Alphabet for small children educational. Russian alphabet and alphabet for children. § Games about the alphabet and the alphabet: for older children

It often happens that a child’s regurgitation of eaten food becomes frequent and abundant, adversely affecting his growth and development. In this case, the doctor may recommend specialized mixtures to prevent regurgitation - antireflux mixtures.

In the baby's stomach, due to the addition of thickeners, they form a dense clot, which remains in the stomach, preventing regurgitation. To quickly distinguish antireflux mixtures from regular mixtures, their packaging is marked AR (from the English Antiregurgitation). In terms of the protein component, most antireflux formulas are adapted, that is, whey proteins, as in breast milk, predominate over casein. Thanks to this, they are well digested and absorbed. The only exception is Nutrilon AR, in which casein dominates over whey proteins, enhancing the thickener effect. Depending on the type of thickener, these products are divided into two groups, which have both common features and differences.

Antireflux mixtures containing locust bean gum

This substance is a natural polysaccharide obtained from carob, also known as food additive E 410, which is used in the food industry as a stabilizer, emulsifier and thickener. Gum polysaccharide (galactamannan) is a dietary fiber that is not digested in digestive tract under the action of human enzymes. Its breakdown occurs only under the influence of microorganisms of the large intestine. This promotes their growth, thus having a prebiotic effect. Carob gum accelerates the elimination of stomach contents into the intestines, and due to its ability to retain water, it can eliminate constipation. The amount of locust bean gum allowed for introduction into the product is 1 g per 100 ml (on average from 0.34 to 0.5 g per 100 ml). A high thickener content is fraught with the occurrence of flatulence.

Important! Mixtures containing locust bean gum have a prebiotic effect and.

In baby food, carob gum is used in natural or modified form. Natural gum is present in Frisov and is characterized by the ability to dissolve only in hot water(70-80ºС). The modified gum dissolves at lower temperatures (40-50ºС) and is part of the mixtures: “Nutrilon AR”, “Humana AR”, “Nutrilak AR”, “Babushkino Lukoshko Antireflux BIO”, “Bellakt”.

Name	Price, rub	Price per 100 g of mixture, rub.
Frisov	660	165
Bellakt AR	270	67,5
Nutrilak AR	460	131,4
	705	176,3
	865	216,2
	399	99,8

Antireflux mixtures containing starch

Starch contains a natural polysaccharide - amylopectin, consisting of glucose residues. Under the influence of a special enzyme, it is broken down in the small intestine. Starch, unlike locust bean gum, on the contrary, promotes longer retention of stomach contents (thanks to this, the child retains a feeling of fullness longer), while producing a fixing effect (Samper Lemolak, Enfamil AR, NAN AR, Celia AR ", "Similak AR"). The exception is the Nutrilon Comfort mixture, which contains “pregelatinized” starch, which consists of specially processed corn and potato starch. This treatment makes it impossible for starch to cause constipation in the intestines.

Name	Price, rub	Price per 100 g of mixture, rub.
Nutrilon Comfort	549	137,2
	270	83,0
Celia AR	370	92,5
NAS AR	655	163,8
Similak AR	660	176
Enfamil AR	700	175

Important! Mixtures containing starch create a long-lasting feeling of satiety, producing a fixing effect. The exception is Nutrilon Comfort.

How to give anti-reflux mixture

Antireflux mixtures belong to medical nutrition, so their use should be agreed with a doctor, since any of their components can cause allergies or other side effects. The type of product and its dosage are selected individually for the child. If the use of antireflux mixtures is ineffective, drug therapy is added. Products containing carob gum are prescribed for persistent regurgitation and a tendency to constipation. They are introduced gradually at each feeding. You can add them (pre-dilute in another container) to a bottle with, but it’s better if you give therapeutic nutrition before starting feeding. The amount of product is increased until the regurgitation stops or weakens. The average course of treatment is 3-4 weeks.

Baby foods containing starch are usually prescribed for less severe regurgitation for babies with normal or unstable bowel movements. A starch-containing antireflux mixture most often replaces the previously used one. The duration of their use is 30-60 days.

Important! Formulas containing locust bean gum are prescribed for persistent regurgitation and a tendency to constipation, while those containing starch are usually prescribed for less severe regurgitation for children with normal or unstable bowel movements.

Is it possible to give anti-reflux formula while breastfeeding?

It is necessary to approach antireflux mixtures very carefully when breastfeeding. It is best to give 10-20 ml of the product before each breastfeeding. To do this, it is not necessary to use a bottle - it will be enough to feed from a teaspoon or syringe. Even if a child has persistent regurgitation, this is not a reason to switch to mixed or artificial feeding.

