Infant Reflux


Infant reflux, also known as gastroesophageal reflux (GER), occurs when stomach contents flow back into the esophagus, leading to symptoms such as spitting up, irritability during feeding, and poor weight gain. This condition is common in infants, particularly during the first few months of life, as their digestive systems are still developing. Most infants outgrow reflux by their first birthday, but in some cases, it may persist and require medical attention. Proper management and care can help alleviate symptoms and ensure healthy growth and development.

Common Symptoms:

  • Spitting up or vomiting after feeding
  • Irritability and crying during or after feedings
  • Poor feeding or refusal to eat
  • Arching of the back during feeding
  • Coughing, gagging, or choking
  • Poor weight gain or growth

Causes:

  • Immature digestive system
  • Overfeeding or feeding too quickly
  • Lying flat after feeding
  • Food sensitivities or allergies

Diagnosis:

  • Medical History and Physical Exam: Evaluating feeding habits and symptoms.
  • Monitoring: Tracking growth and weight gain.
  • Imaging Tests: Ultrasound or X-rays to rule out other conditions.
  • pH Probe Test: Measuring acid levels in the esophagus.

Management and Treatment:

  • Feeding Adjustments: Smaller, more frequent feedings, and burping the baby often.
  • Positioning: Keeping the baby upright for 20-30 minutes after feeding.
  • Thickening Feedings: Adding rice cereal to breast milk or formula under a doctor's guidance.
  • Medication: In severe cases, medications to reduce stomach acid and improve esophageal motility.

When to Seek Medical Help:

  • Persistent or severe vomiting
  • Blood in vomit or stool
  • Refusal to feed or poor weight gain
  • Breathing difficulties or chronic cough

Infant reflux is usually a benign condition that resolves as the baby grows. However, it is essential to monitor the infant's symptoms and growth closely. If you suspect your baby has reflux or if symptoms persist, contact our hospital to schedule an evaluation with our pediatric specialists. We are dedicated to providing compassionate and effective care to ensure your baby's health and well-being.

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