Babies often bring up milk during or shortly after feeding – this is known as possetting or reflux. With your pediatrician’s approval, adding a small amount of infant rice cereal to formula or breast milk may be an option to lessen spitting up. Thickening the food is thought to help stop stomach contents from sloshing up into the esophagus. This option has not been shown to decrease enquiry other reflux symptoms. Avoiding eating within a few hours of bedtime, losing weight (if overweight) and chewing gum and drinking water may ease reflux symptoms also. As with younger children, it may help to elevate the head of your child’s bed, encourage him to eat frequent small meals and try an acid reflux medication when lifestyle changes aren’t enough to stop reflux symptoms.
If you use an OTC medication more than twice a week for your GERD, or if your symptoms don’t improve with treatment, call your doctor. Frequent, severe symptoms may be a sign of a more serious problem. And they could get worse over time if left untreated. In these cases, you may need a prescription medication. It’s rare for infants to have severe symptoms of acid reflux. However, you should call your doctor immediately if your child is experiencing any of these symptoms. They may indicate a serious condition that needs to be treated right away.
Speak to your baby’s pediatrician if you’re interested in using natural remedies to treat your child’s reflux. You will want to make sure you are choosing both safe and proven remedies. However, a car seat is actually not a good place to position a baby with reflux after a feeding. Car seats should be avoided unless you are actually in your car. 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).
With GERD, however, the sphincter relaxes between swallows, allowing stomach contents (gastric reflux) and corrosive acid to well up and damage the lining of the esophagus. 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. Reflux is just your baby effortlessly spitting up whatever they’ve swallowed. Whether you bottle feed or breastfeed, make sure to frequently burp your baby. Burping your infant during a feeding may help with reflux symptoms. Burp bottle-fed infants after every one to two ounces. Burp breastfed babies any time they pull off the nipple.
If antacids don’t help, you could ask your doctor about treatment with another heartburn and indigestion medication, called ranitidine, or a proton pump inhibitor (PPI), such as omeprazole. These medicines reduce the amount of acid your baby’s stomach makes by blocking the actions of acid-producing cells (Ogbru 2016, 2018). In older children, the causes of GERD are often the same as those seen in adults. Also, an older child is at increased risk for GERD if he or she experienced it as a baby. Anything that causes the muscular valve between the stomach and esophagus (the lower esophageal sphincter, or LES) to relax, or anything that increases the pressure below the LES, can cause GERD.