By its nature, regurgitation is a normal physiological feature of infants. But there are situations when they begin to cause discomfort to the child and make his mother worry. The way out of this situation is simple: you need to choose anti-regurgitation baby food that will improve the functioning of the baby’s gastrointestinal tract.

One of these mixtures is Nutrilon Antireflux.

General information about the mixture

First of all, the manufacturer warns that breastfeeding is preferable for children in the first year of life. If for some reason this cannot be done, special food is selected for the baby.

"Nutrilon" is intended for children who often and abundantly. The positive effect is achieved due to the presence of a natural thickener in the product - bean gum. Once in the stomach, it increases in volume and forms a protein lump that the child is not able to regurgitate. At the same time, it is perfectly digested in the intestines and relieves the baby from constipation. Thus, two problems are solved at once. At the same time, the product is highly effective.

On the second or third day of treatment, 60 percent of children completely stop burping, and in 40 percent their frequency significantly decreases. After some more time, a positive effect is observed in 100 percent of children! These statistics once again confirm the excellent quality of the product.

"Nutrilon Antireflux": composition of the mixture

So, as we have already learned, the composition baby food includes carob bean gum. Of course, it is not the only ingredient. The anti-reflux mixture "Nutrilon" includes lactose, skim milk, minerals, vitamins, choline, taurine, trace elements, as well as sunflower, rapeseed, palm, and coconut oils.

Preparing the mixture

Before you start preparing the mixture, you need to wash your hands and sterilize or pour boiling water over the nipple and bottle.

Boiled water should be cooled to 40 degrees and the required amount should be poured into a bottle. Add the dry mixture to it at the rate of 1 measuring spoon for every 30 ml of water.

After this, the bottle must be closed with a lid and shaken until the powder is completely dissolved.

The temperature of the finished food should be checked with the inside of your wrist; place a few drops on it. The mixture should be neither cold nor scalding.

The food that remains after feeding should be poured out and the bottle should be rinsed thoroughly under running water.

Method of using the mixture

We examined the mode of action and composition of the Nutrilon Antireflux mixture. How to give it to a child in order to see the expected result soon? There are two options.

In the first case, the mixture appears in the form of the main product; the required volume is calculated based on the age of the baby. The manufacturer also took care of the parents, indicating on the packaging all the necessary information about this.

The second option provides that Nutrilon Antireflux will be given to the child before meals or in combination with another type of food.

Only a pediatrician can decide which of these two methods is preferable. It is important to remember that anti-spitting formulas are medicine and it is not recommended to give them to healthy children.

After reading the article about anti-reflux milk formulas, You will learn:

1
Vitamins and their importance during pregnancy.
2
What are anti-reflux mixtures and what types exist?
3
What are the features of the composition of anti-reflux mixtures compared to normal nutrition?
4
What is “starch” from the point of view of feeding children?
5
How do starch-based formulas work for regurgitation syndrome?
6
What activities can parents take to prevent regurgitation in babies?
7
A brief overview of anti-reflux infant formulas containing starch.
8
What starch-based AR mixtures can be called the best?
9
How to properly use starch-based antireflux mixtures?
10
Is it possible to use starch-based AR mixtures during breastfeeding?
11
What conclusions can be drawn after reading this article?

WHAT ARE ANTI-REFLUX MIXTURES, WHAT TYPES ARE THERE?

In children of the first year of life, regurgitation is one of the most common problems. According to statistics, among newborns under 4 months of age, 67% burp at least once a day. The reason for this is the functional immaturity of the digestive system of babies, namely, the contents of the stomach can be thrown into the esophagus and then out. Nutrition correction can be considered one of the most effective means therapy of digestive disorders in children of the first year of life.

Antireflux formulas are specialized medicinal milk formulas that reduce the likelihood of regurgitation. Such mixtures initially have a thicker consistency than standard ones or become thick when directly entering the baby’s stomach. Feeding with milk formulas of this type can be used in a course of several months or used on an ongoing basis, depending on the composition. For the most part, only transferring the child to an antireflux formula can achieve the desired result.

There are two types of antireflux mixtures:

Anti-reflux mixtures based on carob bean gum - are used most often, while the period of feeding is strictly controlled by the doctor; This thickener “works” only after it enters the stomach.
Starch-based antireflux mixtures are used for mild symptoms of regurgitation and digestive disorders. With a rational approach to feeding, starch-based formulas can be used for a very long time. Starch makes the finished food thick immediately after cooking.

In the era of universal access to information about health, motherhood and feeding newborns, young parents are attempting to self-administer antireflux formulas, which is categorically not recommended. Any product in a baby’s diet should be agreed with the pediatrician, especially if it is medicinal, especially if there are problems with digestion.

