The information provided on Crying Over Spilt Milk is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician. Please do not change your child’s medical treatment without first consulting their health professionals.

Managing Uncomplicated Reflux

- Flowchart

Babies with uncomplicated reflux are often described as “happy chuckers”. These babies vomit or spill frequently, but are otherwise completely happy, sleep well, gain weight and have no other obvious reflux complications.

Managing GORD

- Flowchart

Babies with GORD may rarely vomit or spill, but their feed will come part way up their oesophagus and then go back down again. This may cause pain.

Please note: Omeprazole is not always necessary. It is usually best to use general management techniques and trial dietary measures, and then if necessary other medications before Omeprazole. In some instances Omeprazole may be the first medication recommended as each child’s family history, gastric reflux symptoms or combination of symptoms may differ, and indicate the need to quicken the process of getting symptoms under control (e.g. failure to thrive).

Managing Reflux Slide Show

- A combination of the two flowcharts above.

Medication Basics

- Overview of the medications that may be prescribed for the treatment of infant gastric reflux.

Medication with Dosages

- More in depth information about medications including dosages. Dosages mentioned are a guide only – please consult your child’s doctor before increasing/decreasing any medication.

Dosage Schedules

- For Health Professionals

Medication Instruction Sheets

- These are Parent Medication Instruction Sheets (in PDF format) for various reflux medications. They do not include dosages.

Drug-Nutrient Interactions

- Do “reflux” medications interfere with food absorption and/or do foods decrease/increase medication uptake?

Anti-reflux Surgery

- Information about surgery for reflux.

  • The website our membership form is on and where are newsletters are archived is down for maintenance until late tomorrow evening - Monday at the latest. If you were wanting to complete a membership form, please do check back as we would love to meet you. I'll post an update when it is available again. is available as usual although it the server it is on is changing tomorrow evening also - hopefully there will be no disruption.

    For infant and child gastric reflux support in New Zealand: Phone/Text 022 585 5935 Phone 0800 380 517 Contact GRSNNZ via email form GRSNNZ has brochures available which explain what Gastric Reflux is, a few simple tricks, the support GRSNNZ offers and our contact details. If you are Health...

  • A question please -my daughter has twin girls aged 3 weeks.They were premature born at 35 weeks 3 days.One of them is fine breastfed and sleep.However the other one grunts and groans,pulls her legs up and sometimes cries after each feed.She does not settle well at all.Could this be reflux or what.I know it's early days but my daughter is exhausted!!Any suggestions would be great.Thanks

  • I have a question for mothers who have tried feed thickner. Can constipation occur when using this? I have checked the karicare website but does not state any side effects.

  • I have removed the recent video to our page on how to give Losec mups that was shared by someone. These are not available in NZ.

  • Hi there, I just want to say how helpful your website is, it is jam packed full of useful info! Thank you for being here!!!!!

  • Wahoo, Ben Ataya

  • 2500 lol

  • My 10 week old son is in starship due to heart condition. His omeprizol has just been doubled to try and ease his discomfort with reflux. He is now on twice daily but a nurse said she had heard it was more effective given as a single dose? What are the advantages and disadvantages of a single dose? Sometimes the doctors listen to me and sometimes they dont so id need to have my facts straight if wanting them to change it. He has his omeproxol via ng and gaviscon mixed with pepti junior

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  • My baby is 10weeks (5weeks corrected) and can not sleep on her back at all since this has her coughing and spluttering when not just straight up projectile vomiting. It seems to be worse now she is on thickened formula (alongside omaprozole) esp at night it's like she can't actually spit up the feed anymore (or multiple hours later) as its thicker and therefore she stays choking on it. Does anyone have any nighttime tips it scares me

  • Thank you New Zealand Post.

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  • Hi everyone. I have my second reflux baby (lucky me). She's nine weeks old, spills at least four times per feed, enough to warrant a full change of clothes! She's been on omeprazole (cot also raised) since 5 weeks of age and she's a lovely settled baby now. But, my question for you other parents is how do you handle night feeds? Keely will be lovely relaxed and settled, even asleep and then the spilling starts when she's back in bed. This keeps us up for an hour post feed including changing clothes, cloths under her head etc and of course re settling an over tired baby. I'm a bit rusty. What sort of night feed routine do you follow?

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  • Tomorrow, Wednesday 10 to 11 am.

  • Hi all! I surely hope that some one can help me... My firstborn had Reflux, but mildly, he grew up with Lactogen. He's 6 now and very healthly... My second child is now 14weeks, i started him with lactogen, but he vomits ALOT! Went for tests confirming he has severe acid reflux, doc put him on Novalac AR with Iberogast drops. It went ok, he gained weight..but stil vomits alot, and i've noticed that the milk he vomits, is not thickening.. At 10w injections he was 4.8kg.. Now at 14w he is 4.7kg... The sister sugested giving Infacare AR... Thus far he had 2 bottles, little milk coming up, but lots of acid... Anyone have any insight??