Switching to Medium Flow Nipples

Zantac and any of the acid blockers can cause diahhrea, or the opposite...constipation. I would talk to your doctor about this. They reduce the acid in the stomach, so naturally this can affect things on the other end. Sometimes it adjusts, sometimes not. Interestingly, drowsiness is another side effect!

I feel your concern about eating...even though my son was a good eater I still worried nonstop. My best advice is to try to relax and let him set the pace of what he wants to eat. It will vary from day to day, feeding to feeding. If he falls asleep at one feeding, chances are he'll eat more the next time. I found the norms never did fit my son and although they were a helpful guide, created a lot of stress in me. As long as the doctor is fine with his weight and his growth, don't worry! Babies vary SO much, even within families. Yours sounds like he is adjusting to leaving the newborn stages behind just great! Sleeping through most of the night is heavenly and enjoy it! Hugs...your worry shows how good a mommy you are.

maybe this will help you : dont worry about how MUCH your son is eating. he will eat when hungry, and stop when full. the first year is very confusing when keeping track of the amount he eats because for a while they will eat SO MUCH cuz they are growing, then they will eat next to NOTHING because they arent growing physically .... just relax, and be sure that this is NOT an issue, there shouldnt be a need to switch to a different nipple until he has frustration cuz he cant get enough out fast enough. a bigger nipple can cause him to "drown" because of getting formula too fast, and that causes gas and other sorts of problems.

with a bottle, this is probably far off, but remember to try not to let him fall asleep with the bottle in his mouth, OR if he does, remember to remove the bottle as soon as possible. even if he doesnt have teeth yet, you dont want to foster a habit that causes extreme tooth decay. a pacifier is a healthy, safe, and protective way for him to suck (a NEED of all babies) and not hurt his teeth.

usually eating too much formula wouldnt cause diarrhea... at least i dont think. im not an expert by any means.. but something else is at play there i beleive. usually formula will cause constipation because it is highly concentrated. if this is the case, a little cup of water during the day or a little milled flax on baby food will help the formul/constipation connection. this isnt a bad thing - flax has fiber which is required for soft comfortable stools.. too much can cause diarrhea though.. so just a pinch to start.

again, i reiterate, DONT WORRY about how MUCH he eats, just that he eats when hes hungry and stops when hes full - thats much more important than the ounce amount on the bottle. you want him to learn that hunger pains mean eat, and that full feelings means STOP - this will prevent childhood obesity issues! :D

also, in my work with babies, ive noticed that they will EAT AND EAT AND EAT - then they will have a period where they sleep and sleep and sleep! this is perfect and normal for baby growth! they need the fuel, then they need the sleep, hence the reason why some moms can say that it seems like their babies grew up 'overnight' - because they do most of their growing while they are sleeping! '

just relax. as long as you keep in touch with your doctor and there are no NUTRITIONAL deficiencies, your baby will be perfectly healthy no matter how much, or little, he is eating at any given time.
trust your instincts. you will know if something is really wrong.
incidentally, me and my husbands anniversary is july 17, our son weaned himself at 19 months on july 18th - and july 19 your baby was born! interesting huh? LOL

Is there a chance your son might be starting some early signs of teething? Some babies get teeth around 4 months, and even though most books will say diarrhea doesn't go with teething, I can promise you most moms will say it does. Our daughter went through some diarrhea around 4 to 4 1/2 months, and sure enough right at 5 months, her first 2 teeth broke through. EVERY time she had diarrhea (it was a very distinct consistency), she would end up with new teeth a couple weeks later. Just a thought. I doubt the medium flow is the cause. I would think that increased reflux/spitting up would be more likely if it was too fast, but since he's on meds, it should be fine.

I understand your concern, I have issues with my little girl getting enough to eat as well, we breast and bottle fed her and I always had issues with her falling asleep. As I understand it as long as your baby is gaining weight and doing well then it is nothing to worry about. The average child may eat 35oz a day but your little one might eat a little less. My pediatrician reminded me over and over again how different children are in their eating habits and now our little girl is 19 months old and still a picky and slow eater but doing just fine. I know it is stressful because he is your first but you are doing everything right, just be patient and keep trying, he may pick up on his eating or he may not but either way, he will keep growing and he will be fine! Good luck and hang in there!

C., all babies are different. If your baby was hungry, he would let you know. The fact that he's sleeping through the night means he's getting plenty to eat. I say throw the books out and listen to your baby instead. They do find ways to tell you when something is wrong. If your baby is happy, healthy and gaining weight, then chances are that his needs are being met. Trying to get him to eat more will just result in over-feeding him and could cause him to develop a habit of over-eating.

The diarrhea is most likely from the Zantac and not the faster nipple. If it doesn't ease up after a few days, then I'd call your doctor about it.

I guess if he is gaining weight and sleeping well, I wouldn't worry about how many oz's he is getting in a day. If he is satisfied, why force feed him? Every child is different. Some 6 lb babies may require more than some 12 lb. babies...all are different. I guess what I am trying to say is, put the books down and just do what is best for your baby. Mother instincts are a lot better than any old book.

C.,

If your baby was hungry, he wouldn't be falling asleep during his feedings. At 3 months, 14.5 lbs sounds like a healthy weight to me. Relax, and don't fret over his intake. Babies let you know when they are hungry.

