What is infant reflux?

What is infant reflux?

Infant Reflux (the medical term is Gastro−oesophageal reflux or ‘GOR’)

Infant Reflux is the word used to describe what happens when the stomach contents and painful acid comes back up into the oesophagus or even into the mouth, this is due to an immature muscle connecting the stomach and the oesophagus which is known as the sphincter.

A reflux baby (GOR) is not to be confused with a GORD baby (gastroesophageal reflux disease). GORD is when complications arise which may require medication or surgery to correct.  Infant Reflux (GOR) is a common condition amongst children of all ages which often results in vomiting this can be in small or large amounts.  Infant Reflux can start as young as one month old, however it normally stops by the time they are about 12 months old.  Nearly 7 babies in every 10 have reflux.  For many babies this form of infant reflux can often be successfully controlled by simple remedies such as using a thickener with feeds, elevate the baby’s bed or keeping the baby upright during and after a feed.

Symptoms of infant reflux

Some common symptoms of uncomplicated infant reflux (GOR) can include:

  • constant or sudden crying or colic like symptoms
  • irritability and pain
  • poor sleep habits typically with frequent waking
  • arching their necks and back during or after eating
  • spitting-up or vomiting
  • wet burp or frequent hiccups
  • frequent ear infections or sinus congestion

Your child does not need to exhibit all of these symptoms, in fact, only having one of the above could mean they have infant reflux. It does not; however, mean they need treatment.  If your child is showing one or more of the above symptoms but is otherwise happy and healthy then some simple lifestyle modifications will likely make life better until they outgrow it.

Symptoms indicative of Reflux Disease or GERD:

  • refusing food or accepting only a few bites despite being hungry or the exact opposite requiring constant small meals or liquid
  • food/oral aversions
  • anaemia
  • excessive drooling
  • running nose, sinus infections
  • swallowing problems, gagging, choking
  • chronic hoarse voice
  • frequent red, sore throat without infection present
  • apnoea
  • chronic ear infections
  • respiratory problems—pneumonia, bronchitis, wheezing, asthma, night-time cough, aspiration
  • gagging themselves with their fingers or fist (sign of oesophagi tis)
  • poor weight gain, weight loss, failure to thrive
  • erosion of dental enamel
  • neck arching (Sandifer’s Syndrome)
  • bad breath

 

As with infant reflux, children with GORD will not necessarily exhibit all these symptoms, for example children with silent reflux will not throw up. If you believe your child shows any of these signs, educate yourself on the treatment methods and then contact your doctor to discuss the best way to treat your child.

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