Reflux can give you good days and bad so don't rule it out on a few good feeds/ days! Yeah for two good nights! Try and keep her upright for a while after feeds, that will help the milk settle. They don't usually do any investigations with babies, it's diagnosed on history and symptoms and usuallu a meds trial - if it helps it's reflux if not think again. If you can get the Dr to agree a trial of ranitadine at a decent dose (at least 2mg per kg x 2 per day - 4mg per kg is top dose) for a few weeks you should know if it is helping or not. Ranitadine (zantac) is safe for babies and has very few side effects so if it isn't reflux you won't be doing any harm in trying the meds.
The enfamil does go a bit bubbly when it is shaken, you can let it settle or try another bottle like Dr Brown's if it's a problem (if you are happy to try another bottle type that is, I know it's expensive). We use Avent bottles and their vari flow teat which is quite a fast teat but suits DD and the teats help the air to escape. I find that some bottles look really grainy on the inside after a feed and then we get some bottles that are totally clean after. I used to notice the grainyness (is that a word
) with the comfort formulas too so I don't think it's anything to worry about. It could be the temp it's warmed to, or shaking it a bit longer - who knows!
It's totally fine to warm it in a jug/bowl of water like you used to do - we are very bad and use the microwave but DD will drink it at room temp
so we don't warm them that much anyway any more.
It could be the taste she was objecting too, I think it smells a bit better than some formulas! It will take her a few feeds to adjust and it doesn't start working until it hits the acid in her tummy so she will need to have a few feeds for it to start helping her - if that makes sense! Did you use a faster teat - maybe it wasn't flowing fast enough for her if you didn't.
Let us know how tonight and the next feeds go! Sorry I didn't get back sooner - today was a work day, which my daughter obviously knew as she decided sleeping was for wimps last night
.
Laura