He doesn't have diarrhea because of how fast he's eating, or the frequency of his meals. The increase in Zantac seems to have a direct correlation to his diarrhea. Why was his Zantac dosage increased? Take him back to your doctor and get the Zantac issue worked out.

When I had my first child, I remember being very worried about how much she was eating. I even went to have her weighed and talked to a nurse who told me she was fine and not to worry so much. You read these books that say they should be eating a certain number of ounces and then you think oh no they aren't eating nearly that much there must be something wrong! As long as your baby is healthy and gaining weight, don't worry about what the books say. Every child is different. Some will eat less and some will eat more. So try to relax and enjoy your baby!

id check with your dr.could be more going on than meets the eye...good luck

If he has reflux, i would not switch to the faster nipples, my little girl had reflux too,and we didn't switch till she was 8 months, and then only to stage 2, and she never went higher than that on bottle nipples cause we gave up bottles and went to sippies only at 12 months. Also, she never ate more than 5 oz at a meal, even at 12 months...their little stomachs are only the same size as their fists, remember! And getting them too full can cause the reflux to worsen. The faster nipples can actually cause them to get too much too fast and aggravate the reflux, gas, and cause diahreah, too. Especially if he is starting to sleep through the night, I wouldn't mess with anything - that is a sign that everything is going good if he is full enough to sleep through.

Also, if he was content and falling asleep, he was not still hungry, and 14 pounds is a great weight (my daughter only weighed about 11 pounds at that time). He is eating, and he is content with it. If the Dr. hasn't said he is underweight or asked you to add calories, I would just stick with the slower flow, the baby was happy, right? Not fussing for more, or finishing the bottle and crying for another...??

My girl is now 22 months, and still only weighs 21 pounds, and she is fine and healthy, and the Dr. has never even mentioned her weight, and she has always been on the smaller side. We alwasy just let her eat till she stopped - babies aren't liek adults, they know when they are full. I don't think you should try to force him to live up to some "Standard" of how much he should be eating. Just feed him when he is hungry and stop when he is full.

I know it is hard as a first time mom, and we want to make sure we live by every book or rule we hear, but we have to trust nature and our babies, too!

Do what makes you and the baby happy, and try not to obsess over the numbers/statistics/books!

Jessie

I don't really have advice I guess...but I have a baby boy that was born June 17, 2008 and he currently weighs 16 pounds 9 ounces. At three months we switched to medium flow nipples and he ate faster with them, he had diarreah for about a week. Do you feed him cereal? My doctor said that when he starts eating 8 or 9 ounces at a feeding to go ahead and give him cereal. My baby was eating 8 ounces at three months so we started to give him cereal. That helped a lot with the diarreah and he just seemed like a happier baby altogether. Good luck! You can write back if you want to compare more baby notes!!

The actual formula is 2 - 2 1/2 ounces per pound of weight which would be 28-35 ounces. He is close enough to the 28 and if he is gaining and happy I am sure he is ok. If your doctor is not concerned I think you can relax and enjoy your baby.

I don't believe that the faster nipples would be causing the diarrhea. The only diffference they make is how hard he has to suck.

My son was also on zantac, and hald loose stools when his dose was upped at 4 months. I think this may be his body adjusting to the meds. It lasted a few days.

Babies let you know when they are full when they stop eating. Unless you are concerned about failure to thrive, or his doctor has told you he needs to gain weight, I wouldn't worry so much about tracking how many oz he eats at this point. It sounds like you are adding more prcssure to yourself than you need to. The books and guidelines are just that - they don't know your son as well as you do. I would check with your doctor if the diaarrhea lasts a longer duration than you comfortable with.

I don't really think the diarrhea is related to him eating more. He would poop more, but I don't think the consistency of it would change, necessarily. Did he get diarrhea when he was put on the zantac (or was he at that stage where it all looked like diarrhea anyway!)? A change in medication could cause it until his body adjusts to the difference, but I don't have much experience with babies on Zantac so I'm not sure how connected they are. I would at least call the doctor if you're concerned. Babies do go through changes in consistency of their poo so keep that in mind to. No matter what, it doesn't hurt to call your doctor and inform him/her of the change and ask if there's anything to be concerned about. Better to call and be reassured than to worry or to have there really be something going on.

As long as your son is a healthy weight (which he is), don't worry so much about how much he is eating. He knows more than some chart how much he needs. He will go through spurts where he eats a ton, and then he will slow down and not eat as much. This is a normal cycle for growth right now. If you force children to eat more, that can cause weight problems later in life. He has a built-in system telling him how much to eat. Trust him a little. If he is hungry - he will eat.

I think 35 ounces a day is a little much. My daughter never took more than 28 ounces. When she was 3 months she was sleeping through the night and was taking 6 ounces every 4 hours. Our doctor said they should have between 20-30 ounces a day as long as it doesn't go below 20. There was a times when she would only take 5 ounces every 4 hours, but then she got back up to 6. Babies know when they are full and when they are hungry. He will let you know. She was also on reflux medicine from birth to 15 months, but never got diarrhea. She would get diarrhea from teething, and also from antibiotics when she had an ear infection. Hope this helps.