Spitting Up & Reflux in the Breastfed Baby

Esophagus PictureThe esophagus is really a muscular tube connecting the throat (pharynx) with the stomach. Visit a picture of the Esophagus and find out about the health topic. Please share your connection with GERD and acid reflux in baby and children. The diagnosis of GER is based upon characteristic historical facts reported by the infant’s parents in conjunction with an elimination of pathological conditions by a normal physical exam. It is extremely rare to need laboratory studies to establish or support the diagnosis.

If GERD is severe, treatment can include medication or surgery. The surgery to improve reflux is called fundoplication. Without getting too technical, spit-up (also called reflux, gastroesophageal reflux, or GER) is the movement of stomach contents in to the esophagus, and sometimes through the mouth and nose.

Cases of infant GERD can be relieved through diet and lifestyle changes under the guidance of the child’s doctor. Medications are also open to minimize reflux, heartburn, and vomiting. Medications that might be prescribed include H2 blockers and proton pump inhibitors (PPIs). These medications ease outward indications of GERD by lowering acid production in the stomach and will help heal the liner of the food pipe.

These include gagging or coughing. You should also keep a record of the time, kind of food, and quantity of food your child eats.

Delayed gastric emptying can cause reflux. An upper GI series looks at the organs in top of the section of your child’s digestive tract. These include the esophagus, stomach, and the initial section of the tiny intestine (duodenum).

Thickened feeds can reduce spitting up, but studies have not shown a reduction in reflux index scores (i.e., the “silent reflux” is still present). Per Donna Secker, MS, RD in Gastroesophageal Reflux Disease, “The effect of thickened feedings may be more cosmetic (decreased regurgitation and increased postprandial sleeping) than beneficial.” Thickened feeds have already been associated with increased coughing after feedings, and may also decrease gastric emptying time and increase reflux episodes and aspiration. Note that rice cereal won’t effectively thicken breastmilk because of the amylase (an enzyme that digests carbohydrates) naturally present in the breastmilk. Allergy should be suspected in all infant reflux cases.

Some babies spit up more when they are teething, beginning to crawl, or starting solid foods. Anthony Porto, MD, MPH, FAAP is a board certified pediatrician and board certified pediatric gastroenterologist.

The procedure, called a Nissen fundoplication, involves wrapping the very best portion of the stomach round the lower esophagus. The displaced stomach contracts through the digestive process, and thus closes off the lower esophagus and prevents reflux. In extraordinary circumstances, a feeding tube directly into the stomach is necessary to check the Nissen fundoplication.

GERD and pyloric stenosis

This causes nausea, vomiting, and heartburn. Aside from the insufficient strong evidence, this treatment has some significant drawbacks. Introducing solid food prematurily . replaces human milk, that is nutritionally ideal for babies, with a food of less vitamins and minerals. It will lower a mother’s milk supply.

How is GERD diagnosed in a child?

Ask your child’s healthcare provider about the best position for the baby to sleep. This test measures the level of acidity in your child’s esophagus. In this test, a small, flexible tube (endoscope) is used to look at the inside of one’s child’s digestive system. This tube includes a light and a camera lens by the end of it. During the test, your son or daughter may have tissue samples taken off their digestive system.

For babies who would like to breastfeed very frequently, try switching sides every few hours instead of at every feed. GERD may cause babies to either undereat (should 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 really a natural antacid).

Some babies with reflux have other conditions that produce them tired. These include congenital heart disease or being born prematurily . (premature). These babies often get sleepy once they drink or eat a little. Other babies vomit after having a standard quantity of formula. These babies do better if they’re constantly fed handful of milk.

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