Childhood Diseases

Posted by: Anonymous | 2009-05-23


x-prem reflux and development

My twins are 19 weeks old (born 6 weeks prem) and neither have any health problems, except that one baby (born 1.85kg) seems to have developed a degree of reflux (she often spits up, even some time after a feed and then it appears curdled, also likes being held upright, sleeps better raised slightly, is a tad horse and coughs now and then). Both babies are on NAN 1 at present, however should I give my reflux baby an anti reflux formula? And which one is the most appropriate? Both babies are picking up weight well and are on the 50th percentile for their adjusted weights. In addition. should they be evaluated by anyone for their development in terms of their prematurity? Their milestones seem to be either on target for their actual age or somewhere between their actual and corrected ages. Thank you!

Expert's Reply



This is a good question. Your twin does appear to have significant symptoms of reflux including hoarseness and a cough from breathing in micro amounts of her feed. It is difficult to advise you as to the best fromula for her but you could try Novalac AR.This formula only thickens when in the stomach and should be easir for her to drink.Both of your bbaies will definitely need developmental assessments as they were significantly premature with low birth weights. They appear to be dong well at present and there is no hurry for them to be assessed, possibly when they reach the age of a significant milestone such as sitting unaided. This usually occurs at around 6 months in full term infants.

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