Is this your child''s called GERD (gastro-esophageal reflux disease). This occurs in less than 1% of babies.
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GERD problems occur in less than 1% of infants:
- Choking on spit up milk
- Heartburn from acid on lower esophagus. 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
- Poor closure of the valve at the upper end of the stomach (weak valve)
- Main trigger: overfeeding of formula or breastmilk
- More than half of all infants have occasional spitting up ("happy spitters")
Reflux Versus Vomiting: How to Tell
- During the first month of life, newborns with true vomiting need to be seen quickly. The causes of vomiting in this age group can be serious. Therefore, it''ve been told by a doctor your baby has reflux
- Onset early in life (85% by 7 days of life)
- Present for several days or weeks
- No pain or crying during reflux
- No effort with spitting up
- No diarrhea
- Your baby acts hungry, looks well and acts happy.
The following suggests vomiting:
- Uncomfortable during vomiting
- New symptom starting today or yesterday
- Forceful vomiting
- Contains bile (green color)
- Diarrhea is also present or
- Your baby looks or acts sick.
Pyloric Stenosis (Serious Cause)
Feed Smaller Amounts:
- This is the most common cause of true vomiting in young babies.
- Onset of vomiting age 2 weeks to 2 months
- Vomiting is forceful. It shoots out of the baby''t cause any pain or crying.
- Spitting up does not interfere with normal weight gain.
- Infants with normal reflux do not need any tests or medicines.
- Reflux improves with age.
- Here is some care advice that should help.
Longer Time Between Feedings:
- Skip this advice if age less than 1 month or not gaining weight well.
- Bottlefed Babies. Give smaller amounts per feeding (1 ounce or 30 mL less than you have been). Keep the total feeding time to less than 20 minutes. Reason: Overfeeding or completely filling the stomach always makes spitting up worse.
- Breastfed Babies. If you have a good milk supply, try nursing on 1 side per feeding. Pump the other side. Switch sides you start on at each feeding.
- Formula. Wait at least 2½ hours between feedings.
- Breastmilk. Wait at least 2 hours between feedings.
- Reason: It takes that long for the stomach to empty itself. Don''t put pressure on the stomach right after meals.
- Also, do not play too hard with your baby during this time.
- After meals, try to hold your baby in the upright (vertical) position.
- Use a front-pack, backpack, or swing for 30 to 60 minutes after feedings.
- Decrease the time in a sitting position (such as infant seats).
- After 6 months of age, a jumpy seat is helpful. The newer ones are stable.
- During breast or bottle feeds, hold your baby at a slant. Try to keep your baby''t, the nipple hole may be clogged. Clean the nipple better. You can also make the nipple hole slightly bigger.
Add Rice Cereal to Formula:
- Burping is less important than giving smaller feedings. You can burp your baby 2 or 3 times during each feeding.
- Do it when he pauses and looks around. Don''t need to burp.
Acid Blocking Medicines:
- If your baby still spits up large amounts, try thickening the formula. Mix it with rice cereal.
- Start with 1 level teaspoon of rice cereal to each ounce of formula.
What to Expect:
- Prescription medicines that block acid production are not helpful for normal reflux.
- These medicines also can have side effects.
- They do not reduce excessive crying from colic.
- They are only useful for symptoms of heartburn.
Call Your Doctor If:
- Reflux gets better with age.
- After learning to sit well, many babies are better by 7 months of age.
- Spitting up changes to vomiting (forceful or projectile)
- Poor weight gain
- Your baby does not get better with this advice
- You think your child needs to be seen
- Your child becomes worse
And remember, contact your doctor if your child develops any of the '' symptoms.
Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.
Copyright 2000-2020 Schmitt Pediatric Guidelines LLC.
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