The wrong choice can affect the timing and effectiveness of the therapy. The use of any anti-reflux mixture is therapy, the treatment of regurgitation, so it is very important to know about the features of the starch-based anti-reflux mixture.

FEATURES OF THE COMPOSITION OF ANTI-REFLUX FORMULAS COMPARED TO STANDARD (CONVENTIONAL) FORMULAS OF MILK FORMULAS

IN general view, such nutrition is designed to prevent the return of nutrition into the esophagus and oral cavity by changing the viscosity of the stomach contents. The action of these mixtures is based on several factors:

Protein composition of the mixture. The ratio of casein to whey proteins is great importance for the digestive system of newborns. In cow's milk, the ratio of casein fraction to whey proteins is 80:20, in mother's milk it is about 40:60, and in most infant formulas it is 40:60. In anti-reflux mixtures, the proportion of casein is increased, thus reducing the frequency and severity of regurgitation symptoms, since in the stomach casein coagulates into a dense thick mass, which prevents the reverse flow of fluid after eating.
Fat content. Formula or high-fat breast milk weakens the sphincters (constrictor muscles) of the esophagus and delays the movement of food from the stomach to the intestines. Therefore, anti-reflux formulas have a relatively lower fat content than conventional formulas. Speaking about a relative reduction in the amount of fat, we mean that their content is optimal for the successful growth and development of the baby, but does not contribute to incomplete closure of the muscles of the esophagus at the border with the stomach.
Thickener introduction. Starch or carob bean gum are used as a thickener. Both components thicken mixtures equally well, but behave differently in the stomach. Milk mixtures based on starch are initially thick, and those based on locust bean gum thicken only when they enter the stomach, so this circumstance must be taken into account when preparing food. The temperature at which formula is diluted varies significantly.

WHAT DOES THE WORD "STARCH" MEAN?

Antireflux mixtures They contain rice, corn, and less often potato starch as a thickener. Already when diluted, starch-based anti-reflux mixtures look thicker, so when feeding with such mixtures, a wide hole in the nipple is necessary. The effect of using antireflux mixtures on starch is due to the action of a polysaccharide - amylopectin, which is broken down only by the action of enzymes in the small intestine. Unlike locust bean gum, starch retains the contents in the stomach longer, promoting long-term satiety, and has a constipating effect, which can prevent constipation in bottle-fed infants.

HOW DO ANTI-REFLUX MIXTURES WORK?

Regurgitation in infants is associated with the immaturity of the sphincter (contractor muscle) of the esophagus at the border with the stomach, as well as with the high sensitivity of the gastric mucosa to substances coming from outside. The contents of the stomach are freely thrown into the esophagus and then come out.

Over time, the muscles of the esophagus will become stronger, the gastric mucosa will lose its increased sensitivity and regurgitation will stop. However, in order to exclude other causes of regurgitation, the help of a pediatrician is needed, who will examine the baby and recommend anti-reflux formulas for newborns if other measures to prevent regurgitation are ineffective.

Some measures to reduce the intensity of regurgitation:

creating the correct position of the baby's body during feeding - it is important that the head is higher than the level of the abdomen. Children who can hold their back can eat half-sitting or sitting;
the “column” position after feeding for at least 5-7 minutes to remove swallowed air; intensive patting on the back is not recommended;
carefully counting the amount of food eaten to prevent overeating;
the use of specialized bottles and nipples with air valves to prevent excess air swallowing;
prevention of flatulence, timely use of a gas outlet tube;
after feeding, do not shake, do not change the diaper, do not change clothes - in other words, do not contribute to the reverse flow of nutrition due to the mechanical effect on the stomach.

In young children, starch is not completely digested in the small intestine; some of it reaches the large intestine unchanged, where it promotes the growth of beneficial microflora and has a slight stimulating effect on intestinal motility, i.e. performs the functions of a prebiotic and serves to prevent constipation.

WHAT STARCH-BASED ANTI-REFLUX MIXTURES ARE AVAILABLE FOR SALE?

On the packaging of antireflux mixtures themselves there must be an AR or AP (Antiregurgitation or Antireflux) mark. Semper Lemolak and Nutrilon Comfort have the properties of anti-reflux formulas due to their unique composition, so without considering them it is impossible to get a complete picture of the milk formulas of this group.

