What to expect when starting Neocate Infant DHA/ARA

Posted 7.30.13 | Christine Graham-Garo

We talk to familes who use Neocate all the time, usually when they call us with questions. The most common questions we get come from families who are new to Neocate and starting to use Neocate Infant DHA/ARA, the infant formula of the Neocate product family. Remember: Your healthcare team is familiar with your little one's medical care, so their advice and guidance is more important than what we have to say!

We want to make sure you know what to expect when starting Neocate Infant DHA/ARA. If you're one of these families, read on for answers to some of these questions. Many of these questions come up during the first week you'll be using Neocate. We'll walk you through some of the most common questions we get, and our best answers to those questions. We can almost guarantee you will be glad you did, even if you didn't think you'd have any questions at all!

How long does it take to see results with Neocate?

That is one tough question to answer! The best we can tell you is that, generally, consensus guidelines and healthcare teams who work with infants suspected to have food allergies suggest staying on a new hypoallergenic formula for about 2 weeks. This allows time for your little one to adjust to the new formula. As you probably know by now, starting any new formula comes with a bit of a transition period.

Every baby is different, keep that in mind when reading this list. Some parents have told us that they've noticed changes as soon as the first few days, but change can take time. Some research shows it can take that full 2 weeks to see the full improvement in symptoms of food allergy. Be sure to talk to your baby's healthcare team if you are unsure about any changes you see.

Will I see any changes in my baby's diapers?

We're not used to predicting the future, but the best answer to this question is "Yes, probably." If this website would let us add an emoji here, we would! It's hard to say for certain what anyone will experience, because every baby is different. (That's not a cop out, we swear, it's true!) We can tell you what we hear from a lot of parents, though.

A lot of parents tell us that they see a change in the color of bowel movements after they switch to Neocate Infant DHA/ARA. The color a lot of parents tell us they see is green. Yes, you read that right: Green! It can range from a very dark green (think hunter green) to a "true" green (think forest green). Don't be alarmed, though. This is common for any amino acid-based infant formula, because of how it's digested and absorbed. If you really want to know more about what causes this color, we suggest talking to a microbiologist and a gastroenterologist!

How long will the diapers be this color?

Another great question! The color can change from day to day, like it does for everyone. Some families tell us that they saw variations of this color as long as their infant was using Neocate Infant DHA/ARA. For other families though, the color has changed after a few days or weeks to a more yellow-ish/khaki/tan color. So the color may change, or it may stay pretty stable.

How many diapers will I have to change per day? And what about stool consistency?

Nobody likes changing diapers. Truly. One thing to know when starting Neocate is that the frequency of the stools per day may decrease. That's not a rule - remember: every baby's different. But most parents tell us that on Neocate they were eventually only changing diapers for a bowel movement once every day or two. That's because Neocate Infant DHA/ARA has amino acids as the source of protein and ingredients that are very broken down and low residue. This means that for a baby who drinks Neocate Infant, there is usually less poop coming out the other end.

With Neocate, you can probably expect a change in stool consistency. For some infants stool may become more loose, and for others it may become more formed. A lot of parents tell us the stool with Neocate Infant DHA/ARA becomes pasty, so not too loose, but also not too formed (remember, you wanted us to be honest!). You may see the consistency change in the first days and weeks after starting Neocate before you find out what's "normal" for your little one. Again, though, check with your little one's healthcare team for their guidance. If your little one hasn’t had a bowel movement in a while and/or seems uncomfortable, speak with her doctor.

What about other side effects of digestion, like gas?

With any change in formula, there may be some changes in your baby's gas. Changes are especially common in the first few days to the first week. Amino acid-based formulas like Neocate are no exception, especially because they're digested and absorbed differently to other formulas.

A lot of parents tell us that they notice more gas or a change in the smell of gas (you wanted our honest answers, right?). After about 2 weeks, the gas should return to what is typical for your baby, or your baby may just adjust.

