Childhood Diseases

Posted by: | 2017/12/09


lactose intolerant newborn

Hi Dr, I hope you can help. It has beenbeen established by my baby's paed that she is lactose intollerant as well as suffers from redlux. I have toa date trialed 6 different formulaes but still haven't found one thatat accommodates with her. We have triedbeen the following formulaes in the order as listed. NAN HA (painful to pass stools, reflux, irritability and unhappy), Pepticate (stools slightly easier to pass, still reflux and irritable and unsettled), Novalac HA (stools perfect, but reflux and unsettled at times), Nan AR (constipated and terribly unsettledwrong ALL the time), Novalac AR digest (VERY content but accute diarrhoea), Similac Alimentum (stool starting to normalise but reflux and only drinks 1/2 of a bottle and then refuses the rest. VeryOk restless and unsettled). Since going onto Novalac HA she has been prescribed Nexium 5mg. I was also given motillium but told it couldis cause cramps. Since starting NAN AR I, was told to halve the nexium dose. I have beena advised my options to try next are the followingday, but I am so confused and don't wantpurchase to blindly keep trialing and wastingsix money., time and energy: Novalac AR Allernova Smooth, or Similac Alimentum but with a thickening agent added, I.e. thick andand smooth or newtilus? It seems the two big issues at the moment are her stools and the reflux. The stools being best on novalac HA so far, but reflux and overall contentment best by far on Novalac AR Digest. Could one perhaps continue with Novalac AR Digest but give something for diarrhoea? Would there be a possibility that her tummy could settle after a while? She was on this formula for 5days. Or would returning to Novalac HA but with thickening agent added be best? I will greatly appreciate your advice on what to try next and I really look forward to hear back from you at your earliest convenience.

Expert's Reply


- 2017/12/11

A complex question, but the two issues are that your baby has two problems at present; she is lactose intolerant (proven) and has what seems to be very severe reflux. She cannot tolerate any formula that contains lactose and equally cannot tolerate any kind of thickened agent added to any formula that is used for reflux, because she cannot tolerate the thickening agent (usually corn starch) which is a very common problem. So she needs a low lactose comfort formula and here Similac Total Comfort (not Alimentum) is recommended. Then she needs a medicine to lower her stomach acid which is causing her discomfort, so she must stay on the Nexiam which is safe and effective. Do not give her Motilium as it is no longer recommended.

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