Posted By Posting
Feb 27, 2010
natheen
How much milk does a 5 month old need to survive
I am trying to give my daughter as much milk as possible, small amounts, frequent feeds. Just wondering how much milk does she need to survive, 16-17oz? I know a 5 month old needs around 28 to 35 oz to be a healthy weight. Did anyone have their baby drink around 16-17 oz when they were 5-6 months? How long did they drink this amount?
Feb 27, 2010
michelle&aurora
Aurora born March 17, 2007
3 years, 8 months old
Weighs 25.8 lbs
8 lbs 11 oz at birth.
Recovered Chronic Projectile Vomiter
Prevacid Free since September 08
Egg allergy diagnosed Jan 26/09
Has a Pectus Excavatum
Has an Epipen
Hi! 16-20 oz was the typical amount my daughter drank at that age...we never EVER got anywhere near the recommended amount....because of massive vomiting and difficulty feeding....I can tell you that she never lost weight, but she gained extremely slowly on this amount. One of the things we did to compensate for this was to fortify her formula to 24cal/oz, instead of 20 cal/oz. Your pediatrician should be able to advise you on this. Pretty soon, she'll be 6 months, so you'll be able to start some solids soon....that should help with weight gain....although, if your daughter is anything like mine was, she might end up drinking less. It's a struggle, for sure. When she's on cereal, you'll be able to mix it with formula, and that should let you get a few additional oz in. How much is your daughter drinking in one feed? How often do you feed her? There are so many factors to consider....her birth weight, her genetics, her intake, her vomit/spit up level, etc...to ultimately determine a "healthy" weight. Healthy weights vary for each child. If you are concerned at all about her intake, talk with her pediatrician. If she's having pain from the reflux that is not controlled, and that is factoring into her low intake, you have to push your doctor to help you figure out what to do, otherwise, feeding aversion can get worse. Good luck! Feeding a reflux baby can be very frustrating. Try not to focus on "averages", cause that will drive you crazy. Focus on the overall health and happiness of your little one. (((HUGS)))
Feb 27, 2010
natheen
Hi, Thanks for the info. At what age did your daughter start cereal? Right now my daughter is not taking more than 1 oz at a time. We are giving her 1 oz every 1 hour and that's forcing her. This just started today. Her birth weight was 7 llbs. Did your daughter have feeding aversion? how did you deal with it? This is very stressful but I gotta be strong for my daughter.
Feb 27, 2010
isobel'smamma
Sara, Mom to Isobel 10/01/08 Dx Silent reflux @ 6 wks. Prevacid 22.5mg split in 2 doses. Pepcid .5ml twice a day. Diagnostically confirmed milk protein, egg and cat allergy. Suspected corn, pea and squash allergy. Trialed Alimentum and Elecare without success, currently on Isomil Advance RTF with moderate success. Barium Swallow and UGI 3/08 Pondering a ph probe and endoscopy.
We averaged about 20oz a day - a good day until she was 9 or 10 months. At that point I stopped chartig because she was eating enough solids and having enough wet diapers. Though your plan of hourly feedings sounds logical, you might want to consider that you may be giving her just enough formula to end the hunger signal. Meaning she may not want to eat a full bottle on the next hour because she never gets hungry. Plus, she will feed off your stress level and not be relaxed. I strongly encourage you to get in to see your dr again. Not feeding/drinking is a sign of pain/ uncontrolled reflux. Just because she's medicated doesn't mean it's the right med/mix for her.
Feb 27, 2010
natheen
My daughter is now on a new bottle of omperazole, could it be that the drug store didn't mix the compound properly
Feb 28, 2010
lorenzomama
Lorenzo b.4/25/07 1 week in NICU w/ aspirate pneumonia from a reflux episode; diagnosed GERD at 9weeks; Used Zantac for 5months. Currently using Chinese Medicine and Craniosacral Therapy. GERD, Obstructive Sleep Apnea, Sensory Processing Disorder. Ask me about breastfeeding a refluxer! Pic: day 5 in the NICU.
How is her diaper output? Be sure to take her in to see the doctor ASAP if she shows signs of dehydration (low urine output, dark circles forming under eyes, listlessness, etc.) It's always possible that the medication wasn't mixed properly, but it is also possible she has something entirely new going on. Personally, given how rapidly it sounds like she has gone from eating adequately to not, I would bring her in to see a doctor.
Feb 28, 2010
natheen
She has about 3-5 wet diapers per day. Thanks, I will take her into the doc tomorrow
Mar 03, 2010
michelle&aurora
Aurora born March 17, 2007
3 years, 8 months old
Weighs 25.8 lbs
8 lbs 11 oz at birth.
Recovered Chronic Projectile Vomiter
Prevacid Free since September 08
Egg allergy diagnosed Jan 26/09
Has a Pectus Excavatum
Has an Epipen
Natheen, I totally understand why you are trying to feed her every hour, but you will drive you and her CRAZY doing that. It will actually make her aversion worse in the long run. My daughter absolutely had bottle aversion, and it was so difficult. I tried everything...and I dealt with it by reaching out for support through this wonderful website. You've definitely come to the right place.