While we're on the topic of digestion and diapers, there are a few other factors to be aware of that can influence changes. The introduction of solid foods into the diet can cause some change in color, consistency, and frequency of stools, as well as gas. Also medications (like antibiotics) can cause changes.

Neocate seems to have a thin, water consistency. Is that normal?

You may have noticed that Neocate formulas seem thinner in consistency than other standard, milk-based formulas. This is typical for amino acid-based formulas, simply because the form of protein - amino acids - causes it to appear thinner in consistency. Before you add any scoops, make sure you're mixing Neocate correctly. Follow the directions on the can or check our mixing videos. If your doctor gives you special mixing instructions, please follow those instead.

Because amino acid-based infant formulas have a thin consistency, some parents have told us they noticed some extra spit up in first few days of starting Neocate Infant DHA/ARA. This typically improves over time. However, you should speak with your doctor about other solutions to minimize the spit ups.

Neocate smells and tastes different.

Wait, was that a question, or a statement? Because Neocate Infant DHA/ARA is uniquely made with amino acids, it also has a unique flavor. Some parents tell us that their baby doesn't notice any change in taste, where for other babies, the difference can take time to get used to. If that's the case, usually it just takes some time.

If you're concerned that it's taking too long for your infant to adjust to Neocate Infant DHA/ARA, please talk to her healthcare team for guidance. Before you do, we have developed a some handouts that may help you have that discussion. Look on this resources page for guides on Transitioning to Neocate and Feeding Tips for a Successful Transition.


We hope the answers to these questions help you when starting Neocate Infant DHA/ARA. As always, if you have questions about using the formula, please give our Nutrition Specialist team a call at 1-800-365-7354, Mo-Fr, 8:30am-5:00pm, EST.

-Christine Graham-Garo, Nutrition Specialist
-Rob McCandlish, RDN, Nutrition Specialist

Curious about how we know so much? Christine and Rob each have more than 5 years of experience at Nutricia, talking to Neocate families and learning about the science behind Neocate and food allergies. Rob has a nephew who used Neocate Infant DHA/ARA until he outgrew his cow milk allergy!

Read Comments (46)

  • 2014-09-06 | amy

    my baby has food protein allergies and was experiencing extreme amounts of bright green mucus stools. Now he’s on Neocate. He has the dark forest green stool that you mention, but he has a significant amount of mucus still. Is this normal with Neocate fed babies?

  • 2014-09-08 | Rob McCandlish, RDN

    Hi Amy,
    Great question. The best thing to do is to check with your little one’s healthcare team. There is no one “normal” with an amino acid-based formula - every baby has a slightly different experience with Neocate. We have heard some parents also describe mucus, but we can’t really say that is normal, as mucus can sometimes be a symptom of something else.
    Best of luck,

  • 2014-12-13 | Paula

    do you count neocate by volume or water amount I’m confused

  • 2014-12-15 | Rob McCandlish, RDN

    Hi Paula,
      I think that you’re asking how to mix Neocate Infant DHA/ARA? If so, you add one scoop (level and unpacked) of Neocate Infant DHA/ARA for every ounce of water. For example: add 4 ounces of water to the empty bottle, then add 4 scoops of Neocate Infant DHA/ARA powder. Shake really well, and you’ll end up with about 4.4 ounces of prepared formula. We also have a video that demonstrates mixing:
    If that doesn’t answer your question, give us a call at 1-800-NEOCATE (636-2283).
      Warm regards,

  • 2015-03-02 | Chelsea

    We are one week in on using Neocate for our son who had multiple food protein intolerances as well as milk and soy intolerance. He seems to be having a very hard time digesting the formula and is crying a lot and I can hear his stomach turning. Is this normal for a baby transitioning from breast milk to formula? Or does it sound like he is not responding well to the formula?

