Babies often bring up milk during or shortly after feeding – this is known as possetting or reflux. Feeding your infant too much at once, either with a bottle or while breast-feeding, can cause acid reflux. Feeding your infant too frequently can also cause acid reflux. An oversupply of food can put too much pressure on the LES, which will cause your infant to spit up. That unnecessary pressure is taken off the LES and reflux decreases when you feed your infant less food more often. However, if your baby spits up often, but is otherwise happy and growing well, you may not need to change your feeding routine at all. Talk with your doctor if you have concerns that you are overfeeding your baby.
Soy milk formulas don’t contain any cow’s milk. They’re usually only recommended for infants with lactose intolerance or galactosemia. Lactose intolerance is the inability to process a type of sugar called lactose. Galactosemia is a disorder that makes it very hard for the body to break down a simple sugar called galactose. Both of these sugars are found in cow’s milk. Soy formulas aren’t recommended for premature babies, as they can affect bone development. There’s also some concern about the higher amount of aluminum in soy formulas and the possible hormonal or immune effects on infants. Soy formulas also usually cost more than cow’s milk formulas.
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. Upper GI endoscopy. This test uses a thin, flexible, lighted tube and camera that allows the doctor to look directly inside the esophagus, stomach, and upper part of the small intestine.
CMPA is more common in formula-fed babies than breastfed babies (Breastfeeding Network 2017). If your baby is formula-fed, ask your doctor about giving him a hypoallergenic formula for a couple of weeks to see if it helps (Rosen et al 2018). If you breastfeed your baby, ask your doctor’s advice about cutting out milk and other dairy products like cheese and yoghurt, so they can’t get into your breastmilk (Rosen et al 2018). Prevacid actually reduces made my day the amount of bile in that tiny tum-tum. This is okay for short durations, but can cause damage if used for long periods of time. For that reason, most doctors will choose to hold this option back as a Trump card, waiting to see if you can see improvement on just Zantac. If your baby is reaching the peak time (4-5 months) and doesn’t seem to be improving, using Prevacid for a week or two may help you get over the hump.