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My 3-month-old son cannot seem to keep a meal down. I’m feeding him 4 oz. of Enfamil Prosobee but the doctor recommended that I switch him to Enfamil Nutramigen and add rice to his milk, but it got worse than before. This is his third time I have switched his milk on a doctors recommendation.

What can this be and what should I do?


Baby Help Line:

Ideas When 3-Month-Old Throws Up A Lot

I am sorry to hear that your baby continues to have problems despite switching formulas. Obviously that doesn’t seem to be the solution, as it made your baby’s vomiting even worse.

The most important question in your situation is what portion of the meal eaten does your baby actually throw up? If it is just a small portion of the meal and he is gaining weight properly and does not appear to be dehydrated, it may just be a temporary problem that he will outgrow. However, making sure that this is not a more serious matter is still necessary.

Has your child been properly screened for pediatric GERD (often called reflux)? I suspect, due to the advice to add rice cereal to the formula that the doctors at least suspect reflux. But switching formulas is not everything you can do in such case. Holding your baby in an upright position while feeding and feeding only small amounts and frequently are other measures to take.

Your baby should maybe also be checked for allergies, as worsening of his condition on a milk-containing formula over the soy formula may be suggestive of him having a milk allergy, and possibly others. Other possible conditions, include pyloric stenosis (narrowing of the opening from the stomach to the intestines), and laryngomalacia (under developed throat/larynx muscles).

Pyloric stenosis is a likely condition for your child, as it prevents the food your child eats from passing from the stomach into the intestine and causes him to throw it up. Delayed weight gain may or may not be present in such children. The screening for pyloric stenosis includes ultrasound of the stomach or stomach x-rays. If your child has not been checked for this condition yet, it might be a good idea to discuss it with the doctor.

I can’t say what is wrong with your baby. Instead I would like to empower you to not give up! You have already searched second opinions, but since you keep getting the same advice but it doesn’t help, try to educate yourself about GERD, and other conditions, keep a diary over how much your baby throws up and head back to yet another doctor.

One thing you should know; if your baby does have GERD/reflux, but is still happy and gains weight, most doctors advice not to medicate, but rather let the condition grow away.

You are not alone! Here are links to similar questions and problems here at the Baby Help Line:

I wish you good luck! Please come back and let us know about your progress.

(Answer approved by our Medical Reference Team)

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