If you’re breastfeeding and have forceful let down, make sure to nurse in positions that allow her to have better control of how much milk she’s getting. ELEVATE BABY’S HEAD WHILE FEEDING Put a pillow under her head so that as she feeds, the milk goes down into her belly instead of staying up in her esophagus. Also try to keep baby upright after feeds and at other times, such as nappy changes and bathtime too. Most babies will grow out of reflux naturally. If it does not pass and medications do not improve the situation, then further investigations may be required.
Formula-fed babies actually need to eat somewhat less often since formula is less readily digested by the baby than human milk. This article explores the advantages and disadvantages of both forms of feeding. Slower than normal emptying of stomach contents may predispose infants or children to GERD. Infants with gastroesophogeal reflux reflect the immaturity their nervous system. In most infants the junction between the esophagus and stomach is “closed,” opening only to allow passage of formula or breast milk into the stomach or to allow the escape of swallowed air via burping.
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. If your child has these more severe symptoms, they might be diagnosed with infant GERD (gastroesophageal reflux disease). The difference between infant GER and infant GERD is the severity and frequency of symptoms. By making small changes in the position of sleep and feeding, chances of acid reflux can be highly reduced.
Patient Care & Health Info
There is a muscle at the bottom of the esophagus called the lower esophageal sphincter (LES) that normally keeps acids in the stomach. But if the LES relaxes too much, the harsh stomach acids can rise up and irritate the delicate lining of the esophagus.
I want to stress that most of these symptoms should be observed in a reoccurring pattern to help determine if a baby has GERD. If a baby is just irritable from a feeding every now and again, it is extremely unlikely the stomach contents are damaging their esophagus and therefore it wouldn’t qualify as GERD.
Medications that might be prescribed include H2 blockers and proton pump inhibitors (PPIs). These medications ease symptoms of GERD by lowering acid production in the stomach and can help heal the lining of the food pipe. H2 blockers are usually used for short-term or on-demand relief and PPIs are often used for long-term GERD treatment.
How are GER and GERD treated in infants and children?
The “disease” of GERD implies the need for various therapeutic approaches in order to minimize the consequences of reflux of stomach acid into the esophagus and oral cavity. Heartburn is one symptom of the condition acid reflux.
These could include an acidity probe test or a contrast swallow. Your doctor will advise you about any tests. People with a hiatal hernia may be more likely to have acid reflux.
A child or teen is more likely to develop complications from surgery than from medicines. However, studies show that people who take PPIs for a long time or in high doses are more likely to have hip, wrist, and spinal fractures.
Laying a baby tummy-side down or left side down while awake and after feedings is linked with fewer episodes of infant reflux. However, while asleep, infants are recommended to sleep on their back to reduce the risk of sudden infant death syndrome.
(But never give these medications to your baby without consulting a doctor.) Your baby may be on the medication for a few months. The information on this website has not been evaluated by the Food & Drug Administration or any other medical body. We do not aim to diagnose, treat, cure or prevent any illness or disease.