CMPA - Nutramigen 1

[Bananapancakes6]

Hi! Posting here hoping someone might be able to help.

My 7 week old son has been prescribed Nutramigen 1 for suspected cmpa. We have picked up the formula today and going to start him on it tomorrow, however he also has dreadful reflux which we usually use carobel in his feeds to control.

I've heard that allergy milk is notoriously thin, so wondering what others do to thicken it, and what size teat you would use on a mam bottle once thickened?

Thanks in advance.

Friends used carobel with the nutramigen for DTs. The combination of the two solved the problem. They were using Dr brown bottles but I forget which teat size- had to get ratio just right to be able to feed anyway!

My little boy was on Nutramigen. We didn’t thicken it but used a size 0 Mam teat for a good while before braving the 1. Whenever we moved up a teat it did take a few days for him to get used to it. I hear Carobel is good but we personally had no issues with the Nutramigen consistency.

I can’t remember what size teats we used sorry, but we did use carobel with the nutramigen. It helped a lot, but she also needed Omeprazole and Domperidone to reduce her symptoms further.

We initially used carobel however be warned this caused very bad constipation in our little one which we were confusing for the reflux symptoms, we were then prescribed a lesser used Thixo-D (has to be from a doctor) and this was amazing. I really think you need a thickener as the milk is so thin the reflux with it is awful. We used size 2 mam but had to make the hole a little bigger. The bigger size was too big and 2 was too small so the dietician just cut the top a little and it was perfect!

Also as PP the milk helped to a certain extent but it was Omeprazole which completely eased his symptoms and saved our sanity but for some reason I found they are extremely reluctant to try these medications until a last resort, god only knows why, the pain the reflux must cause is horrendous