What should I do if the baby chokes on the nipple while switching to a new one?

Patient's question:

The baby has been on formula since one and a half months old and has been drinking "confused milk" – only drinking when asleep, crying when awake. At two and a half months, they started drinking after being fully asleep, and could go without eating for five to six hours at night. This lasted for two weeks. At three months, the baby developed a milk aversion and started drinking while dozing, refusing to drink when awake. Sometimes they were clearly hungry but wouldn’t drink unless they cried until they fell asleep. They drink at 9 p.m., once at 1 a.m., and again at 5:30 a.m., waking up at 8:30 a.m. and only drinking at 10:30 a.m. At night, drinking is fine, but sometimes they cry during daytime naps because the new nipple is too big and causes choking. Is it okay for the baby to drink "confused milk"? When awake, they drink very little. Now at almost four months old, the baby drinks 900 ml of milk a day, six times a day, weighing 13 pounds. They have been using an S-sized nipple, which they recently switched to an M-sized one, but keep choking. They tried many bottles and nipples without success, but the one they’ve been using for over two months works fine. Even a new S-sized nipple causes choking. Is it okay to use a nipple for less than three months? They recently got a new one, but the baby stops drinking halfway through.

Doctor's answer:

According to the situation you described, the baby is four months old, weighs 13 pounds, and is developing normally. Considering the baby's current condition, feeding utensils such as nipples and bottles must be sterilized regularly. Nipples can be used for three months as long as they are not rusted, and regular sterilization is fine. The above suggestions are for the question "What should I do if the baby chokes while switching nipples?" I hope it helps you. Wishing you good health!

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