Gastroesophageal Reflux in Infants

Treating Acid Reflux in Infants

Here’s how to tell if your baby is silently suffering-and how to make her feel better. Heartburn Foods SlidesLearn the symptoms of heartburn and which foods cause GERD or heartburn. Discover home remedies and which foods may provide treatment for heartburn relief.

According to a review article in Pediatrics [Salvatore 2002], under a year are associated with cow’s milk protein allergy up to half of all GERD cases in babies. The authors note that symptoms can be similar and recommend that pediatricians screen all babies with GERD for cow’s milk allergy. Allergic babies have other symptoms in addition to spitting up generally. While we wish we had a “quick fix” for babies who spit up, the truth is that for a good many spitty babies, it is a matter of time mostly.

symptoms of infant acid reflux

If your baby is formula-feeding, ask your doctor if you should switch to a different kind. Symptoms of newborn acid reflux first show up between weeks 2 and 4 usually. They tend to peak around 4 months and begin to subside around 7 months, when baby begins to sit upright and take more solid foods.

If baby is very distractible (pulling off the breast to look around) or fussy at the breast, he may swallow air and often spit up more. Some babies spit up more when they are teething, starting to crawl, or starting solid foods. Spitting up, called physiological or uncomplicated reflux sometimes, is common in babies and is usually (but not always) normal. Most young babies sometimes spit up, since their digestive systems are immature, making it easier for the stomach contents to flow back up into the esophagus (the tube connecting mouth to stomach). A pediatric gastroenterologist will review your child’s history, examine your child and review his or her diet growth and history charts.

Always place your baby to sleep on her back unless your pediatrician has told you otherwise. Thicken your baby’s formula with a small amount of rice cereal if your doctor recommends it. Keep your baby upright for 30 minutes after each feeding. Avoid a “car seat position,” because sitting can make reflux worse in babies.

Again, pumping for a short while before feedings may be helpful. Certain foods-such as caffeine, chocolate, and garlic-can promote reflux, so if you breastfeed your infant, you should consider cutting these foods out of your diet. Eliminating milk or eggs from their diet has been helpful for some breastfeeding mothers also.

GERD treatments and home remedies

A sensor is had by The tube that measures pH level. The other end of the tube outside your child’s body is attached to a small monitor. This records your child’s pH levels for 24 to 48 hours.

How is gastro-oesophageal reflux diagnosed?

If the diagnosis remains unclear or there is still a question of whether reflux is actually the cause of symptoms such as coughing or wheezing, a pediatric gastroenterologist may do tests using esophageal pH or impedance probes (see Ambulatory pH Monitoring). Caregivers record the occurrence of symptoms (manually or by using an event marker on the probe); the symptoms are then correlated with reflux events detected by the probe. A pH probe can assess the effectiveness of acid-suppression therapy also.

Weight issues may not necessarily reflect the severity of a child’s reflux. Babies and children can have normal weight and weight gains with significant reflux even. Most babies with reflux have no symptoms other than spitting up often.

Reflux in babies can be very frustrating, and there is one step alone which helps rarely. In addition, every baby is different, and some of these tips may work better than others. Fortunately, reflux improves as a baby gets older often, and for those in which it persists, there are a variety of treatment options.

Upper gastrointestinal (GI) endoscopy and biopsy, which uses an endoscope, a long, flexible tube with a light and camera at the end of it. The doctor runs the endoscope down your baby’s esophagus, stomach, and first part of the small intestine. While looking at the pictures from the endoscope, the doctor may also take tissue samples (biopsy).

symptoms of infant acid reflux

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