-4 doses per day.
02/07/2013 at 22:53
Added Henry's to a mix of formula and ebm. Could you express and just use a little at a time for each dose so you've enough? So they reckon its reflux then?
02/07/2013 at 23:02
Thanks ms, so if giving with ebm, would you just mix the same amount as suggested water in a bottle and give that? And then with formula did you give it as a full feed? Thinking if expressing doesn't pan out for the mo, I guess I could just give a little formula 3 or 4 times a day?
Yes they think it is, thanks for your advice. Have been recording everything and though the sickness has decreased from sitting him up more, winding gently etc, the pained faces, coughs and noises haven't, plus he's still being sick more than he should. He's still gaining weight though so am lucky I know that it's not severe. How is Henry? Does he still suffer or has it passed now?
02/07/2013 at 23:18
At the time I was expressing but could never be enough for a full feed so be always had half and half. I just added it to that. It doesn't have to go into a full bottle though does it? Couldn't you mix it with say 20 or 30 ml? So you don't have to express a full bottle each time iykwim?
Hopefully it's purely reflux and this sorts him out bless him. It works for plenty. Dot worry if not as there's other meds. Henry's reflux just got worse and worse till we ended up in a&e a couple of times. We saw by chance a great paediatrician who suspected (after I kept a diary of symptoms) it was all down to an allergy. Cows milk protein. Reflux meds didn't work for him. As soon as he switched milk (well, after 2 weeks ish) all that pain stopped. A miracle. A different baby. Apparently something like 1 in 3 cases of reflux are actually caused by an underlying issue, allergy, but its rarely looked into, just the reflux treated
Be aware Henry didn't lose weight straight away. So don't let them judge his health by that
03/07/2013 at 07:55
Hi. P is on Gaviscon. If you mix with formula it has to be in at least 4oz. Its to make sure its dilute enough because of the salt content. P is bf all day with one formula bottle at night so she only actually has it once a day as trying to syringe it in caused too much distress. It seems to be enough to take the edge off so kind of works for us. Mixing with water and syringing in makes 3 calpol syringes - thats a lot to try and get into a screaming child and she wouldnt take the water solution in a bottle. Not sure how much ebm you would need to mix it with i.e. 4oz like formula or just a bit like water......
03/07/2013 at 08:26
Thanks both. MM that is confusing then - I don't know why I'd need to mix with that much ebm but am unsure if that's the case for definite. Last night worked well with 4oz of formula as he'd had a sickathon and was starving but had milked me dry! So we killed two birds with one stone and I've no problem with a bottle an evening if that works best, though I would like him to have the gaviscon 3 / 4 times a day at first as he really isn't sleeping well and seems so uncomfortable. Therein lies the problem of how to administer that often though!
MS - Poor H! So good you recorded everything and persisted. I'm glad he is well now. Will definitely keep an eye on him. My paranoid side is already a bit worried its connected to the infection he had in hospital as that was around his stomach but hopefully I'm over thinking that one.
03/07/2013 at 08:32
Sorry you have had to go down the gaviscon route Lamby - it is a right pain when you are breast feeding. I have been giving E 1oz of formula with the gaviscon in and then breast feeding as normal - the whole syringe thing is a complete nightmare. You could use expressed milk for this instead, but I am freezing all the milk I express, so that she can have it after her operation. You can give it up to 6 times per day - E has it 6 times per day and feeds about every 3 hours in the day and once in the middle of the night - so it is just her dreamfeed at 10pm where she doesn't have gaviscon. I know people that give it every other feed if he feeds more often.
I really hope it helps him - E is so much happier now the puking is under control (unsurprisingly!!!)
03/07/2013 at 08:46
Thanks alocin, that's really helpful. Have you not been told anything about salt amounts? Sounds like its working really well for E, am so pleased. Do you give it her in a bottle, in the middle of a feed? If you were to give ebm, would you mix the same amount - 1oz? He's feeding a lot ATM but think if that reduces if the gaviscon works I will find it easier to express! You are doing so well expressing, feeding and gaviscon-ing! Hope you are feeling as ok as can be about E's op x
03/07/2013 at 08:55
I gave Gaviscon in a syringe, half way through feeds normally. It was a faf but I found it easier then washing/sterilising/expressing to give it in a bottle.
03/07/2013 at 09:02
Thanks Lamby - I give the 1oz bottle first and then breast feed as normal, which works for us.
We tried the syringe route after about 5-10 mins breast feeding, but she screams as soon as she sees the syringe now - I can get away with it in the middle of the night feed, as she is sleepy and it's dark so she doesn't notice. I am sometimes able to get the syringe in the side of her mouth while she is latched on and just squeeze it really slowly, so she doesn't notice!! However I only mix it with 5ml of water - my friend was told in hospital to mix it with as little as you can get away with (it doesn't need to be 15ml), because as long as they are feeding aswell it is all mixed in the right quantities in the stomach and doesn't cause any problems.
03/07/2013 at 17:32
Thank you both so much, I do have some syringes and see what you mean about sterilising - it is a faff!
I think the bottle will be easier to administer though - would rather avoid the screams! Alocin how sussed is Evie recognising the syringe?! Do you give her two sachets with 1oz? S is just on one but the gp said two was fine with his weight so may increase. Gave it to him with ebm this morning then 1oz formula just now. If I can express I will but his feeding is very erratic and often so tricky'!
03/07/2013 at 18:53
E is only on one sachet as she is still only little (9lb 2 at the moment!!) - maybe try 1 sachet at each feed first and see how he goes, then you always have the option to increase if he is still being sick. I am planning on keeping her on one sachet for now even once her weight is over 10lb and seeing how it goes.
03/07/2013 at 20:30
Thanks A, that sounds wise, I will stick to one for now. Hoping we will see a difference soon :) thanks for your advice, am relieved he is taking a bottle so well and he couldn't be less interested about whether its formula, ebm, cold or warm temp so that's one less thing to stress about!
16/07/2013 at 06:46
Going back to this lamby as I am now using gaviscon.. How did you get on?
Did you increase to 2 sachets? X
19/07/2013 at 05:59
Sorry Bexy, just getting to this. It seemed to help the sickness straight away but not the discomfort which I think is quite common. I was giving it 5-6 times per day, sometimes using 2 sachets but always a max of 6 sachets per day. Went back to gp on Tuesday to say it wasn't really doing a lot (he still gets sick just not as much) and was told to increase to duel sachets each time, so still a max of 6 times a day, but can give 10-12 sachets. I'm a bit unsure as it seems like a lot but he is 13.5 in weight now. So far we've done 8 per day over 4 feeds, and he did sleep a lot better yesterday and was a little less sick.
He's asleep on me now though, having upright time post feed and is making sour faces and noises, he's otherwise content but I hate to see him in discomfort.
How is H doing on the gaviscon?
19/07/2013 at 07:06
Ah just seen this. I have just posted on other thread.. H is ok.. Not screaming inconsolably after feeds but still arching his back in pain and bubbling up at the mouth. Regular coughing and hiccups too... Not convinced gaviscon is a long term fix as yet..
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