Review of starch-based antireflux mixtures:

Name	Description
NAS Antireflux ()	Can be used as a mixture for basic nutrition. Contains partially hydrolyzed (split) protein, therefore it is a hypoallergenic product. Contains live bifidobacteria as a probiotic component to improve the composition of the intestinal microbiome. It contains essential amino acids, which contributes to the proper development of the immune system and nervous system. Contains all the nutrients necessary for a child.
Celia Antireflux ()	Contains live bifidobacteria as a probiotic for the formation of proper intestinal biocenosis.
Similak Antireflux ()	Contains unchanged (complete) protein and does not belong to the hypoallergenic group. Does not contain palm oil. The components of the milk formula contribute to the formation of soft stools and prevent constipation.
Enfamil Antireflux ()	It is well tolerated due to the rice starch content. The amount of lactose is reduced, making the symptoms of bloating and infant colic much less pronounced.
Humana Antireflux ()	This mixture is the only one from the group of anti-reflux mixtures that, in addition to starch, also contains carob bean gum. Gluten free. The amount of lactose is reduced, making the symptoms of bloating and infant colic less pronounced. Contains nucleotides necessary for the proper formation and maturation of the immune system. There are no essential Omega acids.
Semper Lemolak ()	Can be used from the first days of life as the main food. Contains citric acid(in minimally effective doses), which quickly coagulates protein in the stomach, preventing regurgitation. Only rice starch is used as a thickener, making it better tolerated by children. Contains optimal fat and protein composition. Does not prevent the development of food allergies to complete protein. The amount of lactose is reduced, making the symptoms of bloating and infant colic less pronounced. It has high osmolarity, which creates additional stress on the gastrointestinal mucosa and kidneys of the child
Nutrilon Comfort ()	It differs from other types of anti-reflux nutrition in that it contains specially processed potato and corn starch (“gelatinized”), which does not have the ability to provoke constipation. Can be used from birth. Effectively relieves colic, constipation and reflux. Contains probiotics and fatty acid, similar in composition to breast milk. It is a hypoallergenic product due to the partial hydrolysate of cow's milk proteins. The amount of lactose is reduced for prevention increased gas formation and intestinal colic. Also, the peculiarities of this mixture include a bitter taste and a greenish tint to the stool, which is the norm when using protein hydrolysates (More information about mixtures for comfortable digestion can be found here.)

European baby food regulators have introduced a maximum allowable amount of starch in infant formula: 2 grams per 100 ml. Exceeding this number, according to some reports, can lead to a decrease in the absorption of iron, calcium and zinc.

BEST ANTI-REFLUX MIXTURES

It is impossible to say for sure which mixture is better for regurgitation. Any antireflux mixtures are a medicinal product, so only a pediatrician or pediatric gastroenterologist can prescribe them.

After examining the child and listening to the parents’ complaints about the child’s health, the doctor will select the necessary anti-regurgitation mixture. In addition to the type of antireflux mixture, the specialist will indicate the exact dose and duration of its use.

Independent prescription of mixtures of this group is unacceptable. To choose the best anti-reflux mixture, one must proceed from the accompanying problems and characteristics of the child’s body.

If the baby is breastfed, it is better to use it as a medicine, a mixture with carob gum. If the child is completely bottle-fed, then best choice there will be an anti-reflux mixture with starch.

It is advisable to take into account the previous brand of formula when choosing a new food for the baby; it will be easier for the child to adapt. Otherwise, the choice of anti-regurgitation mixture is purely individual.

TOP 3 MOST PRESCRIBED ANTI-REFLUX MIXTURES BASED ON STARCH BY PEDIATRICS IN RUSSIA:

NAS Antireflux;
Celia Antireflux;
Similak Antireflux.

HOW TO USE ANTI-REFLUX MIXTURES WITH STARCH?

As a rule, starch-based anti-reflux mixtures are used for regurgitation and a tendency to constipation, which do not affect the correct rate of growth and development of the child. Unlike mixtures based on carob bean gum, they can be used for a long time, up to 12 months, and if the situation requires continued use, then longer.

Starch-based mixtures can completely replace the main nutrition during artificial feeding. That is, it can be used not only for a long time, but also completely serves as a source of nutrients and energy. However, young parents should be warned against this type of feeding; it is not suitable for everyone. If it is necessary to use starch-based AR mixtures for more than 3 months, it is sufficient to use them 3-4 times a week throughout the entire duration of therapy after the child’s condition has stabilized. Transfer to maintenance therapy (3-4 times a week) must be agreed with the doctor.

The effect of using anti-reflux mixtures based on starch is noticeable on the 6-10th day of use, when the child burps much less frequently, and the volume also decreases.

