Gastroesophageal Reflux in Children

Keeping infants upright for at least 30 minutes following feeds and elevating crib and diaper-changing tables by 30 degrees may also help prevent symptoms of reflux. In breastfed babies, removing immunogenic foods, such as cow’s milk and eggs, from the mother’s diet may improve symptoms. Refusing to feed, difficulty swallowing, and frequent vomiting may be symptoms of GERD in infants. If the muscle does not entirely close, liquid flows back into the food pipe from the stomach.

If a mother has a copious milk supply then feeding one side only at each feed may ease discomfort. However, it is worth looking at what seems to suit your baby. National Institutes of Health, National Library of Medicine, ENT Manifestations of Gastro-oesophageal Reflux in Children, October 2006.

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.

Barrett esophagus

Hello my little one has suffered with reflux since birth. My h.v advised me to use the anti reflux formula so I did and it worked wonders. I visited a local chemist and they advised me to get that formula on prescription but the doctors refused and put my baby on gaviscone. My little one is now throwing her feeds up and getting very agitated through out trying to feed her.

However, if the stomach acid travels up the esophagus and spills into the throat or voice box (called the pharynx/larynx), it is known as laryngopharyngeal reflux (LPR). The most common cause of GERD in infants is similar to that of GERD in older children and adults―the lower esophageal sphincter (LES) fails to prevent reflux of gastric contents into the esophagus. LES pressure may transiently decrease spontaneously (inappropriate relaxation), which is the most common cause of reflux, or after exposure to cigarette smoke and caffeine (in beverages or breast milk). The esophagus is normally at a negative pressure, whereas the stomach is at a positive pressure. The pressure in the LES has to exceed that pressure gradient to prevent reflux.

GERD and LPR in infants and children may be related to causes mentioned above, or to growth and development issues. and 3 34- 43 highlight the common and less common differential diagnosis of GERD.

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. Visit our Acid Reflux / GERD category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Acid Reflux / GERD. However, around 2-7 percent of parents of children between the ages of 3-9 years report that their child experiences heartburn, upper abdominal pain, or regurgitation.

  • Your child’s pediatrician is a valuable asset to help monitor for these less obvious presentations of GERD.
  • Some physicians may recommend elevating the head of your baby’s crib so that she is sleeping on an incline in order to allow gravity to help keep her stomach contents where they belong.
  • This is gastro-oesophageal reflux disease.

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. Medications may also be suggested – some form a barrier on top of the stomach contents to reduce the risk of them flowing backwards, while others damp down acid production in the stomach.

Hypoallergenic formula can even be helpful for infants who do not have a food allergy by improving gastric emptying. All children should be kept away from caffeine and tobacco smoke. Providing smaller, more frequent feedings helps keep the pressure in the stomach down and minimizes the amount of reflux.

It can be tempting to put your baby down to sleep on his side or front, but always check with your GP or health visitor before trying this. 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) .

That little spit is called gastroesophogeal reflux or GER. But frequent vomiting associated with discomfort and difficulty feeding or weight loss may be caused by something more serious known as GERD (gastroesophageal reflux disease).

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Health information on this site is based on peer-reviewed medical journals and highly respected health organizations and institutions including ACOG (American College of Obstetricians and Gynecologists), CDC (Centers for Disease Control and Prevention) and AAP (American Academy of Pediatrics), as well as the What to Expect books by Heidi Murkoff. If your baby has nasal congestion along with other symptoms of GERD, try home remedies for GERD and talk to your doctor about medications. In the meantime, if congestion is severe, try these tactics for stuffy nose relief. Prop baby upright. If possible, try to feed baby upright and prop her up for one to two hours afterward.

infant gerd symptoms

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