Medication for Infant Reflux? Why You Should Probably Pass!
If possible, try to feed baby upright and prop her up for one to two hours afterward. After feedings, have baby lie at an incline in the crib by elevating the crib mattress with a pillow or two under the mattress (never on top of the mattress, since it can increase SIDS risk). Never use sleep positioners or wedges, even those marketed for babies with GERD, since they’re also considered a SIDS hazard.
If your baby is still having problems after a couple of months of having an antacid, go back to your doctor (Rosen et al 2018) . If you’re breastfeeding, you can give your baby infant antacid mixed with cooled, boiled water after a feed (NICE 2015b) . You can give your baby the correct dose of the antacid on a spoon or in a bottle (NICE 2015b) . Sometimes, the symptoms of cow’s milk protein allergy (CPMA) can be similar to the symptoms of reflux, particularly in babies under six months of age (Ferreira et al 2014, Rosen et al 2018) . Ordinary reflux shouldn’t cause these symptoms, so your doctor will advise looking into what’s making your baby ill.
What Causes GERD in Babies and Children?
A thin, plastic tube is placed into your child’s nostril, down the throat, and into the esophagus. The tube has a sensor that measures pH level.
Moreover, GER is generally a singular event in time, whereas the vomiting process is commonly several back-to-back events that may ultimately completely empty all stomach contents and yet still persist (“dry heaves”). The difference between GER and GERD (gastroesophageal reflux disease) is a matter of severity and associated consequences to the patient.
This is called a nasogastric tube. The tube is then put through the food pipe or esophagus, and into the stomach. Your baby can have a tube feeding in addition to a bottle feeding.
What are the symptoms?
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. A lot of things that show up in kids, right?
They’re all essential nutrients. And PPIs inhibit their absorption. We could potentially see an increase in things like neurological issues from B12 deficiency; problems with development, like I said, of the structural tissue in the body from vitamin C deficiency; behavioral disorders like ADHD, autism, et cetera because of folate and B12 deficiency. These things are on the rise in kids.
Cases of infant GERD can be relieved through diet and lifestyle changes under the guidance of the child’s doctor. Medications are also available to minimize reflux, heartburn, and vomiting. Medications that might be prescribed include H2 blockers and proton pump inhibitors (PPIs).
Sometimes thickening feedings with infant cereal may help with reflux. However, because adding cereal increases caloric density, it can lead to increased weight gain. The recommendation for starting infants on cereal or solid food is 4-6 months.
Another important lifestyle change involves how you position your baby after she eats. Surprisingly, most babies do worse if they are placed in a seated position after they eat.
It may be an option for babies or children who have severe reflux that causes breathing problems or keeps them from growing. Antacids, such as Gaviscon. Antacids neutralize stomach acid and relieve heartburn. You can buy these without a prescription. But they are not usually recommended for long-term use.
Many of the moms I work with have seen improvement in their infant’s reflux symptoms by cutting out coffee and spicy food from their diets. There is good news for all our babies experiencing uncomplicated gastroesophageal reflux or gastroesophageal reflux disease – some natural remedies really can help!
You can get some tips there if you’re new. PPIs increase gastric pH, which means they make it less acidic and more alkaline. This, in turn, substantially increases the concentration of something called gastrin. Then gastrin promotes the release of histamine, which, in turn, provokes increased acid secretion. This will lead to a rebound effect after stopping PPIs, where more acid is produced.
The research is abundantly clear, even in the conventional medical world now. Thankfully, they’ve gone back from the craziness of the ‘60s and ‘70s, where formula was the recommendation. They now pretty much universally recommend breastfeeding across the board. The World Health Organization (WHO), in fact, recommends six months of exclusive breastfeeding with no other food, and 22 months of complementary breastfeeding, which means continuing to breastfeed, at least in some level, for almost two years. Unfortunately, very few women do breastfeed for that long.
And all of the other B vitamins-B6; B5, which is pantothenic acid; B1, which is thamine; B2, which is riboflavin; B3, which is niacin-are all essential. Again, they’re all there for a reason. We need them.