Contains
Rhubarb Liquid Extract
Ginger Liquid Extract
Magnesium Carbonate Powder
Rhuger is best given before feeds and in small frequent doses. It is most effective when the dose is warmed to body temperature. This can be done by warming a teaspoon with hot water, or by using a little expressed breastmilk, before administering directly to baby. Rhuger can be added to formula or given during feeds. Give Rhuger separately to Gaviscon, thickeners or Losec and Ranitidine.
Rhuger works mostly on the surface of the gut wall, so it may require you to give doses before every feed for several days in order to begin to see improvements.
Newborn Babies - (2-weeks) :0.5ml up to 6 times a day.
Babies - (6-weeks to 12-weeks) :1ml up to 6 times a day.
Infants - (3-months & over) :2mls up to 6 times a day.
Maintain for at least 2 weeks before increasing (not decreasing) doses. Rhuger may be helpful in older infants when solids are introduced or at weaning if constipation occurs.
It may take several days to see any improvement in unsettled behaviour after feeding. Winding should become easier and signs of discomfort reduce such as, tight tummy, arching of the back or pulling up of legs. In infants from two weeks old it is safe to maintain a dose 1ml six times a day for as long as it may be necessary to treat these symptoms. You may continue with Rhuger as long as baby grows and bigger and longer feeds are required.
To help ease the build up of trapped air in the stomach.
• Try turning your baby around to burp, before changing to feed on the other breast. This may release wind and your baby will settle better to continue feeding.
• Avoid rigorous up and down movements, trapped wind will find a way out.
• Air may well get in earlier in the feed, when suckling is more forceful and the foremilk let down more prone to baby allowing air to be swallowed. It is important for you to have your baby get a good amount of hindmilk in the feed.
• Burping to release wind before a feed. Use Rhuger before the feed.
• Aim to complete breastfeeds from one side before going to the other side.
