Separating Fact from Fiction in Pediatric Medicine: Infant Gastroesophageal Reflux – Science-Based Medicine

Separating Fact from Fiction in Pediatric Medicine: Infant Gastroesophageal Reflux – Science-Based Medicine

The signs of silent reflux in babies aren’t always obvious. Here’s how to tell if your baby is silently suffering-and how to make her feel better. There are a number of devices to help keep your baby safely elevated while sleeping. Bouncy seats, swings, reclining bassinets and crib wedges are the most common.

My son had really bad reflux & we gave him Prevacid. It helped, but I spent endless data dealing w/ a screaming baby.

These problems are rare and may not be due to reflux, even in babies with both problems. Gastroesophageal reflux disease (GERD) is a digestive disorder that’s referred to as pediatric GERD when it affects young people. Nearly 10 percent of teens and preteens in the United States are affected by GERD according to GIKids. It’s important to speak with your baby’s doctor or pediatrician if you think your infant has GERD.

acid reflux cures for infants

In older children, risks include being overweight, exposure to secondhand smoke, and eating certain types of foods (for example, spicy foods). Children with neurological conditions, such as cerebral palsy, are also at greater risk.

Formula-fed infants may be helped by a change in formula. pH Probe- A pH probe is used to quantify gastroesophageal reflux.

Then we went back to egg yolks about a month later, and she had no problem then, and still has no problem with them. So sometimes kids are sensitive to foods initially. Things like eggs, dairy-all of the ones that we look for as adults are also likely to aggravate kids, in some cases. You want to do some experimentation there.

Gastroesophageal reflux (GER) happens when the contents of the stomach wash back into the baby’s food pipe. It is defined as reflux without trouble, and usually resolves itself. Learn which formulas will help ease your baby’s acid reflux, including hydrolyzed protein formulas, soy milk formulas, and specialized formulas.

There are many studies demonstrating that the conservative approach is best and that medications which decrease or stop acid production often aren’t better than placebo, particularly for the perception of general fussiness. Gravity plays a role in causing reflux, and parents can take advantage of it also.

  • The symptoms related to reflux, the most common being general fussiness, are largely subjective and the connection is not well supported in the literature.
  • If your baby’s reflux is mild and his weight gain isn’t affected, you could try feeding your baby in a more upright position to ease the problem.
  • If the symptoms continue, medicine may be needed.
  • It’s like, I can’t believe anyone would buy this drug after hearing this.
  • The baby’s spit-up is stronger, often repetitive, and babies may also experience the discomfort of heartburn.

So try to stay strong on this one because it can feel fruitless at first and it takes a surprising amount of change (for me, at least) to completely eliminate dairy from my diet. And nat phos 6x took a few days to see consistent improvement. Note that the lactose in nat phos 6x likely is not a problem because a dairy allergy is NOT the same thing as lactose intolerance.

Never let a baby sleep in these positions, as they are associated with an increased risk of SIDS (sudden infant death syndrome). Other symptoms may include distress or discomfort with feeds, crying during or after feeds or more significant vomiting with feeds. Some babies will refuse or vomit so much of their feed they are unable to gain weight. Some even lose weight.

There may not be enough kids now taking PPIs that this is making a significant contribution, but this could certainly happen if we continue with our current course. The second thing would be the method of birth. We know from many, many studies now that Caesarean birth, that kids born via C-section, have different gut flora and less optimal gut flora than kids who are born vaginally. The reason for that is what I just mentioned. Whether or not colonization of the gut begins in utero, we know without a doubt that a major aspect of how the gut flora develops in the baby is from that exposure in the birth canal.

It has galactooligosaccharides and beta-glucans. Galactooligosaccharides are in breast milk, but additional galactooligosaccharides may be helpful for increasing beneficial gut bacteria in babies that are having trouble.

Thickening the formula or placing antacids in the bottle can often treat mild reflux. It also helps to hold your baby upright for 30 to 60 minutes after he/she eats. Placing the baby in a car seat or swing after eating may make the reflux worse. If the baby slides down and bends at the waist, the pressure on the abdomen could cause reflux. Most children do not need surgery for their reflux since there is a very good chance that they will outgrow it.

But they shouldn’t be continued for more than a couple of weeks without clear improvement. Even surgery is sometimes indicated in the most severe cases of GERD, although that is most likely to be required when a child has a neurologic problem that places them at risk of aspirating feeds into the lungs. When babies fail to thrive, typically evident in poor or absent weight gain, GERD should be a diagnosis of exclusion because the most common causes are psychosocial in nature and there are a variety of other medical conditions that need to be ruled out with a thorough history taking, physical exam and targeted diagnostic testing.

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