Aptamil peti 1 doe CMPA

[Krissy09]

Hi guys so I was finally listened to in that my daughter may have CPMA. We have been prescribed aptamil peti 1 to trial. I started it today she was sick but the sick was almost like water very clear is this normal ? I know the milk is a thinner consistency so I am not sure if it should look like that as on her other milk her posseting looked like milk and her vomit clear with milk bits

i am abit worried and concerned as a first time mum

Pepti 1 still has soya in it? It has something in it that isn't ideal for CMPA. See how it goes but you might need nutramigen (sp?) which is better for allergies.

I personally wouldn't worry too much about the sick if it seems it's just a bit after the feed, might be baby adjusting to new formula and texture / taste etc

Thank you they did say 2 week trial and then take it from there

They do the 2 week trial to see if it works or you are getting “backslide”
my DS improved almost immediately on pepti 1 but wasn’t fully resolved and seemed to relapse so at the end of those two weeks we move on to nutramigen / alfamino and that was transformative. At 10m we moved back to aptimil pepti (essentially stage 0+ of milk ladder) as a test (we started doing 3 scoops pepti 1 / 3 scoops alfamino) and he was fine on it.
he still gets that and we started on malted milk biscuits to try and get him desensitised.

benign reflux is very common in cmpa babies, we have had probably gallons of clear and opaque! Sick by now (12m). He still is quite reflux but veryyyy gradually improving

It reads as fairly normal based on my experience but you know your baby …if you really feel something is not right go back…

So this milk still has dairy in it but it's partially broken down.
There are also two proteins (caesin and whey) in milk and the extensively hydrolysed formula each have one but not both broken down. I believe pepti and nutramigen have different proteins broken down and nutramigen is often suggested if pepti doesn't help.
You can be allergic to either or both of the proteins. If it's both they will react to the extensively hydrolysed formulas. Sensitive babies will still react to extensively hydrolysed formula. Imagine the dairy proteins are a page in the newspaper and when it's hydrolysed it's like you have taken a pair of scissors to it and cut it into small pieces. If you pick then up you may or may not be able to recognise what the story was
There are also amino acid formulas which are completely dairy free. Keeping with the newspaper analogy these are like you have printed each word on the page separately on individuals small pieces of paper. The most common amino acid formulas are neocate and alfamino.

They are thin too and thickeners can help with that