Gastroesophogeal reflux (GER) is the upward flow of stomach contents from the stomach into the esophagus (“swallowing tube”). While not required by its definition, these contents may continue from the esophagus into the pharynx (throat) and may be expelled from the mouth, and in infants, through the nostrils. A more forceful expulsion of stomach contents than do infants and children with GER.
But in rare cases and if a healthcare professional thinks they might be helpful, an endoscopy, pH monitoring or barium swallow test can be done (NICE, 2015; NHS, 2016) . Using thickened ‘anti-reflux’ formula milk. You can buy these without a prescription but it’s important to talk to a healthcare professional before you do. There is some caution about their use, such as the fact that they are made at a lower temperature than is currently recommended to get rid of harmful bacteria. In a small number of babies, reflux may be associated with a more serious problem, such as gastro-oesophageal reflux disease (GORD).
Tube feedings. In some cases tube feedings may be recommended.
In the stomach, the food is digested by acid. When this mixing occurs, the band of muscles at the lower end of the esophagus becomes tight, sealing off the food from up coming back. Spitting is totally normal – but rarely up, it can be a sign of acid reflux in babies, or infant GERD.
Sometimes, it can be helpful for a pediatric gastroenterologist to observe your child being fed or self-feeding. Based on the visit, he or she will decide whether your child may benefit from additional testing or from the addition of or a change in medications. In older children, diet can play more of a role. Large meals and acidic or spicy meals highly, as well as caffeinated or carbonated beverages, can lead to increased GER symptoms.
Try Smaller, More Frequent Feedings
Other factors might contribute to spitting up in babies who breastfeed. If you have strong let-down reflex, your baby may choke when latching on.
These tubes can also be used to bypass the stomach if needed. Tube feedings can be done with or in place of bottle-feeding or breastfeeding. Burp your baby several times when breastfeeding or bottle-feeding. Your baby may spit-up more often when burping with a full stomach.
Initially, she and her husband thought they simply had a high-needs baby who cried a lot and never wanted to be set down. But Parks soon began to suspect something else was going on. “I noticed he was making a lot of choking and gagging noises immediately after feeding,” she says.
I don’t seem to get any help off them at all. Sometimes, the symptoms of cow’s milk protein allergy (CPMA) can be similar to the symptoms of reflux, particularly in babies under six months of age (Ferreira et al 2014, Rosen et al 2018) . In the meantime, if you’re formula feeding, you could try giving your baby his daily allowance in smaller, more frequent feeds. You could also ask your health visitor for advice about using a thicker formula, which may be easier for your baby to keep down.