Thanks to everyone who posted and prayed for mom and baby...
Mom and baby are home today...baby gained 4 oz in two days on Reglan,  
Prevacid, breastmilk thickened with rice cereal, followed by direct  
breastfeeding...

I am glad to know about SimplyThick should a starch thickener fail to  
work in the future...
I think the physicians are surprised that rice cereal worked in this  
case because of the amylase issue...

Is the fact that the mom is using freshly expressed milk, as opposed  
to milk that has sat in the frig or been frozen,
have anything to do with it...is the amylase golgi, that is, membrane  
bound?

Is uniform thickening is not as important as they believe?
I run across several articles that suggest that there are nerves in  
the stomach which act as sensors, if the sensors are triggered the  
sphincter is tightened and it doesn't matter if some of the stomach  
contents are thick and some are thin everything stays down better...I  
have seen it described as flipping a switch- if  something dense on  
the stomach the switch is flipped...

I am interested in this concept because the mother already feels a  
difference in the baby at the breast because of all the bottles he  
has been getting...
Does anyone have an experiencing with putting just a small amount of  
thickened feed on the baby's tummy at some point during the feeding  
but letting most of the feeding come directly from the mother's breast?

Thanks,
Jen O'Quinn IBCLC

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