Reflux tends to peak around four to six months and then improve. The reason: Older babies start eating solid foods and consume less liquid — and solids are easier to keep down. But reflux isn't something babies just have to live with until they grow older.
Reflux usually starts before a baby is 8 weeks old and gets better by the time they're 1. Symptoms of reflux in babies include: bringing up milk or being sick during or shortly after feeding. coughing or hiccupping when feeding.
Symptoms of GERD
Infants with this problem cry numerous times per day. They also act very unhappy when they are not crying. They are in almost constant discomfort. Poor Weight Gain.
If your baby has reflux, you can and should continue with tummy time. Try the positions where your baby is more upright such as on your chest, over your legs or on a gym ball. Remember to leave 20 to 30 minutes after a feed before placing your baby on their tummy to reduce vomiting and discomfort.
Because your baby's diet is mostly liquid, it is easy for stomach contents to reflux up the esophagus. Up until 6 months of age, the length of your baby's esophagus is short and the stomach is small. So milk feeds are easily regurgitated up.
Reflux is one of the most common infant feeding problems. It usually starts around the 2 to 3 week mark, peaks around 4 to 5 months, and typically goes away by about 9 to 12 months.
Feeding your baby too much can make reflux symptoms worse. Their doctor or health care provider will tell you how much they should be eating with each feed. If vomiting or reflux symptoms occur, give less at each feeding.
Additionally, a medical study found that the 'non-nutritive' sucking (sucking without feeding) with a dummy can improve the rate the stomach empties and also decrease the number of reflux episodes in a group of premature infants.
4) Feed small amounts, frequently. For small infants, this means 1-2 oz every 1-2 hours; bigger infants need 2-4 oz every 2-3 hours and increase gradually. Do not over-feed your baby, this will lead to more discomfort!
Reflux of acid contents may cause breath holding spells with the infant appearing pale or blue with struggling to breathe. Other considerations for these symptoms may include inadequate or poor coordination of sucking, swallowing and breathing.
Although it is sometimes suggested that breastfeeding mothers change to formula, this may well worsen symptoms. While both breastfed and formula fed babies can experience reflux, research has shown that formula fed infants have episodes of reflux more often than breastfed babies and they last longer.
Certain foods such as caffeine, chocolate, and garlic – can promote reflux. Consider cutting these things out of your diet if you are breastfeeding your infant. Some of these foods can leave traces in your breastmilk and have a negative impact on the severity of your baby's reflux.
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.
Doctors may recommend medicines—typically proton pump inhibitors (PPIs) or H2 blockers—if an infant has esophagitis or has bothersome GERD symptoms that don't improve after lifestyle changes. Don't give infants medicines unless told to do so by a doctor. PPIs and H2 blockers lower the amount of acid the stomach makes.
1. Cold milk: Milk has a high amount of calcium, which helps to prevent acid build-up by absorbing the excess acid produced. Also with if the milk is cold it sure does provides instant relief from the burning sensation that one feels during reflux.
The best sleeping position for a newborn baby with reflux is on their backs (supine position), even better if they lie on a surface with an incline angle of about 30 degrees. If their head and chest are elevated slightly in relation to the rest of their body, the backflow of milk from their stomach is reduced.
Some babies with reflux may not vomit. Instead, their stomach contents may move up and spill over into the windpipe (trachea). This can cause wheezing and pneumonia.
The best way to burp a baby experiencing reflux is by holding them with their tummy side against your chest and burping them over your shoulder. This will allow for removal of trapped gas and acid from your baby's system before giving them further milk to drink.
As well as the above, a baby with silent reflux may also suffer from one or more of the following: Coughing, but without other sickness symptoms (this is their natural reaction to acid hitting the back of their throat) Being really noisy and making strange sounds like gagging, grunting and having a hoarse voice.
Reflux can be worse at night for 3 reasons (3): Acid concentration in the stomach is higher at night. The baby is likely lying down, so there is no assistance from gravity to help keep the contents of the stomach down.
Baby reflux symptoms
Constant or sudden crying when feeding. Bringing up milk during or after feeds (regularly). Frequent ear infections. Lots of hiccups or coughing.