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.

  • Just for some fun. You have to watch the clip.

    Thinking back two years prior to pregnancy, this couple recalls how they thought they had everything about parenting all figured out. But they quickly realized all of their aspirations were not very realistic when their precious little one was born into the world.

  • Gastric Reflux Support Network NZ shared Judy Arnold - Infant and child Consultant's photo.

    It is about time for another Coffee together and to ask Questions Thursday morning, 9.30-11. Looking forward to catching up.

  • Just wondering - is gaviscon like a fast acting relief - like for that feed only- or is it longer lasting ?

    I haven't used gaviscon for 3 days and my 10 week old has been good for 3 days so thought maybe he was getting a bit better - but then tonight spewed up quite a bit. Is that because the gaviscon was still working in his system and now has worn off ? Or does it have a shorter term effect ?

    We have also just started trying formula. 50ml yesterday and today and it was after that he spewed- so also wanting to rule out the fact that it's the gaviscon wearing off...to see if the formula is making him spew.

    I'm pretty sure he's reacting to the formula but just curious how long gaviscon relief works also.

  • Gastric Reflux Support Network NZ shared Hope For The Broken Hearted's photo.

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

    #sleep

  • Empowering families of people with disabilities and health impairments through support and information.

  • Hi there, my daughter has been on omeprozole granules (5mg, twice daily) since 6 weeks old. I've talked to our GP about how and when to wean, his advice was to go cold turkey "whenever we felt like it"..!

    I'm looking for some advice from other families on how they went about weaning - Would like to take a gentle path.
    Are there signs of readiness?
    What age did you start?
    Did you drop one dose and see if there was any effect before fully weaning?
    Or is cold turkey the right thing to do, after all?

    Thanks.

  • Hi all,
    Does anyone know if its okay to mix kiwiherb stuff with losec to mask the taste if you stick to the correct dosages? Eg .5ml each of kids calm, echinature, and chest syrup mixed with 3.8ml of losec?

  • 10 day old baby showing signs of reflux already. Similar to his brother (who is now 22months).
    He has the "breath that smells like stomach acid", looks like he's got a bad taste in his mouth, the "cottage cheese" spit up at times and obviously a very sore tummy after feeds.
    I am babywearing to keep him upright which is helping.

    I suppose what I'm asking is at what point do I go to gp and ask for a paed referral? My husband says don't go looking for trouble until it becomes a much more obvious issue.

  • Can anyone in the Wellington area recommend a good doctor with an understanding of allergies/ intolerances? I'm convinced our doctor doesn't get it! My poor bubba needs a formula top up and is intolerant to diary protein and soy. The doctor wants to start solids but he is only 4 months, I want to leave it until 6 as there is a family history of food intolerances.

  • Gastric Reflux Support Network NZ shared Plunket New Zealand's event.

    Join our PlunketLine Nurse Carla, PlunketLine Advisor Elaine & National SKIP Advisor Regan to chat about Baby Sleep (12 months and under). Post any questions you have below or private message us and we'll be sure to answer these during our chat. If we missed your question or didn't get to it we'll come back to you in the next 24/48 hours. You can check the chat out here: https://www.facebook.com/PlunketNZ/photos/a.367839658272.194714.176947128272/10153679203903273/?type=1&theater if you need any urgent support or advice you can call PlunketLine anytime - 0800 933 922

  • New Membership Form for the Gastric Reflux Support Network NZ - but same address and similar details required: http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz-membership-confidentiality-agreement-form/

    Please let me know if there are any problems, but I have tested it - and besides the WordPress Plugin insisting on US format for DOB...it was all good. :-)

    Gastric Reflux Support Network NZ for Parents of Infants & Children Charitable Trust Membership & Confidentiality Agreement Form First Name: Last Name: Email Address: Street Address: City/Town: Area: Auckland Canterbury Gisborne Hawkes Bay Marlborough Nelson Northland Otago Southland Taranaki...

  • I've just taken the Membership form offline for a moment whilst I switch it over to a more stable one - I hope. It should be back up within half an hour. I'll let you know!

