Is it common for a 1-month-old to experience reflux issues?

Hi doctor,

I am a parent of a baby girl born a few days ago. We seek your advice regarding our challenges with her feeding and digestion. Our daughter started with Aptamil milk initially, but we switched to Novalac AC due to colic symptoms. Additionally, she developed a nappy rash, which we suspect was due to her inability to break down the milk proteins in the formula. After consultation, we transitioned her to a hypoallergenic formula, Nan LR. She consumes 120 to 150 ml of Nan LR milk every three hours. Her feeding is acceptable, and her stool is green-yellowish in color. Urination also seems normal, and her nappy rash appears to have decreased as we provide her with some cream.

Specific concerns are as follows:

1. Fussiness and Sleep Difficulty: She remains fussy and has difficulty settling down to sleep.
2. Quick Feeding and Reflux: She tends to gulp down her feed quickly, which leads to reflux issues. Despite our attempts to pace-feed her, she seems hungry yet simultaneously suffering from reflux.
3. Regurgitation: After completing her feed, we burp her. However, she often ends up regurgitating the milk. Last night, during the feed, she regurgitated approximately 30 ml, and this morning she woke up early crying loudly with some milk pouring out from her nostrils.

She is also taking Infacol to assist with her colic symptoms.

1. Is it common for a 1-month-old to experience these reflux issues?
2. Do we need something in our feeding approach that might be causing these issues?
3. Please provide some remedies or tips to alleviate these challenges.

Thank you.

Hi doctor,

Thank you for the reply.

In the attachment, I am attaching her complete weight progress. Regarding feeding, she does not last four hours; generally, she is hungry after two to three hours. We fed her 120 ml, although she did take 150 ml this morning as she was hungry. Regarding preparation, we prepare four scoops in advance but make sure they are consumed within 12 hours. Therefore, we found that this method satisfies her needs within five minutes. I want to add that only when she eats noisy breathing, like a high-pitched squeaking noise, is there.

Thanks.

Hi doctor,

Thanks for the reply.

Is adding fennel and carom seeds to the water safe, considering she is still one month old? And do we do this by placing the fennel & seeds in the kettle, adding water, and boiling all?

Thank you.

Hi doctor,

Thank you.