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Article Details
Last Updated
3rd o November, 2011
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Cow & Gate instant carobel is an instant gelling or thickening agent prepared from carob beans. It can be used in the dietary management of Infantile vomiting and posseting when no organic cause is known, habitual and recurrent vomiting, e.g. gastro-oesophageal reflux.
Instructions for use:
Cow & Gate instant carobel will thicken cold or handwarm liquids. The following is a guide only, quantities can easily be adjusted to meet individual requirements.
1. As a spoonfeed: Use this method with breastfed infants, and possibly bottlefed infants. Prepare a thick gel and feed in small quantities by spoon before and during the infant milk feed. To prepare a thick gel, add 3 level scoops of Cow & Gate instant carobel to 60ml (2fl oz) of warm, previously boiled water. Stir well and leave to thicken for 3–4 minutes. Stir again and feed immediately.
2. In a bottlefeed: For a thin bottlefeed add 1/2 scoop of Cow & Gate instant carobel to 90ml (3fl oz) which provides a 1% concentration. For a thick bottlefeed add 1 scoop of Cow & Gate instant carobel to 60mls (2fl oz) which provides a 3% concentration. Shake well and leave to thicken for 3–4 minutes. Shake feed again and feed immediately. Cow & Gate instant carobel will continue to thicken for 10–15 minutes. For a thicker feed, add one scoop at a time shaking after each addition and waiting 3–4 minutes until the desired consistency is achieved. NB: The teat will require a larger hole than normal when feeding a thickened bottlefeed. Alternatively, a variable flow (split) teat may be used.
3. Adults: Cow & Gate instant carobel may be taken as a paste prior to eating (e.g. to alleviate vomiting during pregnancy) or sprinkled onto fluids (e.g. in dysphagia). The degree of thickness required will vary according to individual needs. As a guide, 4–5 scoops of Cow & Gate instant carobel added to a cup (180ml) of cold or warm fluid has the consistency of thin custard.
in-practice.co.uk
Precautions:
1. Cow & Gate instant carobel is suitable for full term infants, children and adults. We do not recommend using Cow & Gate instant carobel with preterm or low birthweight infants and there is no clinical data available to support its use with these infants. Only to be used under medical supervision. All instructions for preparation and use should be followed carefully. Not suitable as a sole source of nutrition.
2. Thickened feeds are not usually helpful in obstructive lesions, such as pyloric stenosis, or in gastroenteritis.
3. When introducing Cow & Gate instant carobel to a galactosaemic infant, the red cell galactose-1-phosphate content should be monitored.
4. A minority of infants receiving the product may pass frequent loose stools. In this situation, withdraw the product from the diet until stools are back to normal. Reintroduce Cow & Gate instant carobel gradually, increasing the quantity according to individual tolerance.
5. Cow & Gate instant carobel requires 3–4 minutes to thicken. Additional Cow & Gate instant carobel should only be added after this time to avoid over-thickening.
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