Most children see an improvement in symptoms, especially after the fundoplication operation, although some long-term effects may continue to be troublesome. The child will continue to be reviewed regularly by their local team. Initially, the child’s feeds and feeding pattern may be adjusted to see if that improves the symptoms. For instance, feeding smaller amounts more frequently will be suggested along with changes to their feeding position, such as sitting them in a more upright position during feeds and immediately afterwards. Gastro-oesophageal reflux is very common in the first few weeks and months of life, as the sphincter (ring of muscle) at the base of the oesophagus has not matured yet.
Your baby will drink or eat a contrast liquid called barium. The barium is mixed in with a bottle or other food. The health care professional will take several x-rays of your baby to track the barium as it goes through the esophagus and stomach.
Also hold your baby in a sitting position for 30 minutes after feeding, if possible. Gravity can help stomach contents stay where they belong. Be careful not to jostle or jiggle your baby while the food is settling.
This can lead to anemia. This means too few red blood cells in the bloodstream. Over time, this may cause long-term problems.
What is the prognosis for GER and GERD in infants and children?
Putting your baby down to sleep on his back reduces the risk of sudden infant death syndrome (SIDS) (Lullaby Trust nd) . When your baby is only a few weeks old, his food pipe is short and narrow. The valve at the entrance to his stomach isn’t strong yet, and it sits just above his diaphragm, the muscle that stretches across his abdomen. These are reasons why the valve can open easily (NICE 2015b) .
Some babies with reflux have other conditions that make them tired, such as congenital heart disease or prematurity. In addition to having reflux, these babies may not be able to drink very much without becoming sleepy. Other babies are not able to tolerate a normal amount of formula in the stomach without vomiting, and would do better if a small amount of milk was given continuously. In both of these cases, tube feedings may be recommended. Formula or breast milk is given through a tube that is placed in the nose, guided through the esophagus, and into the stomach (nasogastric tube).
It usually gets better on its own, and doesn’t often need any tests or treatment. 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. Treatment for GER depends on the type and severity of the symptoms. Some babies with reflux may not vomit.
Gastroesophageal Reflux in Children
Researchers aren’t sure whether decreasing stomach acid lessens reflux in infants. If the thickening powder does not help or your baby is breastfed, a GP or specialist might recommend medicines that stop your baby’s stomach producing as much acid. Your baby does not usually need to see a doctor if they have reflux, as long as they’re happy, healthy and gaining weight.
These can include esophageal narrowing (stricture) and abnormal cells in the lining of the esophagus (Barrett’s esophagus). Some babies with reflux have other conditions that make them tired.
My older baby just started spitting up more – what’s up?
However, while asleep, infants are recommended to sleep on their back to reduce the risk of sudden infant death syndrome. Most cases of regurgitation or reflux resolve within the baby’s first year and require no treatment. GER is uncomplicated, and infants with this type of reflux are often called “happy spitters.” Infants with GER may sometimes experience frequent vomiting, irritability, prolonged or refused feeding, or back arching. Most infants “spit up” milk as part of their daily activities. The action of spitting up milk is known as reflux or gastroesophageal reflux.