Also, a significant difference from AR mixtures based on carob bean gum is that anti-reflux mixtures based on starch are prepared differently. The fact is that starch is completely soluble in hot, but not boiling, water. Thus, in order to prevent the formation of “lumps”, it is necessary to dilute the powder of the anti-reflux mixture on starch in water with a temperature above 80 degrees Celsius. This mixture should be given to the baby after it has cooled to 36-370C. Hotter food provokes vomiting.

It is worth remembering that the starch mixture becomes thick already in the bottle, so it is necessary to use a nipple with a high flow or a special one “for thick liquids” to make feeding as comfortable as possible.

Antireflux mixtures are introduced into the child’s diet gradually, starting with 1-2 teaspoons, at the very beginning of feeding, before the introduction of the main food product.

The amount of nutrition is determined individually by the doctor, taking into account the child’s condition at the time of examination and any complaints from the parents. If the doctor orders a complete transfer of the baby to the AR mixture, the main mixture should be gradually replaced over the course of 7-10 days. A faster transition to a new type of formula may adversely affect the baby's digestive health.

During each feeding, parents use two bottles. In the first bottle, the anti-reflux mixture is prepared in the required volume, in the second bottle, the main nutrition is prepared, until the complete transfer to the AR mixture with starch. Mixing two types of infant formula in one bottle, even after dilution, is not recommended.

ANTI-REFLUX MIXTURES CONTAINING STARCH AND BREASTFEEDING

When breastfeeding, any infant formula should be administered with extreme caution. Just as with artificial feeding, the initial volume of the mixture does not exceed 10-20 ml.

It should be remembered that any supplementary feeding with formula milk to babies receiving breast milk should be done from a spoon or using a specialized dosed syringe. This is very important for preventing further breast refusal. It is no secret that a child who knows how easy it is to “handle” a bottle will not want to work and “get” mother’s milk.

It is unacceptable to completely transfer the baby from breastfeeding to artificial feeding due to frequent and profuse regurgitation. Breast milk is the gold standard for feeding children in the first year of life.

The tactics for administering the antireflux mixture are the same as for artificial babies. It is necessary to start with a minimum dose and gradually increase it until the effect is noticeable - a decrease in the volume and frequency of regurgitation.

During the introduction of complementary foods, it is likely that supplementary feeding with an anti-reflux formula may not be required. Thick food itself serves to prevent regurgitation. By the first year of life, most likely, the digestive system will be fully formed, and unpleasant manifestations will no longer bother you.

If profuse and frequent regurgitation is detected, the nursing mother must strictly adhere to the diet. First of all, it is necessary to exclude trigger foods from the diet.:

Citrus and exotic fruits, strawberries;
Chocolate;
Whole cow's or condensed milk.

If a child has symptoms of dermatitis and/or has a hereditary predisposition to allergic reactions, it is also necessary to exclude cocoa, coffee, fish, red fruits and vegetables.