  • 2015-03-03 | Rob McCandlish, RDN

    Hi Chelsea,
      For some infants, it can take a bit longer to adjust to an amino acid-based infant formula like Neocate, since it is digested and absorbed somewhat differently than breast milk or routine infant formula. Sometimes a healthcare team might suggest a gradual transition over the course of a few days to ease the switch, but sometimes they prefer a hard switch. You may want to check with your son’s healthcare team to see if they have any guidance, but he may just need a few days to fully adjust.
      Best of luck,

  • 2015-12-15 | alexandea

    My daughter just started this formula last night. She seems to spit up but also looks like she is choking a bit after spitting up and then proceeds to scream. It’s a runny spit up though. So I’m confused why she looks as if she is choking?

  • 2015-12-16 | Nutrition Specialist

    Hi Alexandea,
      As an amino acid-based formula, Neocate is thinner than standard formulas. So some infants spit up a bit more easily when starting the formula. Sometimes spit up “goes down the wrong pipe” and leads to coughing - that may be what your daughter is experiencing. Check with your daughter’s healthcare team to get their suggestions to help limit spitting up as she adjusts to Neocate.
      Best of luck,

  • 2015-12-22 | Rowena

    My daughter now is on Neocate, we are on the third can already..my baby has acid reflux, and only Neocate made her calm down from being so fussy and crying hard all the time. My only concern is, I think Neocate can digest easily that’s why my baby is always hungry and also I notice that when she sleep it’s very easy for her to wake up especially at night when she hears anything even if its not noisy..is that normal?

  • 2015-12-28 | Nutrition Specialist

    Hi Rowena, good questions. We’re so glad to hear that Neocate has helped your LO’s reflux and discomfort. It’s not unusual for parents to tell us their infant with cow milk allergy seems very hungry when starting Neocate. Healthcare teams have suggested this may be due to increased comfort with Neocate (less of the discomfort they felt on other formulas) and/or they are “catching up” on calories that they missed on previous formulas (maybe due to malabsorption). It’s often temporary, but it would be best to check with your daughter’s healthcare team, and they can also give you input on her light sleeping (that’s a new one for us - I don’t think we’ve heard that before).
      Best of luck,

  • 2016-03-17 | Shannon

    My son has been on neocate for about two weeks. I still am noticing mucus in his stools. Is that normal or is it a cause for concern?

  • 2016-03-21 | Neocate Admin

    Hi Shannon. Small amounts of occasional mucus are not that unusual, either with or without Neocate. Some parents report seeing more mucus after they start Neocate. This may be caused by changes in the types of bacteria (“good bugs”) in the digestive tract, which usually break down mucus that the cells of the digestive tract secrete. If you have concerns, or if it seems to be larger amounts of mucus more often, please check with your little one’s healthcare team.

  • 2016-08-27 | yinette

    Hello, my daughter is a month old and she has been using this formula for about 2 days , but i notice that she has been spitting clear acid a few hours after her having her formula, she seems really uncomfortable and cries . is this acidity normal ?

  • 2016-08-29 | Nutrition Specialist

    Hi Yinette,
      It’s not unusual with hypoallergenic formula like Neocate to see increased spit up in the first few days as she adjusts. This is often attributed to the thinner consistency of hypoallergenic formulas. It usually goes away as they adjust to the new formula. Keep in mind: sometimes hypoallergenic formulas like Neocate help with reflux, but it may not go away completely. In those cases, the healthcare team can advise on additional steps to take.
      It’s also not unusual for infants to take a few days to adjust to the way hypoallergenic formulas are digested. Bowel movements often take place once every 1 or 2 days, sometimes longer, with some straining in between. Infants usually get used to this pretty quickly.
      Best of luck,

  • 2016-10-20 | Vivian Casimiro

    Hi my baby just started on this neocate a couple of hours ago and she seems to be fussy while taking it and probably only drinks 1 ounce of it is that normal for her to start of slow??

