Myths

THE MYTH
Changing from breastfeeding to bottle-feeding will permanently solve feeding problems in babies with reflux.

THE REALITY
Babies refusing to breastfeed due to reflux pain may temporarily feed from a bottle, but will eventually also refuse the bottle once they realise that bottle-feeds also lead to the same pain.


THE MYTH
Babies need winding and the wind causes the pain.

THE REALITY
Babies don’t need ‘winding’ any more than any other animal newborn, or adults. Many cultures do not wind their babies, and do not have any increased rate of unsettled babies, ‘colic’ or reflux than do Western cultures. In a baby known to have reflux, it is probable that the reflux is causing the pain.


THE MYTH
If your baby/child sleeps and is settled for long periods (particularly at night), your child does not have reflux.

THE REALITY
pH studies (where reflux episodes are monitored over 24 hours) have indicated that even in cases of severe reflux, reflux episodes (particularly at night) may not necessarily wake the baby/ child. However, damage to the oesophagus over this time will still occur.


THE MYTH
Changing to a thickened formula is more effective in controlling vomiting in reflux than using thickeners with breastfeeds,

THE REALITY
Using a thickener before, during or after a breastfeed is just as effective as using a thickened formula. Karicare Food Thickener and plain baby rice are both suitable thickeners for use from birth with breastfeeds.


THE MYTH
Off-the-shelf thickened formulas are thick enough to control vomiting and reflux.

THE REALITY
Thickened formulas may not be thick enough for many babies. For these babies the feed may need to be thickened to the consistency of ‘sludge’ with either plain baby rice or ‘Karicare Food Thickener etc. and a fast flow teat used. This may seem unnatural for small babies but in reality is a very effective and safe solution.

Please note: thickeners are a valuable treatment for reflux vomiting, but may not be suitable for babies with oesophagitis.


THE MYTH
Babies that bring their knees up to their stomachs while crying have ‘colic’ or wind’ pain.

THE REALITY
Any baby will bring up its knees to its stomach when it is crying hard – this is not an indication of either ‘colic’ or ‘wind’ pain.


THE MYTH
If it is a girl it won’t have reflux.

THE REALITY
Girls get reflux too!!!! – although it is more common in boys.


THE MYTH
Once the symptoms of reflux are gone (or the child is upright and walking) they will not reoccur.

THE REALITY
Reflux symptoms may settle temporarily but worsen again if a child is ill, stressed, teething, crawling etc. It is common for symptoms (including vomiting) to come and go, particularly during the first two years of life.

For some children being upright more will be enough to reduce reflux, but for others it will continue.


THE MYTH
Reflux can be solved by upright positioning while sleeping, feeding etc.

THE REALITY
This is a management technique that helps but it is still possible to reflux. In fact, it is even possible for some babies/children to lie flat all night and not reflux at all, but to do the majority of their refluxing only while they are awake and upright.


THE MYTH
Uncomplicated reflux is a term to describe babies who don’t have obvious signs of the more serious reflux complications.

THE REALITY
‘Uncomplicated’ reflux is a term for babies who spill/vomit lots but are otherwise happy, settled, and healthy! Babies who suffer pain from reflux have a complication of reflux called oesophagitis (excessive crying and/or feeding or sleeping problems may be the only sign). These babies therefore have ‘complicated’ reflux, and if left untreated they may then go on to develop any of the more serious complications (i.e. anaemia, oesophageal scarring and strictures, failure to thrive, respiratory problems etc.)


THE MYTH.
Surgery (Fundoplication) is a cure for reflux.

THE REALITY
Just like medical treatment, surgery is merely a treatment, not a cure. Surgery can not correct the underlying cause of the reflux, and therefore, just as medical treatment, may fail at any time. It is major surgery with a long list of possible complications, which can be very severe. However, when reflux persists and presents life-threatening complications, the benefits of fundoplication may outweigh the risks. There are times when the surgery is necessary and appropriate, however, it should not be done just to avoid the hassles of lifestyle changes and medicines.


THE MYTH
Omeprazole granules can be given with milk or before a breastfeed.

THE REALITY
Giving Omeprazole granules with milk may significantly reduce its effectiveness. For best results give the granules with something acidic (i.e. fruit or fruit juice) and avoid giving close to a milk feed.


THE MYTH
Reflux is caused by depression.

THE REALITY
Reflux is DEPRESSING!!!


© Gastric Reflux Association for the Support of Parents/babies (GRASP) and Crying Over Spilt Milk Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust (GRSNNZ) 2004. Used and edited by GRSNNZ with permission.

Page may be printed or reproduced for personal use of families, as long as copyright and Crying Over Spilt Milk‘s URL are included. It may not be copied to other websites or publications without permission and acknowledgement. This information (unedited) was also provided (by GRASP) to health professionals in New Zealand to use ” to continue to support and inform families with babies/children with Gastro-oesophageal Reflux.”

  • Are there any breastfeeding Mums out there? My little girl is about to turn 7mths and has finally been diagnosed with silent reflux (alot of people dismissed me when I suggested it months ago). We have started on Gaviscon sachets nearly 48hrs ago and she is much better especially at settling in the evening. She is usually OK at night so haven't given her the powder when she wakes at night yet. Any tips on how to use at night? I have been mixing it up and syringing it into her mouth. Packet says not to make up in advance but I wondered if I could for nighttime so I don't have to make it up when she wakes. Thanks

  • Anyone else dealing with older children with reflux would love to hear from you my Miss 11 year old seems to be having a relapse . So after nearly 4 years losec free in this household we have it back.

  • There have been some new posts - sorry I haven't had a chance to pop on over and answer. Can anyone share their experiences? Remember, no medical advice. :-)

  • As per my post yesterday, our membership form and newsletter archive for members is now available again. Please consider joining Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust for access to our Newsletters and Private Local and National Support Networks: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/ Membership is free, and this gives you opportunities to discuss gastric reflux related issues with others in a safe and confidential setting. Thanks to one of our amazing webhosts http://www.webmad.co.nz/ for the smooth change-over.

    Gastric Reflux Support Network NZ for Parents of Infants & Children Charitable Trust Membership & Confidentiality Agreement Form / Newsletter Admin Page First Name Last name Email Street Address City/Town Area Postcode Do you live in NZ? Country and Area if not NZ Home Phone (include area code) Part…

  • 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. www.cryingoverspiltmilk.co.nz 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

  • 2,498...

    Almost at 2,500 likes to the Page. Please comment if you are the 2,500th so we can congratulate you. :-)

  • https://m.facebook.com/babysleepconsultantnz/photos/a.436969996364635.101637.434859906575644/809490012445963/?type=1&source=48&fs=1&ref=bookmark

  • Keep looking at the new posts to the page by others...on the left hand side...

  • 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.

  • More new posts to answer...