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Doctor insights on: Treating Acid Reflux In Infants

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What are the symptoms for acid reflux in infants, how is it diagnosed and how is it treated?

What are the symptoms for acid reflux in infants, how is it diagnosed and how is it treated?

Symptoms vary: Infants normally spit up some following ingestion of liquids. Severity of reflux is judged by volume, frequency and weight gain. Symptoms include frequent spitting up, irritability, refusal to eat, and lack of normal weight gain. If reflux or vomiting several hours after meal, means also slow gastric emptying.Antireflux meds may not help. Ugi, nm gastric emptying, ph probe tests may be used to dx. ...Read more

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Dr. Andrew Berry
2 doctors shared insights

Acid Reflux (Definition)

Technically called GERD, acid reflux is the presence of acidic stomach contents in the esophagus. The acid irritates the esophagus causing heartburn symptoms. The regurgitation or reflux can vary greatly as can the symptoms. Blocking stomach acid with medications can alleviate the burning but medication cannot stop the reflux. Complicated GERD requires surgical treatment ...Read more


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What are the symptoms of acid reflux in infants. My baby is 3 weeks and I suspect that he has it. ?

What are the symptoms of acid reflux in infants. My baby is 3 weeks and I suspect that he has it. 
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Reflux: Most babies spit breast milk or formula at times. Babies with symptomatic reflux will often arch their backs and cry because of pain. If the reflux is persistent it will irritate the swallowing tube and there may be a brownish material or blood contained in the vomitus. Sometimes babies with severe reflux do not grow well. If your baby has any of these problems please be seen for diagnosis/care. ...Read more

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How do I know if my infant has acid reflux?

How do I know if my infant has acid reflux?

All do some: Reflux vs reflux disease: all kids/adults reflux. Burp once & u just had a dry one. Infants all do and it seems to increase a bit and peak naturally around 4m as they get stronger & generate more abdominal pressure with rolling & flexing. As long as they have no heartburn or other troublesome symptoms (barfing thru nose, wt loss) they grow out of it over time. Meds can help with symptoms. ...Read more

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On average, how long will acid reflux last with an infant?

On average, how long will acid reflux last with an infant?

Symptoms: Acid reflux is actually part of every day life for all of us.Infants often peak in their symptoms around 3-5 mo and become less so as the begin to sit/stand/walk. The fact that they are not laying down begins to decrease their reflux symptom intensity . Most come off acid reducers gradually but may revisit the issue occasionally in childhood or their teens. Diet & behavior have a lot of impact. ...Read more

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6 month old grandson has infant nystmus can this be caused by ranadine he took for acid reflux?

6 month old grandson has infant nystmus can this be caused by ranadine he took for acid reflux?

Unlikely!: Nystagmus is unlikely to be caused by ranitidine. It could be congenital meaning present since birth or acquired later due to several causes. He needs to be seen by a pediatric optjomologist and may be a pediatric neurologist also. You have to rule out vision problem and neurological problems. ...Read more

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My infant has a mild case of acid reflux. Is it safe to let her sleep regularly in a rocker sleeper due to its incline?

My infant has a mild case of acid reflux. Is it safe to let her sleep regularly in a rocker sleeper due to its incline?

Yes: Elevation will help her reflux. Rocking or movement might make it worse. If you are not noticing an increase in symptoms, there is no need to make changes. Most babies have some reflux. All the best. ...Read more

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How does it sound the acid reflux cough for infants?

How does it sound the acid reflux cough for infants?

Wheezing: sounds like chocking and wheezing as a matter of fact the acid injury can cause lung irritation and asthma ...Read more

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What symptoms do you look for to screen for acid reflux versus delayed gastric emptying in an infant? How does one know when to refer to specialist?

Timing of vomiting: Many children spit up, some a lot. The time after feeding is key for deciding if the stomach has delayed emptying. Infants should have an empty stomach by 2 hours or so after eating, so if a child throws up 4 hrs or more after eating, they likely have delayed emptying. Poor weight gain, poor appetite and cough are all reasons for a referral. Talk to your doctor if you are concerned. ...Read more

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Baby with acid reflux is choking, what are meds needed?

Evaluation: You need to see a physician to determine the problem. Could be reflux or allergy, or a number of other things. Get an evaluation. ...Read more

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My baby has acid reflux. I don't know what kind of formula is best to use?

My baby has acid reflux.  I don't know what kind of formula is best to use?

