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New born baby having episodes of foam in the mouth in sleep. Rice cereal recommended. Will this choke the baby?

My six-week old daughter has had a few frightening episodes lately ( at least for us). She foams at the mouth and spits up when sleeping. In the midst of this, she panics and gags. Once, she aspirated and we went to the emergency room. The pediatrician recommended rice cereal added to her formula to prevent spitting up- along with all other precautions ( elevating the head, etc.). However, the Enfamil A.R. caused so much distress for her that I worry the rice cereal will just do the same. Also, the rice cereal may choke her, or so I have read. Any ideas or suggestions?
Asked On : Mon, 11 Feb 2013
Answers:  1 Views:  1491
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Pediatrician 's  Response

Spitting up is quite common in early infancy.

Since it results in frequent aspiration, please discuss with your Pediatrician regarding treatment with Medications like Domperidone, Proton Pump Inhibitors etc.

The precautionary measures may sound simple. But they will help a lot.
- Side lying posture will be better while she sleeps. Make her lie to her left side so that left side of the body faces down. This reduces the risk of aspiration too.
- Head end elevation.
- Do not make her lie immediately after feeds. She has to be kept upright atleast for half an hour after feeds.
- Do not rock her after feeds
- Make sure that you burp her after each feeds
- Do not over feed her. Instead feed her in small quantities but frequently.
- The idea behind thickening of formula is thick feeds will not come up easily from the stomach as does milk alone. If you are scared of this, you need not do it.

- Try to put her on exclusive breast feeding till she completes 6 months of age.

Since she has had frequent aspiration episodes, you must discuss with your Pediatrician regarding medications. This will help.

Hope my answer helps you.
Wish your little one good health.
Answered: Mon, 11 Feb 2013
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