Spitting Up & Reflux in the Breastfed Baby • KellyMom.com
Activation of these receptors can increase airway resistance, leading to the development of reactive airway disease. Gastroesophageal reflux disease (GERD) is a disorder that involves the esophagus (the tube through which food travels to the stomach) and the stomach.
Gastroesophageal reflux resolves in about 85% of infants by 12 mo and in 95% by 18 mo. GERD is much less common. GERD is often caused by something that affects the LES, the lower esophageal sphincter.
His food pipe (oesophagus) connects his mouth with his stomach. Where his food pipe joins his stomach, there’s a valve that opens to let milk in, and shuts to keep it down. Talk to your doctor. When those other tactics donâ€™t work, some medications can help reduce or neutralize stomach acids or make digestion more efficient (like Prevacid or Zantac) safely in babies. Just keep in mind that they can occasionally cause side effects and should only be used with a doctorâ€™s supervision in babies with GERD, not in babies with ordinary GER.
They may not want both breasts at each feed, or may do better if offered only one side, but more often. It often helps to feed a baby with reflux in a more upright position than is usual. You may need to experiment with different positions. Some mothers sit their baby facing the breast, astride mum’s leg or cuddle them against the side of the sofa, facing the breast. Others have found that instead of cradling their baby around their body, they can cradle the baby down the body.
Consider testing with an upper GI series, gastric emptying scan, esophageal probes, or endoscopy for infants with more severe GERD symptoms or for whom a therapeutic trial is not helpful. Prescribe a therapeutic trial of feeding modifications and positioning if GERD symptoms are mild.
Reflux occurs when esophageal capacity is exceeded by refluxate. The esophagus and stomach are separated by a type of muscular valve called a sphincter. Normally, the sphincter remains tightly closed except when food is swallowed. When food is swallowed, the sphincter opens to let food pass from the esophagus to the stomach.
Over time, babies with reflux may not gain weight as expected (failure to thrive) and may have frequent chest infections due to aspirating (breathing in) stomach contents into the windpipe and lungs. The inside surface of the oesophagus may become inflamed due to contact with stomach acid, which may lead to scarring and narrowing. Your GP will only prescribe these if your baby has a sore food-pipe from the amount of stomach acid he’s bringing up. They’re not suitable if your baby has reflux, but no other symptoms (NICE 2015b, Rosen et al 2018) . You could ask your GP about giving your baby an infant antacid.
Within the American Academy of Pediatrics, Dr. Porto sits on the PREP Gastroenterology Advisory Board and is a member of the Section on Gastroenterology, Hepatology and Nutrition. He is also a member of the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition’s Public Education Committee, a pediatric expert on nutrition for The Bump’s Real Answers, and is the co-author of The Pediatrician’s Guide to Feeding Babies and Toddlers.
These include congenital heart disease or being born too early (premature). These babies often get sleepy after they eat or drink a little. Other babies vomit after having a normal amount of formula. These babies do better if they are constantly fed a small amount of milk. In both of these cases, tube feedings may be suggested.
â€œIn short, reflux is a mechanical problem,â€ says Natasha Burgert, MD, FAAP, a pediatrician in Kansas City, Missouri, who runs the blog KCKidsDoc. The contents in babyâ€™s stomach creep back up into the esophagus instead of staying down because the small muscular valve that prevents it isnâ€™t functioning optimally.
My GP has given her both laxative and gaviscon as prescription and I have changed from breastmilk to aptamil anti colic and constipation. My baby is showing some of signs above and I don’t know what else to do, because every feed is a struggle and I can see she is uncomfortable, she has mild vomiting and suffers a lot when passing wind, and on top of that she needs help when she wants to pass stool, with massaging and gently stimulating her back passage. Hello my little one has suffered with reflux since birth.
Infants experiencing GERD have often a forceful ejection of stomach contents, have periods between feeding of agitation and fussiness, may have episodes of arching twisting between feedings, and may have slow weight gain due to inadequate caloric intake. Recurrent cough or (in rare cases) wheezing may be associated with GERD.