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.
She gradually decreased the number of cans of Pediasure per day as she was able to eat more food. Now at age 2 she is able to tolerate milk and eats a growing variety of table foods and her mom rarely uses the Pediasure anymore. Foods high in fat may be difficult to digest and stay in the stomach too long causing an over production of acid. The typical American diet is full of fats and calories intended to make the food we eat more appealing.
Itâ€™s best to keep your infant in an upright position for at least 30 minutes after feeding them to prevent food or milk from coming back up. Infants may arch their body during or after feeding. Itâ€™s thought that this may be due to a painful burning sensation caused by the buildup of stomach fluid in the esophagus. Infants with GERD may also start screaming and crying during feeding. The response is usually due to abdominal discomfort or esophageal irritation.
In addition, GER is more common in children who are overweight or obese. In most babies, GER disappears as the upper digestive tract functionally matures.
Make sure you include notes about portion size — and be honest! If you have pain after eating a certain food, write that down, too. Heartburn is most common after eating a large meal.
If food does not remain in the stomach as long as usual, there may be less chance of reflux occurring. A medicine in this category that can be prescribed is metoclopramide (Reglan).
It is likely that your child is a careful eater and already has made the decision to avoid some of these foods. Keep in mind that every child is different and you should not restrict a child from eating these foods if they are tolerated. Always check with your babyâ€™s provider before raising the head of the crib if he or she has been diagnosed with gastroesophageal reflux. Place all babies, including babies with GERD, on their backs for all sleeping until they are 1-year-old.
These drugs are often used to treat arthritis. Don’t eat before bedtime.