Mothers need to be counselled that breast milk is not causing reflux and breast milk is the best possible food for babies until they are six month old. Babies have a small esophagus and weaker muscle tone than adults. This means that the valve that guards the lower end of their esophagus (lower esophageal sphincter or LES) where it connects to the stomach is weaker. This makes some babies susceptible to gastroesophageal reflux disease (GERD). A hiatal hernia is a condition in which part of the stomach sticks through an opening in the diaphragm.
By frequently burping your baby, you will keep the air that is gulped into the stomach during a feed to a minimum, thereby reducing the volume of milk that may be vomited. Don’t let your baby fall asleep while feeding. Catnapping on the breast or bottle always leads to pain once the feed has finished so try to avoid feeding when your baby is tired.
It is in cases where the ring is not working properly that we see the appearance of GER. Babies are usually suffer GER due to the oesophageal sphincter not working as it should be. To minimize undue strain on the delicate stomachs of the babies, doctors recommend exclusive breastfeeding in the first six months which can be continued till the baby is of two years of age. While additional solids or liquids might be given after your baby is six months old, breastfeeding should preferably be the only mode of nourishment in the initial six months.
For these reasons, we hypothesized that the risk of reflux could increase with expressed milk feedings, possibly due to bacterial contamination, change in milk content, caregiver feeding behavior, or milk removal mechanism (sucking difference and speed of milk flow). The cohort was focused only on infants fed exclusively breastmilk, and while this restriction allowed us to focus on the differential effects of the modes of breast milk feeding, it also reduced our sample size, preventing robust statistical modeling. It should be noted that reflux incidence is common in infancy in the U.S., especially within the first 6 months , and since the incidence in our cohort was low, our results may not be generalizable. Lactose intolerance, allergies, and indigestion can present similar symptoms as GERD. Consult with your doctor right the way if your baby is uncomfortable after feeding, cries for long periods of time, or spits up after meals.
Allergic babies generally have other symptoms in addition to spitting up. Spinner says it’s uncommon for a breastfed baby to react to dairy in her mom’s diet. But it’s possible if she eats a lot of it and the baby is very sensitive.
If you answered yes to these questions, you might be suffering from heartburn while breastfeeding. Read our post to learn causes, symptoms, and treatments for heartburn while nursing. Growth spurt – when babies start feeding more frequently with a growth spurt, they can be bringing in larger volumes of milk and/or more air. Try nursing at one breast only each feeding to avoid two strong milk ejections and, therefore, reducing overfeeding and excess swallowing of air.
For younger babies, try a small amount of thickened milk at the beginning of a feed. Many
Reflux is less common in breastfed babies. In addition, breastfed babies with reflux have been shown to have shorter and fewer reflux episodes and less severe reflux at night than formula-fed babies [Heacock 1992]. Breastfeeding is also best for babies with reflux because breastmilk leaves the stomach much faster [Ewer 1994] (so there’s less time for it to back up into the esophagus) and is probably less irritating when it does come back up.
If you’re just breastfeeding, there are a few different options to get these things into your baby. You can lightly dust the nipple with Ther-Biotic Infant powder and also galactooligosaccharides. One product is called Galactomune, from Klaire Laboratories.
The question we intend to answer is one of exposure irrelevance, that is, whether feeding mode for exclusively breastfed infants is associated with a greater risk of reflux, which has wide-reaching implications for parent and caregiver counseling and future research. An infant’s ability to self-regulate milk consumption has been postulated as a factor associated with reduced reflux, therefore the manner in which infants are fed breast milk may influence the incidence of reflux.
Note; similar symptoms can be seen with low milk supply, oversupply or a forceful let-down. The acronym for gastro-oesophageal reflux disease is GORD or GERD depending where you are in the world and how you spell oesophagus. Sources suggest only one in 300 infants actually has GORD needing treatment16 yet the number of babies given acid-reducing medication tends to be very much higher than this figure (Hassall, 2012).
It is also possible that infants with gastro-esophageal reflux disease (a syndrome characterized by severe gastro-esophageal reflux) have feeding problems  which could lead a caregiver to try bottle feeding in an attempt to alleviate an infant’s distress. Instruction in the test indicated that parents shouldn’t change the contents. Some were feeding breastmilk, regular formula or expensively branded formula for ‘sensitive tummies.’ Parents were asked to change their baby bottle and use the device tested. The conclusion was that the elimination of air infiltration from traditional vented bottles and feeding the baby in a vertical, upright position, made a vast difference in symptomology. The device tested dispensed food upon suction only and independently of gravity, much like the breast.
How did you treat it? Share your invaluable experience with other moms. Leave a comment below. Aromatherapy is an effective cure to treat heartburn while breastfeeding.
Mother has an oversupply of milk that can result in baby taking too much too fast for the stomach to handle. Either can result in additional air swallowed with the large volumes of milk. Read our post on oversupply. Baby is not be able to swallow quickly enough when milk ejects forcefully during a feeding, resulting in swallowing excess air. Although recent research does not support recommendations to keep baby in a semi-upright position (30° elevation), this remains a common recommendation.
If this description fits your baby, pacifier use may be a help. If the pacifier is given when the baby is not nursing for food (sucking slowly and less frequently, not a lot of swallowing), it may be soothing to him and a relief to you.