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Forum Name: Pediatric Topics

Question: lactose intolerant or acid reflux?


 mummaof3 - Mon Jun 14, 2010 7:20 pm

my son has been on s26 reflux formula since 6 weeks old, he is now 4 and a half months old and still has the same problems i was told it would resolve itself once he started solid but it hasn't. my other son was lactose intolerant. could this be what his problem is to? his symptoms are- always spits up and cries after feeds until his next feed, always fussy and irritable, has trouble sleeping, rash around his mouth.
 Debbie Miller, RN - Tue Jul 20, 2010 6:59 pm

User avatar Hello,
Reflux disease in the infant can persist for several months and the formula may not make any difference at all (even those which claim anti-reflux properties). The doctors can prescribe medications to help but the child will need to outgrow this and I would not expect it to be gone already if the case is severe.

The rash around the mouth could be due to acid or milk intolerance. If so, changing to soy is not necessarily an improvement since it is a high allergy food. Solid foods are normally introduced around six months so the doctor was probably thinking that by that time he would likely have outgrown it. But, it is not because of the solids that they get better so starting them sooner than five or six months won't expedite the healing.

There are various food intolerances when a baby receives artificial feedings and sometimes all you can do is try something else. There is a formula (Similac Expert Care Alimentum and Enfamil Nutramigen AA or Pregestamil) that can be tried on the recommendation of your doctor. Some of these must be special ordered. If it is lactose intolerance one of these might help. You usually need to give the new formula a couple of weeks to see if it really makes a difference.

In most cases the baby does outgrow this so try to be patient a few more months.

Best wishes.

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