Formula changes do not usually result in an improvement in GER.
However, studies have shown that vomiting in infants can be a sign
of cow milk protein allergy. Decreased vomiting has occurred within
24 hours after changing to a hypoallergenic formula (Ravelli,
Tabanelli, Volpi, & Ugazio, 2001). A 1-2 week trial of a
hypoallergenic formula, such as Neocate® or
EleCare®, may be beneficial to rule out protein allergy.
There are no studies that support the use of soy formulas in GER or
that implicate soy protein as a cause of vomiting in infants.
(Neocate® is a registered trademark of Nutritia. EleCare® is a
registered trademark of Abbott Laboratories.)
These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time.
It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.