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Ask Dr. Yogindra Vasavada Your Own Question
Dr. Yogindra Vasavada
Dr. Yogindra Vasavada, Pediatrician
Category: Pediatrics
Satisfied Customers: 3117
Experience:  M.D.(ped) passed at first attempt, in practice continuously for last 37 years. Certi. in Comp
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I have a 4 week old son which we believe has some reflux.

Customer Question

I have a 4 week old son which we believe has some reflux. He was spitting up pretty much after every feeding. Right now but I am breast feeding and supplementing with formula. I believe I am getting about 1-1.5 ounces from breast milk and then adding 2-4 ounces formula after that. Per my pediatrician, she recommended limiting the amt of formula to 2 ounces after breast feeding as she was concerned that the spit up was from too much food. He seems fussy/still hungry after eating when limiting to 2 ounces..... Do you recommend adding cereal/rice to the formula to help fill him up better without the large amt of formula?
Submitted: 8 months ago.
Category: Pediatrics
Expert:  Dr. Yogindra Vasavada replied 8 months ago.
4 week is too early for cereals. Please watch weight gain and do nothing if gain normal. If spit smells sour, use maalox syrup with feeds.
Expert:  Dr. Yogindra Vasavada replied 8 months ago.
Adding little oil or melted butter may also increase satiety.
Customer: replied 8 months ago.
At what age do u recommend adding cereal in formula?
Customer: replied 8 months ago.
Also do u think that giving more than 2 ounces of formula is too much for a 4 week old baby? We are using similac formula, do you recommend a different brand or specific line? We started with Advance line but werengoing to try the sensitive line?
Customer: replied 8 months ago.
How much oil/butter per ounce can we add to the formula?
Expert:  Dr. Yogindra Vasavada replied 8 months ago.
Half teasp.ful or so, adjust to taste & response.
Customer: replied 8 months ago.
At what age do you recommend adding cereal in formula?
Expert:  Dr. Yogindra Vasavada replied 8 months ago.
After 4-5 months age, when digesting enzymes get secreted.
Expert:  Dr. Yogindra Vasavada replied 8 months ago.
Earlier use may lead to food allergy too.
Customer: replied 8 months ago.
Ok thanks. Also do u think that giving more than 2 ounces of formula is too much for a 4 week old baby? We are using similac formula, do you recommend a different brand or specific line? We started with Advance line but werengoing to try the sensitive line?
Expert:  Dr. Yogindra Vasavada replied 8 months ago.
U r welcome. Similac is fine and quantity u allow baby to decide, little shud be left behind. Advance line is ok.