Symptoms

You need to take your baby to a doctor for a proper diagnosis if you think they may have gastric reflux.


SYMPTOMS MAY INCLUDE:

  • Chronic COUGHING.

  • SORE EARS or ear infections (Most of these are viral, but in those children that have other symptoms of reflux and frequently require antibiotics for these infections, they might be due to reflux also.)

  • May be DISTRESSED during or after FEEDING. ARCH their BACK in an attempt to relieve their pain or REFUSE to FEED. Others may COMFORT FEED (gorge constantly) and be unhappy unless feeding, and therefore have HUGE WEIGHT GAINS. Most gain weight well, but a few will FAIL to THRIVE (have a slow weight gain.)

  • GAGGING.

  • CAN BE HAPPY when DISTRACTED (making the parent feel like a fraud when their constantly upset baby smiles and babbles throughout the consultation with the doctor!)

  • Frequent Hiccups.

  • IRRITABILITY – may include SCREAMING, WHINGING, CRYING, FUSSINESS and will be inconsolable at times due to PAIN. Irritability is more common during or after feeding, or when laid down. Crying may start quite suddenly especially after hiccups and burps, or may be constant/almost constant. Parents and Health Professionals may suspect colic but the irritability does not follow a regular pattern such as colic does. A baby with reflux may have colic also, which confuses matters. If you consider your baby’s crying to be excessive seek medical help.

  • OVER-SENSITIVITY to NOISE due to tiredness.

  • Restlessness.

  • Some may hold their head to one side in an unusual position to ease their discomfort – SANDIFER SYNDROME is the term used to describe this.

  • May SLEEP LITTLE and be disturbed easily when sleeping. May WAKE FREQUENTLY at night, but it is not uncommon for babies with reflux to sleep through the night due to exhaustion.

  • SPILLING or VOMITING (may be projectile, and may vomit through their nose). These may lessen as they sit up and increase when they crawl. May occur at any time including right up until the next feed.

  • DIFFICULTY SWALLOWING

  • Frequent UPPER RESPIRATORY INFECTIONS (coughs or runny noses) and/or frequent SORE THROATS. (All children have their fair share of these and most are viral, but in those children that have other symptoms of reflux and frequently require antibiotics for these infections, they might be due to reflux also.)

  • CHANGE in VOICE.

  • Chronic WHEEZING.


MEDICAL ADVICE AND HELP – More serious symptoms

If your baby has any of the symptoms on the list above in bold type please seek medical advice. Urgent medical help should be sought if any of the following occur:

  • Has difficulty BREATHING, is breathing faster than normal, stops breathing (apnoea), is grey or blue tinged in colour, is making grunting sounds when breathing, has decreased muscle tone (floppy) or decreased responsiveness.

  • Refuses to DRINK or drinks less than half of their normal fluid intake over a 24 hour day, has less than four wet nappies in 24 hours, or goes six hours without a wet nappy.

  • Has a HIGH TEMPERATURE (above 38.3°c, or if baby is under three months of age).

  • VOMITING is frequent and the baby fails to have four wet nappies in 24 hours or goes six hours without a wet nappy, becomes lethargic, difficult to rouse from sleep or if skin is mottled in colour. Vomit contains blood or coffee ground like material).

Always seek medical help if you are concerned about your child or yourself.


OTHER CLUES THAT GASTRIC REFLUX DISEASE MIGHT BE THE PROBLEM:

  • Many babies, especially very sleepy ones DO NOT SHOW any pain/discomfort until UP TO THREE MONTHS of age.

  • Reflux may be HEREDITARY (mother, father or siblings may have had/do have reflux).

  • About one third of infants with reflux will also have a MILK ALLERGY/intolerance.

  • Reflux is more common in PREMATURE babies.

  • The SEVERITY of SYMPTOMS may vary at different ages.

  • Symptoms may appear to WORSEN when the baby has a cold, virus, teething, infection, or allergies.


REFERENCES:
V.I.S.A’s “When to especially seek medical advice”.
Treasures® Baby Book
Well Child, Tamariki Ora, Health Book
ACKNOWLEDGMENTS:
Rochelle Wilson (President of GRASP).

Written by Jennifer Howard (National Coordinator 2001 – 2013) and Roslyn Ballantyne (RN) (National Coordinator) for © Crying Over Spilt Milk Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust 2004.

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.

  • Gastric Reflux Support Network NZ added 2 new photos — in Canterbury, New Zealand.

    ...At this stage we have three registrations and are surprised we do not have more, and would like to understand why people who fit the criteria in Canterbury haven't registered.... Please respond if you are in Canterbury and fit the criteria. See below. ------------------------------------------------------------------------------------------ The Gastric Reflux Support Network NZ has organised a series of four sessions called "Spilt Milk (Canterbury)" facilitated by the lovely Judy Arnold in Christchurch for those who have a baby under the age of one year who is unsettled or spills, and who would be interested in ideas to look after themselves and manage everyday life in a better way. This does include some practical tips on settling your baby, but the main focus is the parent. This starts next Wednesday morning and runs fortnightly, and is FREE. At this stage we have three registrations and are surprised we do not have more, and would like to understand why people who fit the criteria in Canterbury haven't registered. Was it the short notice, the day and time didn't suit (if so, when would), lack of childcare (please don't let that put you off), no transport (please register and let us know), not a first time parent (it doesn't matter - you still matter!), can't commit to all four sessions, worried about going out with your baby? Something else? Please reply to this post and let us know - or message us. Whichever you feel more comfortable with.

