Posted By Posting
Jan 18, 2011
formula recommendations??
I am having trouble with milk that I pump turning soapy/ rancid so I'm considering buying some formula just for occasions when my baby is with a sitter. Anyone have recommendations or formulas to stay away from for a baby with reflux? My doctor said they are all pretty much the same, but I'm wondering what real moms have to say! The last thing I want to do is make his reflux worse!
Jan 18, 2011
Zack born 09/28/07 @ 31 weeks. Dx silent reflux @ 6 mo. Now not so silent. Switched to Elecare @ 9 mo. On Prevacid 15mg 1x daily. Looking to stop the puke and gain some lbs.
Puke stopped about 24 months and he's learning to eat...very slowly.
Still on prevacid and periactin.
We used exclusively Elecare...but it's hard to get and VERY expensive...I would probably start with Gentlease or something like that. Good luck!!
Jan 18, 2011
Debbie, Mom to:
Derek,10/29/02 GERD,Can't have any legumes(soy, being the worse), allergic to PN/Tree Nuts, struggled to gain weight for years, my "picky" eater,Takes Zegerid. Johnny, 12/05/99 GERD, managed by diet, allergic to cashews/pistachios.
Have you tried freezing the breastmilk in baggies? This is what I used to do. I would put them in warm water to thaw out as needed.
Jan 18, 2011
Ryan was born May 20th 2008. 9 lbs 2 oz. Ryan’s magic bullet was 30mg of Prevacid capsules mixed with Caracream from Marci-kids (I am forever indebted to the team at Marci-kids), Claratin for the mucos, and Mirlax for the constipation. Within 2 months of this combo he jumped from the 6% to the 50% for weight and continues to climb. Be strong, listen to your instincts. Read his story for more specifics that just might help you too - Karen
They are definately not all the same. Nestle Goodstart is broken down more than the standard lines of formula but not as much as the expense hypoallegenic ones.
Jan 19, 2011
Thanks~ Debbie I did try freezing milk in bags and it should still be fine according to LLLI freezing guidelines :(
Jan 20, 2011
Actually Nestle GoodStart is not broken down at all. The difference between GoodStart and all the other formulas is that GoodStart uses EXCLUSIVELY WHEY PROTEIN. Milk is made up of whey proteins and casein proteins. Whey protein is generally considered easier on digestion - casein can curdle in the stomach and cause indigestion and constipation. Nestle argues that their formula is very gentle on little stomachs because they only use the whey part of the milk protein.

Similac and Enfamil use both whey and casein proteins in their formulas, but in different ratios. I believe Similac uses a bit more casein than whey, and Enfamil uses a bit more whey than casein.

Enfamil also sells Gentlease, which is their regular formula, only the milk proteins have been PARTIALLY BROKEN DOWN, making them easier to digest. This formula is probably good for babies who tend to have a lot of gas and occasional stomachaches, etc.

Similac and Enfamil both sell a HYDROLIZED formula too - Alimentum and Nutramigen, respectively. These formulas are pretty comparable. In both, the milk proteins have been broken down even further than those in Gentlease. Many babies with MSPI and digestion issues are able to tolerate these formulas. The one difference to note between the two brands is that Similac's Alimentum *Ready-to-Feed* formula is the only formula that doesn't contain corn - instead of using corn syrup solids, it uses tapioca solids. (Similac's powdered Alimentum as well a Enfamil's Nutramigen both contain corn.) Of the OTC formulas, my daughter did best on the Alimentum RTF. Note these are more expensive than regular formulas and they also taste terrible.

In the end though, my daughter couldn't tolerate even the hydrolized milk proteins and we had to put her on Neocate. Neocate and Elecare are ELEMENTAL formulas, meaning the milk proteins are COMPLETELY broken down into amino acids - there are no protein chains remaining to cause adverse reactions. These formulas are extremely easy on digestion and are basically guaranteed to be well-tolerated. However, they are also ridiculously expensive and they taste ridiculously awful and disgusting. (But babies that have to be on it get used to it.)

If you don't think your baby has MSPI and is only dealing with reflux I would probably start with GoodStart or Gentlease. You want something easy on digestion (though nothing is as easy as breastmilk) that will pass through the system quickly leaving less time to sit in the stomach and be refluxed. If neither of these agree with your baby I would move on to Alimentum or Nutramigen.

Here are some links with info on formula profiles: (check out the links under the "Parents" tab)

Best of luck!

Jan 26, 2011
I have the solution for you!!!!
My son is 9 weeks old and for the first 8 we were all miserable. He wasn't just fussy he screamed all the time and fought feedings and sleep. I couldn't even breastfeed him because he would struggle and break his latch after only one or two sucks. He started on medication about a week and a half ago and he seemed so much better but he still fought feeds and was fussy, then I found Similac sensative with the green label (for spit up) ready to go liquid. It is a ready to feed formula that contains rice starch already so it coats their bellies and helps keep the formula from coming back up. I can't begin to tell you the difference it has made!!!! He was a different baby from the first time I fed it to him, no fussing, no gas, no spit up, and the best part is he actually grabs my hands so I can't pull the bottle out of his mouth because he loves it so much he does't fight feeding at all now and most of the time at the end of the feed he will sleep and not just for 10 minutes but for a couple hours!!! If you are looking for a formula to suppliment I promise you not all are the same but I would definitly give this one a try because it was the maricle we needed. I really hope this helps, good luck!!
Feb 05, 2011
We tried Nutramigen that we got as a sample and he gagged and absolutely refused to eat it. On to something else... I think we'll do Goodstart next!
Feb 07, 2011
If he has a milk allergy and doesn't respond to GoodStart you may have to give Nutramigen (or other hydrolized formula) another shot, just prepare yourself. He may even skip a feeding or two, but if that's all you offer him he'll eventually drink it and will soon forget there are other options. He'll come to prefer it. But you may have to be strong through a couple of feeding refusals. I just want to put that out there. It's hard, but if he has a milk allergy, the improvement you see will be worth it. Hopefully the GoodStart will suit him though. Good luck!
Check with your
doctor first!