But Parks soon began to suspect something else was going on. “I noticed he was making a lot of choking and gagging noises immediately after feeding,” she says. “And his screaming seemed to indicate really acute pain.” Parks’ experience is a classic case of silent reflux, says Catherine Pound, a paediatrician at the Children’s Hospital of Eastern Ontario in Ottawa. “An infant’s symptoms could include a hoarse voice, a chronic cough, pauses in his or her breathing, or asthma-like symptoms.” Other telltale signs are gagging and choking, throat irritation, sour breath, a constant runny nose and wheezing.
While rare, studies may be necessary either to establish/support the diagnosis of GERD or to determine the extent of damage caused by the repeated reflux events. The diagnosis of GER is based upon characteristic historical facts reported by the infant’s parents coupled with an elimination of pathological conditions by a normal physical exam. It is very rare to need laboratory studies to establish or support the diagnosis.
He always hated bottles and really improved when on solids. Still doesn’t really like milk. Thought he had outgrown it but last year seemed to notice it again. Lots of little burps in the evening and clearing his throat. He has a really bad flare up at the moment.
In the meantime, make sure your baby’s weight is being monitored and a health professional has assessed your baby to ensure the most likely diagnosis is reflux. Be aware that while very common, reflux goes away with time, and becomes less frequent with time. Further treatment and tests are not usually helpful.
I do follow the Happiest Baby recommendations, waking her lightly when I place her down, trying to follow somewhat of a flexible schedule (which always seems messed up!), and feeding her frequently throughout the day. So sorry that this season has been tough for you. Please take the time to watch the sermon that I have posted in this post. It really gives some perspective on what God is doing when he has us walking through tough seasons. Pray pray pray for that sweet little baby and know that God is WITH you despite what it may feel like.
We’ve been dealing with reflux since our LO was 9 weeks old, she’s now almost 13, so for the past month. My husband can’t take the crying/screaming at the bottle. I finally went to the doctor and demanded a solution, and they gave us zantac. It’s day 2 of the zantac and I’m praying things will improve, but I haven’t seen any change yet. It breaks my heart to hear her in pain.
Treatment for reflux in babies
Gastric emptying study. Your child drinks milk or eats food mixed with a radioactive chemical, and a special camera follows it through his digestive tract. It will show if his reflux happens because his stomach empties too slowly. pH probe. Your child will swallow a long, thin tube with a probe at the tip, which will stay in his esophagus for 24 hours.
How Acid Reflux in Infants Diagnosed?
- Curious to know how you’re doing now.
- Bacteria and certain foods like lactose can cause it.
- Doctors caring for 162 infants with marked crying after eating gave half the babies a powerful antacid; the rest got a placebo.
- She will then be able to give you advice on the best treatment for your baby.
- It’s been shown that there’s an increased risk of community-acquired pneumonia in people using PPIs.
- For other babies, feeding and lifestyle changes and medicine can help.
It looks like of one of her main culprits, weirdly, is nuts and even coconut which is supposed to be a good alternative to dairy for reflux babies….That’s when I eat it-she’s not eating coconut herself. Anyway, we have had her on Axid since 2 months and started Prevacid at 6 months but the program hasn’t been managing her reflux well enough as she has still had awful sleep issues and hasn’t gained weight in 3 months 🙁 I’m working on increasing my supply right now so that when she does want to eat she gets a lot, and we’re carefully encouraging solids (which many times she’s refused). I will try the oil you suggested! Thanks for this post.
It also doesn’t help that we often put babies on their back, whether for play or sleep, and this can only exacerbate symptoms. For some children, infant reflux will be more severe or they may be more sensitive to the effects. First, let’s ground ourselves in this truth… all babies have some level of reflux.
You’ve given me a glimmer of hope I really needed. My first born had reflux and dairy allergies and it was horrible. I am now reliving it with our second child whom is 3 weeks old. It’s really horrible and I feel your pain. We are using zegerid powder packets- 20 mg packets- 2x a day.
I know this last post is old, but I thought I’d still weigh in for anyone in the future regarding the milk allergy/lactose issue and my experiences. My now 3.5 month old was also suffering from silent reflux symptoms since soon after she was born (crying all day, refusing to nurse unless asleep, refusing to eat at all, failure to gain weight, wet burps, arching back etc) and I tried both a dairy-free and soy- free diet and started giving her nat phos 6x after reading all these posts. And it worked!! The diet took 2 weeks to see any improvement (they say at least 1 week to clear out of mom and then 1 more week to clear out of baby).
Acid reflux in infants usually results in regular projectile vomiting and intense crying. As baby’s brain and nervous system develops, they their vagus nerve function (what controls bowel mobility and digestion) may be weak.
How do doctors diagnose reflux and GERD in infants?
I tried to wean him off a couple weeks ago, and any time that he would seem extra fussy – maybe because the reflux was aggitating him, I’d give him some Mommy’s Bliss gripe water. My friend who had two GERD babies told me that she can always tell when a mom has a reflux baby by the wild, desperate look in her eye. My son had really bad reflux & we gave him Prevacid. It helped, but I spent endless data dealing w/ a screaming baby. He never slept!
If you’ve tried the changes above and your baby’s symptoms are still severe, causing irritability, no weight gain and consistent vomiting, medication may help. Your pediatrician may prescribe infant doses of proton pump inhibitors (PPIs) or H2 blockers to reduce the amount of acid in the stomach.
Hang in there, tell your baby you love her and trust that this will not last forever. I just came across your blog as my exhausted baby finally went down for a nap after 4 sleepless nights in a row. It brought tears to my eyes…and you gave me a bit of hope again.