Your doctor will start with a physical exam and questions about your baby’s symptoms. In breastfed babies, removing immunogenic foods, such as cow’s milk and eggs, from the mother’s diet may improve symptoms. Infant reflux occurs when food backs up (refluxes) from a baby’s stomach, causing the baby to spit up. Sometimes called gastroesophageal reflux (GER), the condition is rarely serious and becomes less common as a baby gets older. It’s unusual for infant reflux to continue after age 18 months. While it isn’t easy to determine the exact cause of acid reflux in infants, lifestyle and diet changes may help eliminate some of the factors. If the acid reflux doesn’t go away with these changes and your baby has other symptoms, a doctor may have to perform tests to rule out a gastrointestinal obstruction or other problems with the esophagus.
Gastroesophageal reflux disease: could intervention in childhood reduce the risk of later complications? Gold BD – Am J Med – 6-SEP-2004; 117 Suppl 5A: 23S-29S. Reflux occurs in healthy infants multiple times a day. As long as your baby is healthy, content and growing well, reflux is not a cause for concern. The options for treating acid reflux in your infant depend on your baby’s age and the severity of the problem. Lifestyle changes and simple home care are typically the best place to start. Zantac is a common first-line treatment for infants with reflux. But if it isn’t working, talk to your pediatrician about trying a PPI like Prevacid.
Many infants who spit up milk have no complications and “outgrow it” after a year. Most cases of reflux will be uncomplicated GER. A cross-cut nipple or larger nipple can help when you are thickening your baby’s formula. Also, don’t be quick to feed your baby again when she spits up. Instead, wait until the next feeding so that you don’t inadvertently overfeed your baby. Esophageal pH monitoring. To measure the acidity in your baby’s esophagus, the doctor will insert a thin tube through the baby’s nose or mouth and into the esophagus. The tube is attached to a device that monitors acidity. Your baby might need to stay in the hospital while being monitored.
Medications that might be prescribed include H2 blockers and proton pump inhibitors (PPIs). These medications ease symptoms of GERD by lowering acid production in the stomach and can help heal the lining of the food pipe. H2 blockers are usually used for short-term or on-demand relief and PPIs are often used for long-term GERD treatment. In some people with GERD, certain foods and drinks can make the symptoms browse this site worse. Those dietary triggers might include alcoholic beverages. Surgery isn’t often needed to treat acid reflux in babies and kids. When it is necessary, a fundoplication is the most often performed surgery. During this procedure, the top part of the stomach is wrapped around the esophagus forming a cuff that contracts and closes off the esophagus whenever the stomach contracts – preventing reflux.
Most people who have the Nissen fundoplication surgery report very few complications and an improvement in their GERD symptoms. However, you should call your doctor right away if you develop any new symptoms. pH probe. Your child will swallow a long, thin tube with a probe at the tip, which will stay in his esophagus for 24 hours. The tip measures levels of acids in his stomach. If your child has breathing problems, this test also can help the doctor tell if they’re the result of reflux. In addition to being thicker, so it hopefully stays down better, babies may be able to drink a little less at a time, since this mixture has more calories than standard formula.