Babies often bring up milk during or shortly after feeding – this is known as possetting or reflux. Acid reflux happens when food and acid in the stomach move back up into the tube that goes to the mouth, called the esophagus. Sometimes it moves into or out of the mouth. Try to keep as still as possible and have quiet time after feed. Formula fed babies may require longer periods to settle because formula is digested at a slower rate than breastmilk. 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.
Certain factors also may contribute to GERD, including obesity , overeating, eating spicy or fried foods, drinking caffeine , carbonation, and specific medications There also appears to be an inherited component to GERD, as it is more common in some families than in others. When the LES doesn’t close completely, stomach contents and digestive juices can come back up into the esophagus. Infant reflux usually clears up by itself without causing problems for your baby. Ferguson TD. Gastroesophageal reflux: Regurgitation in the infant population. Critical Care Nursing Clinics of North America. 2018;30:167.
Most children don’t need surgery to treat reflux. But it can help those who’ve tried other treatment that hasn’t worked or kids who have breathing problems , pneumonia, or other serious problems from GERD. Food intolerance. A protein in cow’s milk is the most common trigger. It’s different from vomiting in babies , where a baby’s muscles forcefully contract. Although recent research does not support recommendations to keep baby in a semi-upright position (30° elevation), this remains a common recommendation. Positioning at a 60° elevation in an infant seat or swing has been found to increase reflux compared with the prone (tummy down) position Carroll 2002, Secker 2002.
Gastroesophageal reflux (GER) and gastroesophageal reflux (GERD) in infants. National Institute of Diabetes and Digestive and Kidney Diseases. Accessed Aug. 23, 2018. Spitting up is normal for infants. However, forceful spit-up may be a symptom of GERD. This is especially true if your infant is older than 12 months and still spitting up forcefully after meals. Your baby may be more helpful hints likely to have reflux and to spit up when their stomach is too full. Increasing the frequency of feedings while decreasing the amount at each feed will likely help. Breastfed babies may benefit from a change in the mother’s diet Some studies have shown that babies benefit when mom restricts her intake of milk and eggs. Formula-fed infants may be helped by a change in formula.