When suffering from heartburn, it is wise to avoid foods that can aggravate the heartburn. Consult the doctor and modify your dietary habits to maintain a healthy weight. Avoid lying down after having your meals. Practice light yet moderate exercises, such as walking or cycling, to maintain your weight. Also, drink plenty of water (3).
The gastrin actually causes a growth in the tissue that produces stomach acid. So when you stop the PPIs, you’re producing more acid than you were before you started taking them. This rebound effect has been documented, and it’s been shown to last for at least four weeks, possibly longer, because they ended the follow-up period after four weeks, and many of the patients were still experiencing symptoms at that point.
What Is Heartburn?
It is better to avoid bouncing or jiggling the baby at this stage. Getting trained support to improve any latch issues and making sure the baby is feeding effectively, perhaps with a more upright feeding position will help to ensure that breastfeeding is going as well as possible. After feeds, ideally keep baby upright against their carer for at least 30 minutes.
In addition use of cereal-thickened feedings is associated with coughing in infants with GERD (Orenstein et al., 1992). The largest randomized, controlled study to date in infants showed that for symptoms purported to be those of GERD, a PPI [proton pump inhibitor] was no better than placebo.
So for example, if a baby has acid reflux, they prescribe a drug that just suppresses that symptom, without doing any investigation into why the reflux is occurring in the first place. There are so many problems with that approach. One of the main ones is that number one, drugs don’t just have intended effects, they also have unintended effects. If a drug suppresses acid production, what else is it doing that may not be beneficial? Or even, what are the effects of acid that are beneficial?
GERD may cause babies to either undereat (if they associate feeding with the after-feeding pain, or if it hurts to swallow) or overeat (because sucking keeps the stomach contents down in the stomach and because mother’s milk is a natural antacid). A small percentage of babies experience discomfort and other complications due to reflux – this is called Gastroesophageal Reflux Disease. These babies have been termed by some as ‘Scrawny Screamers’ (as compared to the Happy Spitters). There seems to be a family tendency toward reflux.
This also applies to sleeping positions. It’s recommended that babies sleep on their backs to reduce the risk of sudden infant death syndrome (SIDS). However, babies who experience reflux may benefit from sleeping in a slightly elevated position on their left sides.
Many babies bring milk back up through their food pipe at different times of the day or night. This is called reflux (short for Gastro-Oesophageal Reflux, or GOR).
PPIs have been shown to increase the risk of SIBO. So that’s pretty ironic, right? SIBO is one of the underlying causes of reflux in the first place, and PPIs have been shown to increase the risk of SIBO. Then SIBO is also associated with everything from skin issues like eczema, to cognitive and behavioral issues, to malabsorption.
Aside from the lack of strong evidence, this treatment has some significant drawbacks. Introducing solid food too early replaces human milk, which is nutritionally ideal for babies, with a food of less nutritional value. It will also lower a mother’s milk supply. Regurgitating solids can add to the baby’s distress and discomfort, and introducing solids too early might also trigger allergies in an already sensitive baby.
The hindmilk is responsible for a good part of the baby’s weight gain. Most breastfed babies are not shy about letting you know when it’s time to nurse. But when reflux complicates feeding, mothers may have to do some reminding.
This condition may cause more troublesome symptoms and complications. Symptoms include slow weight gain, irritability, unexplained crying, and sleep disturbances. GERD requires treatment to avoid tissue damage to the lining of the food pipe. Gastroesophageal reflux (GER) happens when the contents of the stomach wash back into the baby’s food pipe.
The main function of these medications is to reduce stomach acid. Multiple studies have failed to show that these medications improve symptoms any better than no medication at all in many infants. Ranitidine (Zantac) is another sort of drug used for heartburn.
Discuss the potential pros and cons with your doctor before placing your infant to sleep in any position other than on their back. Acid reflux occurs when the contents of the stomach are refluxed into the esophagus. It’s very common in infants and most often happens after a feeding. Although the exact cause is unknown, there are several factors that can contribute to acid reflux.