CONCLUSIONS THAT CAN BE MADE AFTER READING THE ARTICLE

All antireflux mixtures belong to therapeutic nutrition. Those. These mixtures are used not as food, but as a kind of medicine.
There are two types of anti-reflux mixtures - based on starch and based on carob bean gum.
Starch-based antireflux mixtures are used in mild cases of regurgitation syndrome, as well as when there are no bowel problems in the child.
Antireflux mixtures based on carob bean gum are used for intense regurgitation, when there are repeated episodes of “fountain” vomiting and stool upset.
Each manufacturer is trying to improve the composition of its anti-reflux mixture in such a way as to prevent the phenomenon of vomiting and excessive regurgitation as much as possible.
Most often, rice or corn starch can be found in starch-based antireflux mixtures. It has been proven that unprocessed potato starch can cause allergic reaction, more often than others.
Unlike locust bean gum, starch thickens the milk mixture immediately after reconstitution. Starchy formulas require special bottles with fast flow or with slotted nipples for thick liquids.
In the vast majority of cases, frequent and profuse regurgitation is detected in children with immaturity of the gastrointestinal tract. The gastrointestinal tract system completes its formation when a child is about 12 months old, so waiting until regurgitation goes away on its own is very dangerous. First of all, excessive regurgitation leads to a deficiency of nutrients and energy, which adversely affects the rate of development of the child.
There are several simple rules to prevent regurgitation. For example, keep it “in a column” after eating, do not shake or knead the tummy after eating, use preventative feeding items, etc.
The volume per feeding and duration of use of antireflux mixtures should be determined by a specialist doctor, most often a pediatrician.
Overfeeding of the child should be avoided in order to avoid severe digestive disorders, the development of anemia, rickets and zinc deficiency. The long-term consequences of overfeeding with formula milk (any) is aseptic inflammation of the pancreas - pancreatitis, development diabetes mellitus or obesity.
Starch-based antireflux formulas can be present in a child’s diet for a long time, some of them can serve as the main source of nutrition. That is, when using an anti-reflux mixture based on starch, it is possible to feed it only, without any alternation with other mixtures. Usually, the positive dynamics of the child’s condition are already noticeable on the 6-10th day of using the AR mixture.
An antireflux mixture is introduced, starting from 10-20 ml, i.e. from 1-2 teaspoons, gradually bringing to the required volume of this mixture.
Starch-based antireflux formulas can be used both for formula-fed children and for children receiving breast milk.
Breastfed babies also receive an anti-reflux formula, starting with 1-2 teaspoons.
While IV babies can be bottle-fed, breastfed babies are strictly prohibited from giving formula from a bottle. The easy way receiving formula from a bottle negatively affects subsequent breastfeeding. For breastfed babies, it is recommended to give the anti-reflux mixture strictly from a spoon or from a specialized syringe.
In addition to using medicinal milk formula, a nursing mother must correct her diet, eliminating all foods that are unfavorable for the baby.
Before cooking, you should carefully read the instructions, since starch dissolves only in very hot water. To avoid the formation of “lumps” in baby milk, it is necessary to maintain a dilution water temperature of 80-85 degrees Celsius. It is necessary to give the baby food only after it has cooled to the optimal temperature.
On the store shelf, an antireflux mixture can be distinguished from any other by the abbreviation “AR” or “AP”, if the word “Antireflux” is not indicated on it. The thickener can be determined only after reading the composition of the mixture, which also reflects the type of starch or the degree of modification of carob bean gum.
There are 7 types of starch-based anti-reflux formulas on the baby food market. Five of them are direct representatives of the class of antireflux infant formulas, the rest are from related groups with pronounced antireflux properties.
In the line of antireflux mixtures containing starch, 3 of them are most often prescribed. This choice is most often due to its prevalence among retail chains in the locality.

However, the choice is always up to the specialist, since independent prescription of mixtures can lead to a deterioration in the child’s condition. When choosing the best anti-reflux formula for a particular baby, the doctor takes into account the accompanying problems and characteristics of the baby’s body.

If you have a question, you can ask it right now. The best specialists Our site is ready to provide professional advice.

Leave comments on the article, we will answer your questions.

Regurgitation in children in the first half of life is considered age-related physiological feature. This phenomenon does not depend on the type of feeding: natural or artificial, and normally goes away by 3 months of age. However, regular persistent regurgitation can become a significant problem, affecting the baby’s weight gain and, accordingly, his development. To reduce the frequency of manifestations of the unpleasant syndrome, it is recommended to create a calm, friendly environment during feeding, to exclude overfeeding and aerophagia. As prescribed by doctors, milk thickeners or medicinal mixtures containing anti-reflux substances are used. Therapeutic food is rich nutrients, and also contains a thickener that makes the food texture dense, which prevents food from regurgitation. Antireflux mixture is indispensable for children whose regurgitation has resulted in weight loss and developmental delays.

Anti-reflux infant formula against regurgitation is effective until the baby reaches six months of age. At 6 months gastrointestinal tract The little one is finally forming, and the negative manifestations are gradually decreasing. Therapeutic supplements are indicated not only for food backflow, but also for the following disorders:

for symptoms of dysbacteriosis;
with increased flatulence, colic;
for constipation;
with a tendency to loose stools, diarrhea;
with nausea, vomiting.

You can distinguish anti-reflux formulas from dry baby food using a special marking. The name on the package with AR icons indicates that it belongs to the category of antireflux drugs. The designation BL is used to designate lactose-free mixtures.

Mixtures of this type contain organic substances - polysaccharide thickeners, which form a soft clot from the liquid. The consistency of food becomes viscous, which improves digestion and peristalsis. Modern manufacturers produce milk anti-reflux formulas, which include one of the following types of thickeners:

Gum. This food supplement are not able to digest stomach enzymes, it dissolves under the influence of microorganisms of the large intestine. This polysaccharide is extracted from the beans of the Mediterranean acacia, better known as carob. Infant formulas use natural and synthesized gum. The use of this substance allows you to establish microflora and avoid constipation in infants. Gum-based mixtures have the most pronounced therapeutic effects in a short time.
Lactulose. This is a substance obtained as a result of deep processing of milk and its breakdown into glucose and galactose. The resulting carbohydrate has a beneficial effect on intestinal function. It normalizes stool, makes stool soft and enhances peristalsis. A lactulose-based mixture cannot be used as the main source of nutrition, only as an additional auxiliary element. Having established the microflora, the drug should be discontinued.
Rice or corn starch. Its breakdown occurs in the small intestine. Starch-based mixtures have a fixing effect, they give a feeling of fullness and comfort in the stomach for a long time, are well absorbed and act as a prebiotic. Infant formulas of this type are often used as the main food.