  • 2016-10-21 | Nutrition Specialist

    Hi Vivian,
      What you’re describing is pretty normal. It often takes a few bottles or even a few days for infants to adjust to the different taste and consistency of formulas like Neocate. You can check with her healthcare team to see if they have any tips to share, or if they would suggest a technique called “fading” that you can learn more about here - http://bit.ly/NeocateSwitch
    Best of luck!

  • 2016-11-28 | Brittney Wright

    My LO is in PurAmino formula now but we are thinking about switching her to neocate. What is the difference between the two?

  • 2016-11-30 | Nutrition Specialist

    Hello Brittney.
      Both PurAmino and Neocate contain free amino acids as the protein source. The healthcare team caring for your daughter would be the best to advise you as to which one is best for her in particular, based on her medical condition and individual nutrition needs.
      Neocate does not contain any ingredients derived from soy. It contains nucleotides as well as the option of prebiotics and probiotics. Neocate powders are made in a dedicated dairy protein-free environment. When amino acid-based nutrition is needed beyond the first year, Neocate has a broad line of options, and the Neocate family is backed by over 100 publications that mention the study or use of Neocate.
      Hope this helps, but let us know if you have further questions!

  • 2016-12-10 | Audrey

    My 4 month old son has been on Neocate for a week so far. Before Neocate he was on a dairy-based formula and drank four 8oz bottles a day. When we first started Neocate he drank a little less - 28oz total. I wasn’t concerned at first because I assumed he just needed to adjust to the taste, but every day since then, he has consumed less and less. Now a week later he only drinks 20oz a day. He initially showed signs of reflux when we first started, but that has actually been improving, so I would have assumed he’d start drinking more too. Are there any other reasons why he may be drinking such a small quantity? Thank you.

  • 2016-12-12 | Nutrition Specialist

    Hi Audrey,
      We’re so glad to hear that your son’s reflux seems to be improving! One possibility is that he notices a different taste with Neocate. Some infants don’t really notice the difference when starting an amino acid-based formula where others do. If they do, that may look like pushing the bottle away and/or drinking less in the beginning. That often lasts about a week, give or take.
      For some infants who drink less, one factor may be that as their symptoms improve, they seem to need to consume less formula. An example would be that if their symptoms had included reflux and/or diarrhea, they might not have been keeping down or absorbing much of the old formula.
      The best thing to do would be to check with your son’s healthcare team. They can take a look at him, have you describe his bottle habits, and see if there’s anything to be concerned about. You should also have them take a look at how you’re mixing Neocate to be sure you’re not making it too concentrated. Or give us a call at 800.Neocate - we’d be happy to help!
      Best of luck to you!

  • 2017-01-10 | Betsy Maya

    Is it normal for my baby to burp less while on neocate? He drinks upto 5oz without burping… (on nutramigen he would burp after 2oz)

  • 2017-01-11 | Nutrition Specialist

    Hello Betsy.
    Every infant has a slightly different experience with Neocate, so there is no one “normal” that every family should expect.  Some little ones do not swallow much air or they may pass gas in other ways and do not need to burp as much.  In general, the American Academy of Pediatrics recommends burping your little one regularly, even if they are not showing signs of discomfort.  Of course if you are concerned, you may want to follow up with your little one’s healthcare team to get their input and to be sure. 
    Thank you for your question. All the best to you and your family.

  • 2017-02-19 | Olivia

    Hi my 12 week old has been put onto Neocate for severe acid reflux. The Dr said you don’t have to thicken the formula as it dissolves much quicker then other formulas as the stomach empties quicker. She said my baby should not reflux on NEOCATE and symptoms for reflux should improve. Please advise if Neocate helps in the treatment of severe Acid reflux

  • 2017-02-21 | Nutrition Specialist

    Hi Olivia,
      Great questions! #1 - if reflux is related to cow milk allergy, then an amino acid-based formula like Neocate will help. (For infants with reflux, up to about 40% is related to cow milk allergy). #2 - because amino acid-based formulas like Neocate have a thin consistency, infants may spit up more during the first days to weeks on Neocate, but this will usually improve if the reflux is related to cow milk allergy.
      I hope this helps - best of luck!

