Infant Reflux A Pediatrician's Perspective

This muscle normally stays closed, so the stomach contents don’t flow back into the esophagus. When your baby is spitting up many times a day and seems very unhappy with feedings, he may have gastroesophageal reflux disease. The information contained in this site is not an alternative for specific, individual medical advice and guidance from your doctor or health care provider, where all surrounding conditions and circumstances are known.

See a picture of the Esophagus and learn more about the health topic. Children who experience GERD symptoms also have a favorable prognosis though it may require longer use of medications and utilization of life style changes for many months.

Tissue samples may be taken for analysis. For infants and children, endoscopy is usually done under general anesthesia. The prevalence of GERD-associated cough ranges from 10% to 40%, depending on the patient population, type of diagnostic test used and whether more than one etiology of cough is ascertained.

A doctor will ask about symptoms and medical history. They will also carry out a physical examination and possibly some laboratory tests. Adults often have a cold or the flu before they develop LPR. These conditions may make the vocal cords more sensitive to stomach acid.

The cause in adults is not known. Acid reflux can lead to heartburn and difficulty eating but it can also result in a sore throat. Find out more about the link between acid reflux and sore throat, what causes it, how to treat it or relieve symptoms at home, how it can affect children, and how to distinguish this from other types of sore throat. Acid reflux is an uncomfortable condition in which stomach acid flows back into the food pipe. This article investigates which drinks will make it worse, and what you should drink to minimize symptoms.

It is important to note that classic “heartburn” symptoms may resolve, but more subtle evidence of reflux (for example, persisting cough, especially when laying face up [supine]) may develop. Your child’s pediatrician is a valuable asset to help monitor for these less obvious presentations of GERD. The diagnosis of GER is based upon characteristic historical facts reported by the infant’s parents coupled with an elimination of pathological conditions by a normal physical exam. It is very rare to need laboratory studies to establish or support the diagnosis.

These infant GERD symptoms listed below were created by a team of physicians and specialists that were involved in the 12 year study of infant reflux at the University of Missouri. That study was called MarciKids. All babies reflux usually in the first year of their lives. This is true. That’s what’s considered GER (Gastro-Esophageal Reflux).

It seemed logical to me at the time, and La Leche League has similar recs – I don’t know whether or not there’s a scientific basis for the 2x in a row on a single side, but certainly sticking to one side per feeding if you have an oversupply makes sense because your baby will keep going as long as they are hungry, and they will get more of the hindmilk if they actually “finish the breast”. As to why this never used to happen…the common opinion seems to be that all reflux babies were just viewed as having colic.

Your baby might need to stay in the hospital while being monitored. Your doctor will start with a physical exam and questions about your baby’s symptoms. If your baby is healthy, growing as expected and seems content, then further testing usually isn’t needed. Health information on this site is based on peer-reviewed medical journals and highly respected health organizations and institutions including ACOG (American College of Obstetricians and Gynecologists), CDC (Centers for Disease Control and Prevention) and AAP (American Academy of Pediatrics), as well as the What to Expect books by Heidi Murkoff. Nasal congestion can also be a symptom of infant GERD.

chest discomfort and abdominal pain, to coughing and wheezing. If the gastric acid reaches the back of the throat, it may cause a bitter taste in the mouth and/or aspiration of the gastric acid into the lungs.

In this article, learn more about GERD. Gastroesophageal reflux disease (GERD) is a digestive condition in which the stomach’s contents often come back up into the food pipe. Dietary changes can help to ease symptoms. For example, high-fat and salty foods can make GERD worse, while eggs and some fruits can improve it.

The question is, could this be reflux? My baby eats and is growing but seems uncomfortable, arches, screams, and is always irritable. In those moments he/she is not doing these things they are adorable and meeting all their developmental milestones. The only problem is the only time they are happy is when someone else is watching them or of course when you come to the doctor and they are perfect for the 30 minutes you are there. Clay Jones, M.D.

The procedure, called a Nissen fundoplication, involves wrapping the top part of the stomach around the lower esophagus. The displaced stomach contracts during the digestive process, and thus closes off the lower esophagus and prevents reflux.

But occasionally, frequent and persistent spitting up accompanied by other symptoms or poor weight gain can be an indication that your baby has acid reflux, or GERD. Here’s how you can tell the difference between normal spitting up in babies and GERD. Spitting up is totally normal – but rarely, it can be a sign of acid reflux in babies, or infant GERD. Learn more about infant acid reflux symptoms and treatments.

infant congestion and acid reflux

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