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Introduction of Solids, Cow’s Milk and Table Food

An infant bottle feeding

Your pediatrician may recommend that you begin feeding solids somewhat later than other infants due to your baby’s underdeveloped system. Usually you may begin solids around 6 months. The process will be extremely gradual. Try not to introduce more than one food at a time. Introduce one food every four or more days. This will allow you to be confident as to which foods your baby is able to tolerate. Maintain a log of your infant’s sleep patterns with each food since you may not be cognizant of the connection between food and sleep. Keep in mind that even food at breakfast could cause incredibly disturbed night time sleep with infant reflux. An allergy would be a more immediate response. Speak to your pediatrician regarding allergy testing and when it may be appropriate as well.

If you achieve several foods that appear to agree with your child i.e. absence of repeated night time waking or chronic crying, then keep a log of this “menu.” This will be another “anchor” for you. In the event you notice an increase in night time waking, return to the menu you know agrees with your child for several days. This will be a baseline to help you differentiate which foods worsen symptoms as well as bring temporary relief in introducing foods.

Another suggestion, introduce foods later in the week or on the weekend if you are employed. This way if your infant has repeated night time waking or sleep aversion due to a food, you may sleep during nap times and remove the food on Monday.

Pediatricians may suggest that you introduce all foods regardless of sleep disturbance so that you prevent a picky-eater. This is your decision.

Infant reflux and solid foods
Introducing solid foods
Solid foods
Infant reflux and solid foods
Reflux and early introduction of solids

Introduction of Cow’s Milk and Table Food

In speaking with gastroenterologists at Mount Sinai Medical Center in New York City, we were informed that cows’ milk does not agitate reflux in an infant who is not allergic. It may be how fast and what position you are feeding your child that may improve or worsen symptoms. With that in mind, do not change one thing about feeding time except for the milk. Feed your baby in the same bottle or sippy cup and in the same position as you did formula or breast milk. Keep to the slowest nipple or training cup. We do disagree on this subject in that we have seen and received feedback of babies having difficulty with cows’ milk, as seen in frequent night time waking, despite consistency. Another suggestion is to introduce the milk one ounce per week and document the night time pattern again during this time. As you introduce each ounce, keep track of the subtle changes in your baby. Stop at their threshold and begin again as they show tolerance. You also may not want to introduce any solids or table food at this time so that you do not misinterpret the symptoms.


Websites:

Children’s milk allergy and gastrointestinal coalition
How to introduce cows milk to a baby
When and how to introduce cow milk
Commonly Asked Questions about Offering Dairy, like Yogurt and Cheese, to Your Baby