Most mixtures with antireflux substances are adapted. This means that their composition is as close as possible to breast milk, and whey proteins predominate over casein.

How to prepare and use infant antireflux formulas

Nutritional therapy should not be administered without consulting a physician. Only a specialist knows how best the mixture will suit each specific situation. Such an initiative often aggravates the situation, causing an allergic reaction and gastrointestinal disorders in the child.

Artificial adapted formulas retain water in the body, so mixed or artificial-fed infants need to be given water more often than breastfeeding infants.

Rules for preparation and use

To give your baby an antireflux mixture, it is important to prepare and use it correctly.

Gum-containing products are used both in in full, and partially in the form of several feedings or an addition of 30–60 ml to each feeding.
Certain types of such mixtures require intake separately from the main diet.
The required amount of powder (the volume depends on the age of the little one and the manufacturer) is diluted with warm boiled water, the temperature of which does not exceed 40 °C.
If the mother uses a mixture based on a starch thickener, a pacifier with a wide hole should be used, since such nutrition is much thicker than analogues based on gum or lactulose.
The portion depends on how many grams of main food the little one gets. It is important to monitor the uniformity and homogeneity of the resulting mass.
Mixtures with starch can be given throughout the year; products with gum are recommended to be consumed for no more than 60–90 days.
When purchasing, study the packaging details, as well as the expiration date of the product. The composition does not contain dyes, preservatives, palm oil components, or GMOs.
If a child suffers from celiac disease or gluten intolerance, a gluten-free anti-reflux diet is selected together with the pediatrician. In case of lactase deficiency, consultation with a specialist is also necessary.

Features of use during breastfeeding

If a breastfeeding baby constantly spits up, you should not switch to artificial feeding. With the help of anti-reflux nutrition, you can correct the situation without depriving the baby of breast milk. Enter medicinal product must be done carefully and gradually. Start with small portions of 10–20 ml, gradually increase the volume to the recommended dosage until the reflux stops. It is better to give the solution from a spoon, because a baby receiving food from a bottle may refuse to take the mother's breast, because it is much more difficult to get milk from it.

If the use of mixtures against regurgitation is ineffective, the pediatrician will prescribe drug therapy.

As additional measure To combat reflux after feeding, carry the baby in a column so that he burps out the excess air that entered the stomach during feeding. Also pay attention to the position of the baby’s head while eating; it should be above the level of the abdomen. Do not feed your baby when he is crying or hiccupping.

Review of manufacturers

Be prepared for the fact that not every baby food is suitable for your baby. Quite often, a medicinal product causes upset stools, rashes, and itching. Having picked up suitable option, which really helps and does not negatively affect the baby’s body, will allow you to cope with existing eating disorders. It is unacceptable to constantly change medical nutrition without a pediatrician’s prescription, and you should not mix different brands. After the negative reactions disappear, you can switch to regular infant formula. To choose the best option, you need to carefully study the characteristics of anti-reflux mixtures from different manufacturers.

Hip. It has a pleasant taste and aroma, as well as an affordable price (about 500 rubles). Indicated for constipation and excessive regurgitation. Developed on the basis of gum, effective, allowed for use for 2-3 months.
Nan Nestlé. We are talking about a quality product, because TM has been characterized by high quality and safety indicators for many years. Hypoallergenic food that combines prebiotics, amino acids and starch thickener. Increases the body's immune defense. Indicated for children under 12 months with food allergies. Cost 715 rub.
Friso. Used for severe reflux. It has a milky taste and aroma and is hypoallergenic. The thickener used is gum. The permissible period of admission is three months, the price is 700 rubles.
Nutrilon Premium. Effective for reflux and gagging. It has an unpleasant aroma. The mixture is partially absorbed and improves the functioning of the gastrointestinal tract. Developed on gum. Can be used for no more than 90 days. Price – 730 rub.
Nutrilak. Nutrilak Premium is a Russian-made product. The thickener used is gum. The composition contains many vitamins and microelements necessary for the harmonious development of the baby. Cost 500–600 rubles per package.
Similak. Nutrition is indicated for children with digestive problems. It softens stool, normalizes microflora and increases the body's immune strength. Made on the basis of a thickener in the form of gum. The recommended period of use is limited to three months.
Bellakt AR. A budget option also using gum costing about 300 rubles. Helps normalize food digestion, improves peristalsis and intestinal function.
The Malyutka and Nestozhen trademarks do not produce food labeled AP.

