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 in relation to gastric reflux:

  • 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.

  • PARENTS MAY HAVE A GUT FEELING THAT THEIR CHILD IS IN PAIN, SO IF YOU ARE CONCERNED SEEK MEDICAL HELP.


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.

  • http://www.givealittle.co.nz/cause/gastricrefluxweek2014 National Infant Gastric Reflux Awareness Week occurs every year from 31st May to 6th June. In 2014, we would like to acknowledge the families coping with gastric reflux by printing and distributing Posters to Family Centres, Paediatricians, Tamariki Ora Services etc. This is a low cost project, but something that the Gastric Reflux Support Network New Zealand has not received funding for. Please help us to make this happen. Every $1 counts!

    National Infant Gastric Reflux Awareness Week occurs every year from 31st May to 6th June. In 2014, we would like to acknowledge the families coping with gastric reflux by printing and distributing brochures to Family Centres, Paediatricians, Tamariki Ora Services etc.

  • http://www.jpeds.com/article/S0022-3476%2813%2901596-5/abstract?elsca1=etoc&elsca2=email&elsca3=0022-3476_201405_164_5&elsca4=pediatrics

    The Journal of Pediatrics, Volume 164, Issue 5, Pages 959-960, May 2014, Authors:William Tarnow-Mordi, BA, MBChB, DCH, FRCPCH; Roger F. Soll, MD

  • Hello - wondering if you can help, my now 5 year old had silent reflux, my 5 month old also has reflux, I saw a specialist in Auckland for my first child but cannot for the life of my remember his name - do you have a list of specialists in Auckland? Many thanks Misty

  • Hi :) just starting my five month old on solids , any foods worse or better for reflux sufferers ? She is quite constipated from losec and gaviscon so also foods that aren't constipating

  • We only have six members in our Hawkes Bay GRSNNZ Local Support Network on Facebook. If you are coping with reflux and living in this area, we would love you to join us. http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/

    Gastric Reflux Support Network NZ for Parents of Infants & Children Charitable Trust Membership & Confidentiality Agreement Form / Newsletter Admin PageFirst NameLast nameEmailStreet AddressCity/TownAreaPostcodeDo you live in NZ?Country and Area if not NZHome Phone (include area code)Partner's NameE...

  • A large randomized controlled trial has shown benefits of probiotic treatment in an unselected general population of neonates.

  • hi there, im desperate for help. my wee girl is 5 weeks old and has always been unsettled from birth. At first she was constipated and in pain so paed put her on pepti junior and after no improvement added lactulose syrup for bowels. She has a bowel motion now only every 5-6 days so not ideal. over the passed few days she has got alot worse, fussing at feeds, acidy smelling breath, after finishing bottles she squirms in pain, cramps up like a banana, screams/cries etc. she doesnt spill ever and winds pretty well. Clearly something is still not right but have seen 3 paeds and all havent considered silent reflux?? i feel silly going back again but i know they are missing something, could it be reflux?? thanks Nicole

  • I have been reading your website, thank you, it's helped me a lot. 5 weeks with a very unhappy baby is extremely difficult.

  • Do you live in Northland, New Zealand and have a child with gastric reflux? We would love you to become a member of the Gastric Reflux Support Network NZ and join our latest Private Facebook Group - for the Northland GRSNNZ Local Support Network. We currently have five families who would be grateful to have contact with others in the Northland area and share their experiences. We have Local Support Networks throughout NZ and set up Private Facebook Groups as requested. We already have Yahoo Mailing Lists for each region, but many prefer Facebook. To join complete a membership and confidentiality form: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz.../ Membership is free, and this gives you opportunities to discuss gastric reflux related issues with others in a safe, private and confidential setting. You will also get access to our newsletters.

    Gastric Reflux Support Network NZ for Parents of Infants & Children Charitable Trust Membership & Confidentiality Agreement Form / Newsletter Admin PageFirst NameLast nameEmailStreet AddressCity/TownAreaPostcodeDo you live in NZ?Country and Area if not NZHome Phone (include area code)Partner's NameE...

  • Hi there, I was on your website reading that doctors should prescribe the Losec granules instead of the suspension. Does this apply for 2 month old babies as well?

  • I am hijacking this photo. #gastricreflux

  • Hi, I am interested in people's opinion on advice from a dietician re my 13 month son who has reflux and lower GI issues, both currently well managed. I have posted before: he's on a restricted diet - no dairy, soy, gluten as well as a random no tomato/potato (latter done by me without paed knowledge following nasty flare up). He is still bf and not a great solids eater - picky, limited finger foods only, no mush. He is small (prem, lbw) but not at all underweight for size. He is on iron supplement (formerly anaemic) and trying to wean off losec. Dietician wants us a) to go on to neocate advanced and b) to reintroduce gluten. Neither of these sit well with me. I ate non-GF oats and small amount non-GF pasta yesterday - now I have an unsettled boy stretching and groaning after a month of calm. Coincidence?? Re neocate - is it really necessary to give him this or can I find the iron and vitamin boost elsewhere? He hates the taste and doesn't eat porridge/mash/stewed fruit to mix it into. The dietician really p***ed me off for her manner and lack of knowledge of son's history (in spite of having met before) and I don't trust her judgment. Thoughts? Sorry long post. Thank you for reading.

  • https://www.youtube.com/watch?v=qTHhWf_hGJI

    Pyrosis RGO mécanisme