. Do not add rice cereal to your baby's bottle unless your pediatrician recommends that you should.  This is typically only done to treat infants with gastroesophageal reflux (GER). Eating cereal from a bottle can make it more difficult for your baby to learn to eat from a spoon and can increase the risk of your baby eating too much and becoming overweight.  To reduce reflux, keep your infant upright (i.e. on your shoulder) for 20 to 30 minutes after a feeding. Try a premixed,"anti-reflux" formula. These formulas contain rice starch. Try a hypoallergenic formula that does not contain cow milk or soy milk and see if your infant's reflux improves. Try this for one or two weeks.  The American Academy of Pediatrics does not recommend that you feed your baby rice cereal from a bottle. However, your pediatrician is the best source for deciding if you should feed your baby rice cereal through a bottle. Start by adding 1 teaspoon of rice cereal per ounce (i.e. 6 teaspoons) of formula. Prepare the bottle right before you plan to feed your baby.  The mixture will continue to thicken if you let it sit.  Your doctor may recommend a different ratio of rice cereal to formula. You can add up to 1 tablespoon of rice cereal to the bottle. The bottle with the rice cereal should be your baby's last feeding for the night.  This may help your baby sleep longer because the baby's stomach will feel fuller.  Cut a larger hole in the nipple of the bottle because the mixture is thicker than formula alone.  Don't give your baby rice cereal at every feeding.  Rice cereal is mostly carbohydrates and does not provide the same nutrition that formula or breast milk does. Giving your baby rice cereal at every feeding may decrease the amount of nutrients the baby is getting. You can either cut a small "x or "y"" in the nipple of the bottle or go up to a larger nipple size to accommodate the rice cereal formula. Watch how your baby is swallowing the rice cereal. If the mixture is too thick, your baby will have difficulty getting it down and may become tired during the feeding. Notice if your baby becomes constipated or starts gaining too much weight.  These are common side effects of drinking rice cereal.  Adjust the amount of rice cereal you are giving your baby based on your observations. If the rice cereal makes your baby constipated, you may want to try oatmeal instead.  If you are trying to treat your baby's reflux, you should start seeing results in 2 or 3 days.  If you see no improvements in that amount of time, rice cereal may not be a good solution for your baby.
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