Reflux in babies
Gastroesophageal reflux disease (GERD) is different from the spitting up that many babies do if they’ve taken in too much milk.
It happens more consistently and your baby is likely to exhibit other symptoms that suggest she may be in pain – she may pull up her legs to her tummy and cry, arch her back while feeding because she’s suffering from heartburn, and find it difficult to settle into sleep. You may also notice blood in her poop.
Reflux occurs because the sphincter muscle at the top of your baby’s stomach isn’t yet strong enough to prevent some milk from flowing back out. Most babies do outgrow reflux as their sphincter muscles strengthen, but it’s important that your baby’s weight is carefully monitored until then. It’s possible she might not keep enough milk down to maintain a healthy weight, or that stomach acids flowing out with her feeds could irritate her esophagus and put her off feeding. Rarely, milk can get into her nose and lungs and this can potentially cause pneumonia a well as ear and sinus problems.
Treatment
Most babies can be diagnosed from their symptoms but it’s possible your pediatrician may refer your baby to a gastroenterologist for tests that may include threading a fine tube through her nose and down her throat, to check what’s going on in her esophagus. Alternately she may need an X-ray.
If your baby’s reflux is mild and isn’t affecting her weight gain, your pediatrician may suggest feeding her in a more upright position and offering smaller frequent feeds if you’re breastfeeding. If you bottlefeed, you may be advised to thicken your baby’s milk by adding a little baby rice to it.
If your pediatrician feels it’s necessary she may prescribe antacids (don’t give your baby over-the-counter antacids as these won’t be suitable); or medication that helps stimulate her digestive system to keep food moving through her system.
When it comes to weaning your baby onto solids, take it slow and avoid acidic fruit juices and foods. Stick to blander vegetables, such as broccoli, potato, cauliflower and parsnips; and pumpkin. Many parents find that solids actually help a baby keep down her milk feeds. Most babies outgrow reflux by the time they reach 12 months as their sphincter muscle matures.
The information on this feature is intended for educational purposes only. If you have any concerns about your health, the health of your child or the health of someone you know, please consult with a doctor or other healthcare professional.
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Last Modified: 20/06/2007
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