Understanding Infant Reflux
Reflux occurs when food flows back from the stomach into the esophagus, which can sometimes lead to vomiting. It is common and typically harmless in infants during their first year of life. However, it can occasionally be a sign of Gastroesophageal Reflux Disease (GERD) or other conditions that require medical treatment.
It is possible for your baby to vomit frequently, even daily, without having a serious problem. Sometimes, the vomiting does not bother the baby significantly. They might cry or be a bit unsettled, but overall, they remain generally well. Reflux usually resolves by the time the baby is one year old.
In some infants, reflux is more severe and affects their ability to absorb sufficient nutrients. They might also exhibit other troubling symptoms, such as bloody vomit, inadequate weight gain, or chronic coughing. These symptoms indicate a more problematic condition that may require medical attention to differentiate between GER and GERD.
GER vs. GERD
GER and GERD both refer to acid reflux conditions, but they differ in important ways:
- Gastroesophageal Reflux (GER): This is a temporary and intermittent acid reflux condition often described as heartburn in adults. It is benign and not considered a disease. GER in infants usually resolves by their first year. Simple changes in feeding routines can help reduce vomiting.
- Gastroesophageal Reflux Disease (GERD): This refers to chronic acid reflux that can impact quality of life and damage the esophagus. Infants with GERD require closer monitoring and may benefit from treatments such as specific medications.
Symptoms of cow’s milk protein sensitivity can sometimes mimic reflux, particularly in infants with eczema, asthma, or a family history of these conditions.
Approximately half of all newborns experience reflux, and it is generally not a cause for concern. About 90% of infants with reflux improve by 12 months of age, as their digestive systems mature and they spend more time in an upright position.
Which Infants Are More Likely to Experience Reflux?
Reflux is more common in preterm infants and those with low birth weight. It is also prevalent among infants with muscle and neurological disorders like cerebral palsy or those who have cow’s milk protein sensitivity.
When to Seek Medical Advice
Infant reflux is usually not concerning if the baby is generally well and gaining weight. However, you should consult your midwife, healthcare provider, or doctor if:
- Vomiting becomes more severe.
- Reflux begins after six months of age.
- Reflux continues after one year of age.
How to Help Improve Your Baby’s Reflux
You can help reduce your baby’s reflux by making small adjustments to feeding practices:
- Continue breastfeeding if possible, as breast milk is easier to digest than formula. Ensure the baby rests during feeding and consider shorter, more frequent feedings.
- Keep your baby’s head elevated above their feet during feeding. Hold your baby upright for a while after feeding.
- If your baby is sensitive to cow’s milk protein, you might need to eliminate dairy from your diet if breastfeeding, or your doctor may recommend a specialized formula.
Conclusion
Reflux in infants often results from an immature muscle between the esophagus and stomach and usually improves over time. In most cases, it is manageable with adjustments to feeding practices. However, severe symptoms like frequent vomiting, significant discomfort, or poor weight gain warrant medical consultation.