  • 2017-03-30 | Tammy

    Hi, my LO has been on neocate for 3 days now. He spits up semi clear liquid and seems to gag on it. Is this normal/ will it go away?

  • 2017-04-03 | Nutrition Specialist

    Hi Tammy,
      The transition to a new formula can take some time - in some cases up to 2 weeks to fully adjust. With amino acid-based formulas like Neocate, it’s not unusual to see an increase in spit-up since these formulas have a thin consistency. You may want to check with his healthcare team to see if they have any guidance while he’s adjusting, such as using a slow-flow bottle nipple or giving him smaller bottles for a few days.
      Best of luck to you!

  • 2017-04-20 | Kelly

    My son has been on Neocate Syneo for 3 days and he is now pooping 4-5 times a day. It seems very liquidity and on the yellow side. He was previously on Alimentum and pooping a think brown poop once a day.

  • 2017-04-21 | Nutrition Specialist

    Hi Kelly,
      You’re still in the early stages, so hang in there! It can take up to 2 weeks to full adjust to a new formula, especially an amino acid-based formula like Neocate. Neocate Syneo Infant contains prebiotics and probiotics, which can also take a little time to adjust to. What you’re describing isn’t unusual in the first days on an amino acid-based formula. Give it time, and if you have any questions or concerns be sure to ask your little guy’s doctor.

  • 2017-05-11 | ANNIE

    My son has been on neocate for 2 weeks now. he has acid reflux that cause him to spit up. 1st week on neocate was fine beacause he only had wet burps but 2nd week on it his spit ups were more than just wet burps. He would spit up several times in between finishing his bottle. I heard spitting up will improve over time using neocate but in my case it seems to be even worst. Is this normal?

  • 2017-05-12 | Nutrition Specialist

    Hi Annie,
        Thanks for your question. Spitting up, or reflux, is common in infants. Sometimes it’s related to a cow milk allergy. Other times it doesn’t have a clear cause, which doctors call “physiologic reflux”. Physiologic reflux is usually outgrown after several months, and many infants with this type of spit-up are called “happy spitters” if they don’t seem to be bothered by the spit up.
        In the infants whose reflux is related to a cow milk allergy, a hypoallergenic formula like Neocate should help with the spitting up. For infants with physiologic reflux, Neocate will probably not make much of a difference, because the spitting up isn’t related to the milk allergy. I have two nephews who both used Neocate for their cow milk allergy, and both still spit up quite a bit due to physiologic reflux.
        The best thing to do if you have questions is to ask your little guy’s healthcare team. Best of luck to you!

  • 2017-05-15 | Lauren

    Hi, my 5 week old daughter just started neocate 5 days ago because she’s got a cow’s milk allergy (was previously on nutramigen). She seems to have gotten fussier with feeds due to the reflux. Most feeds I struggle to get her to take enough. Is this going to go away if I stick to the neocate?

  • 2017-05-18 | Nutrition Specialist

    Hi Lauren,
      If your LO’s reflux is related to her cow milk allergy, then Neocate should help with the reflux. Somewhere around a third to half of infants who have significant reflux also have a cow milk allergy. Most pediatricians suggest about 2 weeks is enough time to see most of the improvement in symptoms related to cow milk allergy, so it may take time. The best thing to do if you have questions is to check with your daughter’s doctor.
      Hang in there, and good luck!

  • 2017-05-22 | Phuong

    My name is Phuong and my daughter Maily is one month and few days old. She has been on neocate for 2 days now, skin rash is immediately improved. However, she seems only can take 1 or 2 oz max at the time and fell asleep for 30-1 hour then wake up and cry from hunger. We gave her 1 more oz since she has always drink 3oz of breast milk. But when she swallows around 5 seconds, she starts arching her back lots and moves her legs, then she spit up which she hasn’t done with breast milk. I’m so worried because she looks like she’s in pain while drinking. Is it normal? And would it go away?

