Infant Reflux: How to manage it?

What is infant reflux?

Reflux is also know as gastroesophageal reflux or GER. It is when the milk that a baby drank moves back up into their esophagus, and sometimes out ot their mouth (aka “spit up”). Reflux is quite common and spit up can happen often. As long as your baby is happy, growing at a good pace, and healthy, reflux should not be a concern.

Is reflux serious?

As long as your baby is happy, growing at a good pace, and healthy, reflux should not be a concern.

However, there’s also GERD— gastroesophageal reflux disease—which is what happens when reflux is more severe and longer lasting. GERD could impact your baby’s ability to gain weight and can be uncomfortable. Here is what to look for and when to reach out to your pediatrician or medical provider:

  • Forceful spit-up, also called projectile vomiting 

  • Spits up green or yellow fluid 

  • Not gaining weight as expected 

  • Refuses to eat 

  • Blood in their spit-up or stool 

  • Difficulty breathing 

  • Chronic cough 

  • Crying immediately upon waking 

So how we can help manage reflux in our baby?

  • Use paced bottle feeding  (check out a video demo of paced bottle feeding here)

  • Do smaller feedings and more frequent feedings (ex: 2 oz every 2-3 hrs for a 1 week old baby, vs. 4 oz every 4 hrs)

  • Use of an air-free bottle feeding system such as the Bare-Air feeding system and bottles

  • Stop a feeding to burp the baby and then resuming the feeding 

  • Keeping the baby upright for 20-30 minutes after each feeding 

  • If breastfeeding, an elimination diet may be recommended to remove common allergens

  • If formula feeding a change in the brand/type of formula may be recommended

Disclaimer: Doulas are not medical personnel and do not diagnose, perform any medical exams or clinical tasks. Information presented above is not intended as a substitute for the medical advice of a properly licensed health care professional.

For more help navigating the seismic shift into parenthood, reach out to the Boston Area Doulas team.
www.bostonareadoulas.com

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