There are a number of antireflux mixtures available goat milk. They are necessary if the baby has a pronounced reaction to cow's milk protein.

It is worth noting that regurgitation does not always require the use of medicinal supplements. More often, the phenomenon is aggravated by overfeeding, a lack of feeding routine, an unfriendly environment around the young mother, and a violation of the position of the bottle or baby during natural feeding, which contributes to the swallowing of air. It is worth distinguishing regurgitation from the concept of neurotic vomiting or “fountain” vomiting. In this case, it is necessary to visit a doctor, since vomiting may be a symptom of pyloric stenosis - a congenital narrowing of the pylorus. Treatment of this pathology requires surgery.

Antireflux infant formulas are specially designed for children from 0 months of age who suffer from excessive regurgitation. As a rule, when faced with profuse regurgitation of a child for the first time, the mother panics. When the passage of air after feeding does not help, when the baby is carried in a column. As well as monitoring the correct angle of inclination of the bottle, so that no air gets in. Not specialized bottles that are designed to separate air from the milk formula. You should consider purchasing anti-reflux infant formula.

Copious regurgitation differs from simple regurgitation of air in children; it differs very simply in the amount of masses coming out of the child’s stomach. If the mass is small and one-time, then this is a common thing in children; as a rule, there is no danger. The child does not suffer and is gaining weight well; in this case, you should feed the baby as usual, with an already selected formula.

On the contrary, copious regurgitation reminds itself in the intervals between feedings, and the amount of mass resembles a “fountain”. Many mothers have heard that the child spits up like a fountain. On top of everything else, children with excessive regurgitation usually also have colic and problems with bowel movements.

Helpful tips for choosing baby formula

In this case, you have to think about choosing an anti-reflux infant formula. Adapted anti-reflux milk formulas are developed on the basis of conventional milk formulas designed for children from birth with the addition of anti-reflux additives such as carob gum or rice starch. These additives are of natural origin, harmless and non-allergenic. Antireflux formulas have a thicker consistency than regular milk powders. Some antireflux mixtures have specific smell. Mixtures with an anti-reflux effect contain pribiotics and microelements aimed at the proper functioning of the intestines to get rid of colic and constipation in the child.

Selection of anti-reflux formula

Antireflux baby food

The composition of anti-reflux baby food is different and therefore it is necessary to take into account where it contains carob gum and where it contains rice starch.

Infant milk formulas with carob gum:

Baby milk formula FRISO VOM from the famous Friesland line, which contains carob gum, a pleasant porridge-like consistency, no unpleasant odors and excellent milk taste.

HIPP AR infant formula also contains carob gum, which has a pleasant taste and smell. Thanks to Hipp AR milk formula, your baby will not suffer from constipation.

The following milk formula, Nutrilon Premium anti-reflux, also contains carob gum, but casein 80 and whey proteins 20 indicate that it may not be completely absorbed. In addition, Nutrilon Premium anti-reflux infant formula has an unpleasant odor, which at first can scare and alert parents.

Baby powdered milk formula Babushkino Lukoshko Antireflux from birth made in France. Grandmother's basket anti-reflux contains a carob thickener and is recommended for constipation, regurgitation and colic. It also has a specific smell.

Children's specialized milk formula Nutrilak Antireflux contains carob gum. Just like other milk formulas, it contains DHA/ARA (OMEGA-3/OMEGA-6) for the immune system and nervous system.

Humana AR (Antireflux) milk formula contains locust bean gum and healthy Omega-3 fatty acids. The advantage of Humana Antireflux infant formula (Humana AR) is that it is gluten-free.

Infant formulas containing starch as a thickener

Nestle Nan Antireflux infant formula contains potato starch thickener, pribiotics and amino acids. Nan anti-reflux infant formula helps strengthen the baby's immunity and reduces the risk of developing allergies.

Similac 1 Antireflux milk formula. The mixture is quite good but expensive in terms of the content of the mixture in a 375 gram jar. Contains probiotics - to improve digestion, does not contain GMOs, dyes, preservatives. The infant formula contains nucleotides to improve immunity. This product supports healthy microflora. It is an infant formula that does not contain palm oil. The thickener in this mixture is rice starch.

Enfamil A.R infant formula has the standard consistency of infant formula. Enfamil Antireflux breast milk replacer contains rice starch. Used for feeding children with persistent regurgitation.

Infant formulas that contain starch do not dissolve very well due to the starch itself and therefore it is necessary to read the preparation method on the package. Also, when purchasing infant milk substitutes for breast milk, pay attention to the expiration date.

Advice on preparing infant formula