May not help much: There isn't a formula that is best for reflux...But some may be more agreeable to the baby than others. Elemental formulas are somewhat easier to digest--such as nutramigen/alimentum etc..--but can be quite expensive. Keep baby head elevated after feeding, thickening forumula with rice cereal etc..May help. If not adequate, see your doc for possible treatment etc..Congrats and good luck.. ...Read more

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My 7 month baby has acid reflux; what can help his pain without giving medication?

My 7 month baby has acid reflux; what can help his pain without giving medication?

Alter feeds: Some reflux kids will improve with smaller, more frequent feedings & elevation of the head for at least a half hour after feeds. Thickening the feeds (cereal) also sometimes helps. Decades ago we suspended some of the worst on a wedge of foam in a parachute like harness that kept their head up. If all else fails u may get tired of baby crying about the heartburn & try the med. ...Read more

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My baby is milk allergic, and she has acid reflux. What kind of formula would be good to use?

My baby is milk allergic, and she has acid reflux.  What kind of formula would be good to use?

Check with doc first: If she truly has milk allergies, you may want to check with doc about using elemental formula such as nutramigen or alimentum etc...Soy is also an option, but i would check with her doc first. These may help with her reflux as well. If not, med such as Prevacid or Zantac (ranitidine) can be used for reflux etc..Thickening formular with rice cereal may help also. Consult doc...Good luck. ...Read more

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2mo old baby eats 1oz every 3 hrs won't take anymore acid reflux slow gainer drs r fine with it! what's wrong? 10lbs finally help!

2mo old baby eats 1oz every 3 hrs won't take anymore acid reflux slow gainer drs r fine with it! what's wrong? 10lbs finally  help!

Poor eater: That's not enough nutrition for a 2 mo baby. Babies continue to gain weight despite having acid reflux. Is your baby vomiting also? Perhaps he may have pyloric stenosis. If she's a girl, poor feeding is one of the signs of a UTI (urinary tract infection) and one of the metabolic diseases. It looks like your baby needs more detailed evaluation. Get a second opinion. ...Read more

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Baby just turned 1yr, has Acid reflux since 6wks old and doesn't chew his food. I'm having a hard time with food options. Any suggestions for a menu?

Baby just turned 1yr, has Acid reflux since 6wks old and doesn't chew his food. I'm having a hard time with food options. Any suggestions for a menu?

See Pediatrician: Your 1 yr old has "acid reflux" since 6 wks old & "doesn't chew his food". Infants with significant reflux can become a challenge to feed. An uncomfortable experience with feeding can lead to food refusal and nutritional problems. It is important to see your baby's Pediatrician to address nutritional adequacy and to pursue therapy which will work to improve baby's swallowing skills & food intake. ...Read more

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How to help my baby with acid reflux?

Talk to MD: There are somethings you can do to help, such as feeding while the baby is sitting, and making sure bed is raised at head. If the problem persists talk to your pediatrician to see if medication or diet change might help. They may refer you to a GI doctor for evaluation or treatment. ...Read more

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How do you know if ur baby has acid reflux?

How do you know if ur baby has acid reflux?

Here are some clues.: When a baby has reflux, food sloshes up into the esophagus - and it's painful. You may notice that your baby cries as if in pain when you lie the baby on his/her back. Some babies will start crying during feeding; and it can sound like a painful cry. Check with your pediatric care povider. There are imaging studies that can be done to tell for sure, and there are medications that help. ...Read more

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When I was a baby I was diagnosed with acid reflux. I am 18 now, so should I get rechecked?

When I was a baby I was diagnosed with acid reflux.  I am 18 now, so should I get rechecked?

Maybe: It depends if you are still having symptoms. If you do not have belching, heartburn or abdominal pain, you probably no longer have reflux and nothing more needs to be done. If you still have symptoms, you should see a doctor. ...Read more

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Is it safe to give my baby medication for acid reflux?

See below: You need to check with your local pediatrician or GI doctor before trying to medicate the child. Yes there are conditions where acid reflux needs to be treated, but in children it should be done with the guidance of a doctor. ...Read more

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Docs, could a baby have acid reflux and colic at the same time?

Docs, could a baby have acid reflux and colic at the same time?

Possibly: A research definition of colic is 3 or more hours of fussing, at least 3 days a week during the first three months of life.Part of that definition requires that there not be a diagnosable cause of pain.Since reflux can occur without pain, it is likely the 2 will overlap in some kids. However, since some kids with reflux improve on antacid medications, separating the 2 labels is a problem. ...Read more

Dr. Daniel Saurborn
3 doctors shared insights

Reflux (Definition)

Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more