  • So true. Make some time today for you, even if it is just 5 minutes. #happiness #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • Hi there im only new to all of this! My daughter is 12 weeks old and was put on losec and gaviscon last week, we have had issues with her vomitting up the granules, no matter what we try she just does! My gp has just given us the liquid form to try, my question is do we still give it to her half hr before a feed? Or can we give during? It dosnt say on the bottle

  • Gastric Reflux Support Network NZ shared Spilt Milk's event.

    Is there anyone with a child under the age of one year who is unsettled who would be interested in ideas to look after yourself? This does include some practical tips on settling your baby, but the main focus is you. See the event for details and please register using the registration form. This starts a week tomorrow and we don't have many registrations. Please register asap so we know whether it is worth continuing.

  • Try to relax and enjoy the little things this Sunday. #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • I have an 18 month old son who had silent reflux. we weaned of gaviscon about four weeks ago. His symptoms for reflux were aconstant runny nose, cough and wheezing. For the last week he has had the above symptoms again. I have had him to the Drs and they have said just to give him his inhaler as he is wheezy. I have always had to fight to get the diagnosis of reflux. I was just wondering if anyone has weaned there child off gaviscon and if so how long would it take to symptoms to possibly reappear?

  • Spilt Milk (Canterbury) February / March 2016

  • Gastric Reflux Support Network NZ shared Spilt Milk's event.

  • We have been weaning off omeprazole and the most recent drop didn't work so we have increased again. How long until she's feeling herself and not in pain again?

  • My 10 week daughter I think is suffering from reflux. She doesn't spill alot however I notice she swallows back quite often. Latley she has been gaging. She has been in a lot of discomfort from about 2 weeks. I've been taking her to a chiropractor which I thought was heping but this last week seems to be back to her old symtoms. I'm just wondering about the medications people use. Do they work? She is gaining good weight. So I'm wondering do I just go another month and hope she grows out of it? or do I try the medications? I'm just worried they might cause trouble Down the track? I don't have a very good GP so no help there. Any suggestions would be great thanks ☺

  • #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • Gastric Reflux Support Network NZ shared Patient's photo.

  • Had you noticed that this page for the Gastric Reflux Support Network NZ is a Verified Page by Facebook confirming that it is an authentic page for the Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust? http://www.cryingoverspiltmilk.co.nz

  • Gastric Reflux Support Network NZ shared Above Rubies's photo.

    Thank you to our previous National Coordinator for sharing this one. And in the words of Kelly from SmileDial our children might be a different kind of perfect.

  • Thanks Margot Kristensen for adding me to here we have a silent refulx baby we've been in and outa hospital for help and suport she's 8 weeks old crys frm the moment she wakes till any were frm 11pm or later I've tryed everything she has this day of screaming all day and then she's exausted the next day the pediatrician says there is nothing he can do and she is in pain were Goin to be admitted to mother craft in Hamilton as I can't rock her all day every day I'm exausted 2 any tips or advice pls

  • I have a 4 month old (5 at end of month) he's on omeprazol for silent reflux. He's started spitting his medication and I can't get him to swallow all of it. He gets distressed and this morning he vomited it all back up after gagging on it. He's had a flare up I'm sure cause he's not getting enough. I've asked GP for capsules w. Baby pear, but been denied cause hex too young. Anyone had luck mixing liquid with anything to get him to take it?

  • Hi We were prescribed gaviscon infant and told that it acts Like a plug keeping the acid down, b However I noticed on the crying over spilt milk site that there are two gaviscons used and that it is the other one that acts like a plug. My son is on ranitidine for silent reflux, which has helped but he still wakes up all the time from it and during the day will only sleep for about ten minutes before waking. Can anyone explain the difference between the two gaviscons? Also, is there any reason why my son sleeps better at night? Or is he just exhausted from not sleeping during the day? Thanks in advance for any advice

  • Please check the posts to the page and help out on a recent question if you have ideas for helping keep a young baby upright.

  • Hi there, I have a little 3 week old baby girl who we have just been told has reflux. It causes her a lot of pain and because of the reflux her windpipe gets closed off for an extended period of time with the milk/acid going up and down causing her to go bluey or purple which is very scary. She needs to be held 99% of the time because when lying her down it causes a lot of pain and also causes her to be sick out her nose and mouth. She has been started on gaviscon at every feed which seems to be helping with the "choking" episodes but I still need to hold her all the time. I am wondering if anyone has had any good slings or has any ideas that may help to keep her upright and comfortable to sleep etc. for both me and her. :)

  • Gastric Reflux Support Network NZ shared Patient's photo.

    #understanding #havebeenthere

  • Our daughter has had reflux since about 5 weeks & she is now 7 and a half months old. She will sleep 12 hours and wake to have 30 mls. She has small amounts often throughout the day and cannot handle anymore than 80 mls which is few and far between. She also has solids 2 - 3 times a day. She is also still on newborn teats and we try all the time to go up but she cannot handle the flow and wont drink at all. She is now a good size and looks healthy but only because I am constantly feeding her and also have a 4 year old who has gone backwards in her behaviour and toileting because Miss 7 1/2 months is so time consuming. She is under a pediatrician, on Ranitidine 3 x a day and is booked in for a barium swallow on the 18th of this month. Has anyone else had/have this issue?

  • #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux

  • Our seven week old baby can sleep for hours vertically in our arms, but wakes when in his back. When he is sleeping on his back he often makes a sound which sounds like someone clearing their throat, it goes on and on and eventually he wakes up. He doesn't spit up, but often has white on his tongue. He also grimaces a lot in his sleep. Does this sound like silent reflux? I'm especially keen to know if anyone has experienced the same type of noises in their baby. We have a doctors appointment on Tuesday.

  • There is a post to the page about settling babies with Gastric Reflux to sleep.

  • #gastricreflux #gor #gord #infant #baby #gastricrefluxsupportnetworknz #cryingoverspiltmilk #child #family #reflux