  • I have a 11 month old who will be 1 in a weeks times who has silent reflux. Gaviscon seems to work for him at them moment however I am looking at reducing the number of bottles he has a day. I was therefore wondering if anyone had any ideas on how to get the gaviscon in to as he current has four doses a day?

  • I have an 18 month old with silent reflux. It seems to flare up dramatically when she is teething. She can wake up to 10 times in a night! I am still breastfeeding and although this is good for her as it helps to comfort her I get very little sleep. I co-sleep so I at least can doze while she's latched. When the reflux is at its worst she gets very angry and lashes out, often banging her head on the ground. It's heartbreaking to watch and when she is in that state she doesn't want to be cuddled. I'm finding it so emotionally challenging as she is generally a happy, giggly, cheeky little girl in between times.
    She was so bad last week I was in full meltdown mode.
    She has had this since birth, I've always had a dairy free diet and from about 6 weeks old I took out dairy,soy, added probiotics and started her at the osteopath also. This helped heaps and at one point she was sleeping 6 hour stints at night. Then at 12weeks old it came back and has never left and I would say the last couple of months is the worst it's ever been. I've upped the probiotics and added other probiotic foods and am taking out acidic foods as much as possible. She has been a little better the last 3 days so hoping she'll keep improving.
    Has anyone had good results with osteo or similar at this age? I'm wondering if it's worth trying that again.
    I also want to know if people have had success with medications because I read forums online and it seems like only approximately(total estimation)
    2/10 people will write that it really helped them so I don't want to pump her full of things if there's not a good chance of it even working. What are your experiences?
    Help! And thanks in advance 😊

  • There are two new posts to the page if anyone would like to help by sharing their experiences.

  • Hi There I am looking for support for a toddler with reflux. She had terrible silent reflux as a baby and then we thought she had grown out of it by 1ish. Then she has been rediagnosed with it age 2 years one month - after countless ENT problems (She has grommets and has had her tonsils and adenoids removed) and constant constipation. The medication is starting to kick in but she is so upset and so angry all the time (also partly because she is a toddler). Any tips people have to soothe her and help her not be afraid of sleeping/ lying down much appreciated, We are also considering reintroducing her dummy as it worked so well last time, but are conflicted about wether it is a terrible idea or not.Thanks

  • For those dealing with a silent refluxer, what are the symptoms you've noticed? We've been treating my 9 month old for this but never had much success which makes me second guess if that's what the problem is :/ she wakes within an hour of going down at night (if we get her down!), won't settle until around midnight, sleep during the day is never guaranteed and now since starting solids she wakes very frequently dumb the night with what looks like either sore tummy or wind pain. Sound like anyone else's baby?

  • Gastric Reflux Support Network NZ shared their note.

    A reminder please when you are replying to messages.

    Please do not give advice on dosages, advise families to give medications in two dosages when they were told to give them once daily by the prescriber or vice versa, or give direct advice on medications, formulas etc.

    It is perfectly fine to share your experiences as long as you do not discuss dosages of medications or mention health professionals etc.

    We love you chatting and supporting each other so please continue to do this, but keep it safe and non-medical.

  • Gastric Reflux Support Network NZ published a note.

  • Gastric Reflux Support Network NZ published a note.

  • Hi Team. My now 3month old has been on Losec for quite sometime now and we had a different chemist make up the liquid and it looked different to out usual dose. Well he now seems like he is back to that child he was before we started on it. I have been back to the old chemist to get it better batch...how long will it take to kick back in,if it has gone out of his system? Cheers. Very exhausted mum

  • Emma has asked a question.

  • Can anyone help us? We have an almost 8 month old she's on Pepti jr, omeprazole and gaviscon. The last 2 weeks have been not very fun for us. She goes off to sleep nicely at 6.30-7 then ban at 9.30-10 inconsolable crying. Her reflux through the day is also much worse. We give losec in the morning and gaviscon with her bottle before bed but not at other feeds because it made her constipated. She's not interested in crawling and rolling anymore because she gets a lot of acid coming up and just wants to stand all the time. She is on a variety of solids is there anything I shouldn't give her because it makes reflux worse? We thought about taking out citrus peaches and apricots?? Too make everything so much more fun she is teething just got her first tooth yesterday ... Any advice much appreciated we would just like some sleep :-(