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Gastroesophageal Reflux

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Hours of walking every night... your baby screaming endlessly for no apparent reason.  Your pediatrician says your baby has colic - but you know something must be wrong for your baby to be so unhappy.  Sound familiar?  Your baby might be suffering from gastroesophageal reflux disease, or GERD.  The wonderful news is, this can be treated and your baby can find relief.

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What is Reflux?

Your baby may have a weak sphincter ("gate"), which is the muscle that keeps his or her esophagus closed.  If it has not matured enough in the womb, milk from your baby's stomach will literally seep into the esophagus.  The causes pain and burning, often described as heartburn.  No wonder your little one is crying!

If your baby has any of these symptoms, he or she may have reflux:

  • Hiccups

  • Crying

  • Hungry, but Stops Eating Minutes after Starting

  • Screaming

  • Turns Away from Breast or Bottle

  • Difficulty Swallowing

  • Spitting Up Often

  • Arching the Back

  • Irritable

  • Straightening Legs While Crying

  • Asthma

  • Wheezing

  • Coughing

  • Difficulty Sleeping

  • Choking

If you suspect your baby has reflux, make an appointment with your pediatrician to discuss the matter further.  He or she may prescribe an Upper GI for your baby.  For this test, your baby will be given barium in a bottle, which is a chalky substance that displays as  white on an x-ray.  As your baby is drinking, pictures will be taken with an x-ray.  If your baby is refluxing, the barium will be seen moving into the esophagus.

Your reflux baby will most likely be prescribed one or two medications to stop the reflux and ease the burning sensations.  Many babies outgrow reflux when they begin sitting and their stomach muscles strengthen.

Tips for Managing a Reflux Baby

  • Elevate the head of your baby's mattress by placing a towel under the mattress.

  • Keep your baby in an upright position for at least half an hour after he or she eats.

  • Only if your physician approves the use of Mylanta, your baby may find relief with a few drops after eating.

  • If you are nursing, do not eat acidic foods such as citrus or  tomato sauces, and avoid greasy foods.  You should also avoid high amounts of dairy products.

  • Purchase a baby carrier approved for your infant's weight that keeps your infant in a tilted to somewhat upright position.

  • If your baby is still uncomfortable, ask your pediatrician to refer you to a pediatric GI specialist.

  • If your baby's medicine seems to suddenly stop working, take him or her to the doctor to be weighed and evaluated for a higher dose.

  • Rub your little one's stomach in a clockwise direction.

 

 

 

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