  • 2017-05-25 | Nutrition Specialist

    Hi Phuong,
        I’m glad to hear your daughter’s rash improved, but I’m sorry to hear she’s having trouble adjusting. It’s not unusual for infants to need time to adjust to a hypoallergenic infant formula like Neocate. That can include taking small volumes of formula at first and sometimes increased spit up in the beginning, as such formulas have a thin consistency.
        The best thing to do is check with her healthcare team. They may have thoughts on the amount of formula that she’s taking and ways to make her more comfortable. Usually infants adjust to a new formula in a few days, with full improvement in allergy symptoms likely in up to 2 weeks.
        Best of luck!

  • 2017-05-31 | A. Austin

    My daughter is 10 weeks old and started Neocate since 9 weeks because of Rash and hives from breast milk (moms diet to be exact). She has adjusted to the taste but is always gassy and seems to be straining to poop. Tried prune juice and even baby enema. Just worried that with the straining from trying to poop, she runs the risk of a hernia

  • 2017-06-01 | Nutrition Specialist

    Great question. With hypoallergenic formulas like Neocate, most babies will have a bowel movement only once every day or two. They may often seem to strain a bit more than previously, and their gas habits can change too. If it’s only been a week, she may still be in an adjustment period (most clinicians advise 2-3 weeks to adjust to a new hypoallergenic formula). You might also ask the healthcare team if they’d advise the addition of prebiotic fiber, which can sometimes help with regularity.
      Best of luck!

  • 2017-07-07 | Jimena lertora

    Hi. Is it normal for my baby to have smelly gas and smelly poop after drinking Neocate?

  • 2017-07-07 | Nutrition Specialist

    Hi Jimena,
        That’s not unusual! When infants start using a hypoallergenic formula like Neocate, it’s not unusual for them to have a change in gas and stool habits. A lot of parents have told us that the smell changes, too. That’s because hypoallergenic formulas are digested and absorbed differently than breast milk and standard formulas. Some parents report that that changes after a few weeks on the new formula, whereas others have told us that it was the “new normal” for their little one.
        Hope this helps!

  • 2017-07-24 | Sarah S.

    Hi there! This is my second Neocate baby-  I nursed her for 5 months on an extremely limited 10 food diet, but as she was still having bloody poops occasionally and between 5-10 extremely loose poops a day (about 8 average), we are trying to switch to Neocate. My first daughter has the dark hunter green pasty poops, but this baby seems to be reacting differently. She has yellow green poops, similar to the bottom left corner of the color chart you posted, and they still are pretty loose with some mucous after almost 2 weeks. She only goes once or twice a day now, though, so that at least is quite improved! She did have one episode of watery poop as well. Could she just be processing it differently than daughter one or is she having a reaction to Neocate? My breastmilk production is very bad on this diet, and I worry what we will do if she reacts to Neocate!!! We don’t really have anywhere else to turn! Thanks in advance.

  • 2017-07-26 | Nutrition Specialist

    Hi Sarah,
        Sorry to hear you’ve had such a limited diet - you’re a trooper! What you’re describing isn’t that unusual, since there can be a range of colors and consistency with Neocate. There can also be some differences between the Neocate products that have prebiotics compared to the other Neocates. For infants, Neocate Syneo Infant has pre- and probiotics, and Neocate Infant DHA/ARA does not have either.
        If you have any questions, the best thing to do is ask the doctor, dietitian, or nurse. They can tell you what they usually see with their Neocate babies and can also take a look at what you’re seeing to check if it’s anything unusual.
        Best of luck to you!