I would stick with a 3 hour feeding schedule. So if begin feeding her at 6am, I would give 3 good tries every 10 minutes between when she starts and pulls off or fusses. So, if you start at 6am, she takes in an oz, and then starts to fuss. JUST STOP. If it's 6:10, then try again at 6:20, maybe she'll take an oz, maybe not, but as soon as she fusses, STOP. Wait 10 more minutes, try again. Then STOP the feeding entirely. If she doesn't want to feed after 3 tries, 4, 5, 6 tries will make no difference, except to frustrate the heck out of you. Start the next feeding at 9:00 am. Other things to try are different positions, quiet room, noisy room, sitting, standing, music, white noise. Play with the temperature of her formula, warmer or cooler. Another option is to try to "dream" feed her...that is while she is sleepy or sleeping. At 9:00am, try to feed her 3 times, stopping each time she fusses, for no longer than 30 -45 minutes. This way, if you are feeding every 3 hours, she gets 8 feedings, so even if she is only taking in 2 oz at a time, she's still getting at least 16oz. Also, ask about concentrating her formula to 24 cal/oz to take the edge off of your worry. The only downside to feeding every 3 hours is that is around the clock, so there will be some night feeding involved.

The other thing to try is to do every 4 hours. If she is slow to empty her tummy, it may take longer for her to be hungry. If her intake is REALLY poor, just try it for 1 day to see if it makes a difference. If she is truly, truly having a very difficult time feeding on a 3 hour schedule, it WILL show in her weight eventually, which unfortunately gets things moving along. If you go in to your doctor and tell them you are feeding her every hour, the very first thing they will most likely tell you is to put her on a 3 hour schedule...that's 3 hours from when you START the feeding, not 3 hours from when you stop.

To answer some of your other questions:

We started our daughter on cereal at 5 months because of poor weight gain and because we had hoped the solid food would keep her from vomiting. It did not. She did not take to the cereal very well either. She also ended up with some food allergy and sensitivity, so I STRONGLY advocate for waiting until 6 months of age to reduce this possibility. Also, formula is THE MOST important source of nutrition for an infant under 1 year of age. I would only use cereal in your situation as a means of getting more formula into her, by making it very very runny. You don't want her to fill up on cereal, and take away from her formula intake.

I really wish you all the best. You're doing a good job. Asking for help and support is the first step in dealing with GERD.

Mar 03, 2010
natheen
Thank you so much for your comment. We have tried almost everything...currently we are trying the 3 hour feeding cycle, she drinks about 0-2oz, still very little but your right the every one hour feeding is such a hard work. How did you manage all this? It's very stressful and tiring. I am constantly thinking about my baby's health. I have to go back to work in July, I don't know how I'm going to leave my baby at the day care.
Check with your
doctor first!