Reflux / choking hours after feed

My LO seems to to be suffering from increasingly worse reflux. I feed him and wind him (not always successfully!) and lay him down and then an hour or two later he’ll start bringing it back. He coughs and makes choking sounds on it and brings bits of milk up all down himself. He’s combi fed breast milk with formula in the evenings. He’s fine when being held on his front or on his side. We have his basket at a small incline so his head is a little higher than feet. He has wet nappies and 3/4 poos a day. I hold him upright for 10-30 mins after each feed. This is upsetting for him and us but it’s also really disturbing his sleep (and ours!). I know reflux is common but I’m concerned it’s happening so long after his feed. Could it be an allergy? Poor winding? He was premature but is now 10 weeks old. Thanks in advance !

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Could be an allergy! I’d bring it up to your doc/GP. I’ve been cutting out dairy for similar symptoms and have seen a great difference. There are dairy free-breastfeeding and CMPA groups on Facebook that are very helpful too as you navigate.

Thank you! A family member recommended goats milk too but then a doctor told me not to use it as not enough is known about it apparently ?

The protein in goat amd sheep's milk are very similar to cow, so if it is cmpa won't help. Our little one has had bad reflux since 6w old, but she was also born very early it's common for preemies. Is there any trouble putting on weight or yucky nappies? Are you already on meds, they may need to be adjusted for current weight if you are. I would go back to your gp/outreach team. We kept getting told it will be much better when they are 6 months old, but thar doesn't help when it's so far away at the moment and you're covered in sick

@Vic he has quite a few big dirty nappies and has always pooped a lot but they’re becoming more regular now. I’m just on his usual vitamins for premmie babies - not meds as such. Which do you mean? Good point about the goats milk - he’s just on Aptamil top ups at the minute. Weight gain is ok. Have you just been carrying on as normal?

We're in a bit of a different situation as she is super dinky so on high calorie milk and very focused on keeping milk in! So weekly weigh ins and keeping a close eye on her. May be worth talking to gp or hv about options for reflux, we've got gaviscon and omeprazole which help enormously.

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