I've been a child care provider for over 22 years and in my experience....
The amount of time an infant has to use Nutramigen depends on each individual situation. I'd listen to everything Suzanne C. says, though, if you want to try the Gentlease, and/or rice cereal.
Rice powder is used in the thickening agent that some doctors prescribe/recommend for some infants having severe problems with reflux. Check the labels. It does not harm the babies' systems. It *does* thicken the liquid and settle the stomach. In many cases, this rice thickening will stop or aid in stopping the spitting up. Rice cereal will do the same thing and is so much cheaper. It doesn't hurt to try it. You can always stop it. You'll have to use anywhere from 3 teaspoonsful to 3 tablespoonsful with the formula or breast milk...depending on the amount of formula/breast milk you mix it in. Mix it just less than the thickness of a milkshake and open the nipple wider. After three or four days, you'll know whether or not it works. I'd much rather try this than start the infants on so many chemicals to begin with. This is a tried and true method....not just by me and the parents I've worked with.
Also, it's been just in the more recent years that most formula is automatically fortified with iron. In the earlier years, an infant was only put on an iron fortified formula if they were anemic....low on iron. Iron can be hard on the stomach, even for adults. That's when the tummy and gas problems became so prominent. Hence, the gas drops and reflux medications. Constipation, *if* it happens, can be solved with four ounces of warm water. You can add a little white karo syrup. It cleans out their systems. Extra water is a plus for an infant. Helps adults with constipation, too. Still no chemicals. Infant pears will do the same thing.
Never, in all these years, have I seen so many infants diagnosed with reflux and so much fussiness, as in the past three or four years. Babies aren't meant to be so unhappy and unsatisfied.
Your babies, you do what you think is best.
Sincerely,
Ms B.
http://www.missbrenda.com