Overuse of prescription medications, unnecessary formula hopping and potentially unsafe recommendations on sleep positioning are unfortunately widespread. Our pharmaceutical interventions carry significant risk with little evidence of benefit for most patients, and the combination of stress and a general lack of understanding of the pathophysiology of reflux leads to many parents seeking alternative treatments. Practitioners of irregular medicine are of course more than happy to claim expertise and success in treating what is largely a self-limited condition. If baby exhibits any of the silent reflux symptoms, bring them to the attention of your doctor.
It opens when food goes down, when we eat food and swallow it, so that the food goes into the stomach. Then itâ€™s supposed to shut, so that acid and bile donâ€™t reflux back up into the esophagus. But what happens with reflux and GERD is that the competence of the lower esophageal sphincter is impaired.
Avoid any physical activity that includes bending or rolling as this increases the probability of food going back into the esophagus. Use the time after feeding for storytelling, or schedule the feeding before naps. Adjust the sleeping position of your child by inserting a folded blanket under the crib mattress, but do not elevate your childâ€™s head using pillows or a booster. This will increase the risk of sudden infant death syndrome (SIDS).
She had the flu a few weeks ago, and we switched to soy formula / soy milk just to be gentler on her stomach. Chiropractic appears to be the most commonly recommended alternative treatment for infant reflux. The proposed mechanism of action is removing nerve interference cause by subluxations acquired during birth.
â€œAn infantâ€™s symptoms could include a hoarse voice, a chronic cough, pauses in his or her breathing, or asthma-like symptoms.â€ Other telltale signs are gagging and choking, throat irritation, sour breath, a constant runny nose and wheezing. Severe reflux that continues for more than a few months can cause damage to the infantâ€™s esophagus, stomach and throat. Medications are usually a last resort, as many infants with baby reflux arenâ€™t producing enough stomach acid. By giving acid-blocking medication, they will have temporary relief but it could set up a long-term problem for gut health.
However, research suggests acid is not a major factor in infant reflux and use of antacid in infants can lead to increased risk for infection. The second type is called metoclopramide or reglan, which has a black box warning for the risk of causing permanent damage to child’s brain leading to movement disorders. A third option is surgery to tighten the sphincter at the top of the stomach. All of these interventions come with risks for the infant, and are often prescribed on the basis of symptom association alone. Gastric reflux is common in infants because the band of muscle, or sphincter, that squeezes the top opening of the stomach shut, does not yet close at full strength, especially in premature babies.
My Experience With Infant Reflux
- The diet took 2 weeks to see any improvement (they say at least 1 week to clear out of mom and then 1 more week to clear out of baby).
- When upright, all that tends to escape is gas in the form of a burp.
- Here’s how to tell if your baby is silently suffering-and how to make her feel better.
I know this is tough but it can be majorly worth it. By doing this, some babies acid reflux symptoms disappear altogether! This was the case with Griffin. Dairy can cause problems because the proteins found in this food can irritate babyâ€™s immature digestive tract.
Early in our residency training we learn about the existence of the so-called â€œhappy spitterâ€, the baby who spits up for no apparent reason and without apparent symptoms. We learn to educate worried parents about this phenomenon, jokingly pointing out how this is usually a laundry problem rather than a medical problem. We are taught the signs and symptoms of gastroesophageal reflux disease (GERD) in children of varying ages, the behavioral modifications that might ameliorate the condition and the potential pharmacological and surgical interventions sometimes necessary in severe cases.
This wouldnâ€™t be an issue if they were only prescribed for babies that were more likely to have actual esophageal injury because PPIs are more effective at stopping acid production and allowing the esophagus to heal. They were a game changer in the adult population, where GERD and heartburn are much more easily diagnosed. Many infants are placed on older histamine type 2 receptor blockers, which decrease acid production but donâ€™t stop it.
Talk to your doctor about which treatment plan is best for your baby based on the severity of their symptoms. Medication may still be the best option for infants with severe symptoms. Despite the knowledge that reflux in babies is a normal aspect of physiology, and almost always benign and self-limited, it has unfortunately become medicalized. This has led to a frequent parental demand for relief from healthcare professionals and the overuse of reflux medications. These medications are unlikely to impact the course of infant reflux beyond the effect of placebo on parental perception of the symptoms, and are not risk free.
A dairy allergy is an intolerance to cows milk protein, not to lactose (this is why you canâ€™t have lactose free products or yogurt). Iâ€™ve never posted before. I have a 5 year old son who had silent reflux as a baby, he crief all day every day for the first 5 months and had to sleep in car seat most nights.