  • 2017-09-11 | Lindsay

    My 4 month old was started on Neocate last week for suspected protein intolerance. Prior to that he was exclusively breastfed. After eliminating dairy and soy he continued with mucous stools so we are trying out the neocate. His stools have improved and are now more of a green/khaki paste. Like others have posted, he is drinking less volume than he was taking of breastmilk. Also he isn’t giving us any feeding cues. He will go from a sound sleep or sometimes a playful mood to full out screaming for a bottle in a matter of seconds. I don’t understand why changing his feeding would cause such a change in behavior? How have his feeding cues gone away? Is this something you have heard before?

  • 2017-09-19 | Nutrition Specialist

    Hi Lindsay,
        We’re so sorry to hear that you’ve had these challenges with your son. To be honest, this is the first time I’ve heard anyone mention changes in feeding cues. I think that, with any change in an infant’s formula or routine, you can expect that any change is possible. Perhaps the fact that amino acid-based formulas are digested and absorbed differently than breast milk could be a part of an explanation for the change? The best thing to do would be to ask your healthcare team if they have seen this before or have any suggestions or concerns.
        Best of luck to you!

  • 2017-10-30 | Courtney

    Hi My son will be 6 weeks in two days. He has been on Neocate for a week now for a milk allergy. He is still extremely gassy and very fussy when he’s trying to pass gas. He looks as though he’s straining as well. Will this get better?

  • 2017-10-31 | Nutrition Specialist

    Hi Courtney,
        Great question. Most healthcare professionals recommend giving it 2-3 weeks after switching to a hypoallergenic formula, like Neocate, to see the full benefits. This is also a good amount of time for the little one to adjust to the new formula and settle into the “new normal.” You may or may not see a difference in gas with a formula like Neocate - we hear all sorts of things from parents, since every baby is unique.
        To your second point, some babies do strain to have bowel movements when they use hypoallergenic formulas like Neocate. This is because the formula is digested and absorbed differently, since amino acids are building blocks of protein. Some healthcare professionals suggest pre- and/or probiotics to support comfortable stooling. (Neocate Syneo Infant contains both pre- and probiotics, specifically designed to support infants with food allergies.)
        The best thing to do if you’re concerned is to talk to the healthcare team. They may want you to stick with it for another week or two first, or have some strategies they suggest for babies who don’t have regular bowel movements, such as gently massaging his tummy or doing leg bicycles. They may also suggest that you gradually transition your little guy to Neocate Syneo, if he’s currently on Neocate Infant.
        Best of luck to you!

  • 2018-01-16 | Alejandra Tuya

    My daugther is four months old, almost 5, and she was diagnose whith GERDS when she was a few days old. After a lot of trial and errors we got her reflux a bit under control but some testing showed she needed to change to neocate as her intestines are irritated. She is been on Neocate for almost two weeks and her acid is back - the one you can hear and see after (i can hear her acid coming up) and she seems in discomfort when she wasn’t showing any signs before. They say you have to give time to Neocate to start showing real results but I’m worry. Are her symptoms normal? How much longer do i have to wait? I feel we are taking 20 steps back instead of moving forward. The consistency of her poop is watery (she’s always pooped once a day and the reason I pushed for testings is because the mucus and watery poop) also mucus seems to be there. Can you give me some guidance please? Thank you!

  • 2018-01-17 | Nutrition Specialist

    Hi Alejandra,
        I’m sorry to hear how rough your daughter’s journey has been. While some infants have GER/reflux that’s due to cow milk allergy, sometimes reflux is not related to a food allergy at all. Usually, it takes 2-4 weeks to see the majority of symptom improvement with a new hypoallergenic formula. It also can take that long to see what her new “normal” will be with the new formula in terms of frequency and consistency of bowel movements.
        The best thing I can recommend is to check with your daughter’s healthcare team. If she hasn’t seen a pediatric gastroenterologist (GI) yet, you might ask her pediatrician for a referral to one. Pediatric GIs are experts at managing difficult reflux.
        Best of luck to you!

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Food Allergy Living is a resource for parents of children with food allergies, brought to you by Nutricia, the makers of Neocate. For more in-depth information about our purpose & authors, see our About Food Allergy Living page.