There is a ring of muscle at the top of the stomach. This is a valve, which should close when feeding has finished. When a baby has gastric reflux this valve doesn’t close properly. The contents of the baby’s stomach (food and digestive acids) are brought up/regurgitated. These contents come up the oesophagus and may be vomited or spill out through the baby’s mouth. The acid can burn and may cause the baby great discomfort and/or pain. Adults often refer to gastric reflux symptoms as indigestion. As the child matures so does the valve/ring of muscle at the top of the stomach. Generally speaking, the more upright the baby is the more the reflux decreases. By the time the baby is walking reflux will often have disappeared. In some cases it will improve over a longer period of time. Gastric reflux in infants is common, and most infants have some degree of reflux at birth. Babies often spill a little after feeding and this is quite normal. Most babies feel full and contented but a baby with Gastric Reflux Disease (gastric reflux that causes problems) is often uncomfortable and unhappy. Gastric reflux doesn’t need treating with medications or surgery unless the baby is failing to gain weight adequately or is in pain due to acid being refluxed (or have another complication of reflux). Surgery is generally only considered if Gastric Reflux Disease is not able to be controlled with medication. Reflux is variable and unpredictable. Some days may be much better than others are.
Some babies vomit up part of every feed. Sometimes this continues for several hours, and may cause the baby discomfort/pain.
Some babies rarely vomit at all, but their feed will come part way up their oesophagus and then go back down again. This may cause pain.
Click below for:
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. Updated October 2013.
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.
Hi there, just wanted to say that this page and your website has been a huge help! It has provided ideas, helping me and my 8 week old son cope with his reflux. He was diagnosed @ 4 weeks old, and has been on gaviscon since. I have also gone dairy free, not sure if it's helping but he's definitely settled over the weeks. Hopefully he 'grows out of it' as the Dr says, grateful for all tips and advice from other parents experiencing the same...'I'm not alone'....this is a photo of our son in his Happy Place, where he goes from crying to smiling straight away!
Hi, Just wondering if you could help me with a question please. I got given Losec Suspension today. Since it's in suspension form and not the granules how long before a feeding should I give it to my baby or can it be given at the same time?
My baby has been diagnosed with reflux, her dr prescribed her ranitidine 150 mg/10 ml. It says 1 ml 3x a day, shes 5.7 kgs, does this sound right? That seems alot to me...
Hi there. I've been reading your website and Facebook page with interest over the past few months and it's been really helpful. My daughter is coming up 4 months old and her reflux seems to be improving. We tried gaviscon but it didn't make much difference. Main thing for us has been that I cut dairy out of my diet. I now have food with dairy in it but just don't do the core basics like cheese, yoghurt, milk etc and although she still spills often, the associated pain seems to be almost gone. Am hoping she's growing out of it but the dairy still seems to have a bit of an effect. Anyway, in two months time I have to go back to part-time work and will need to start using a formula on those days. I usually used karicare gold with my kids but have no idea what options would be best for my reflux baby. Can you make some suggestions? I'd like to try some out to see how she reacts etc before I go back to work but don't know what brands to try. Thanks.
Hi, I have a wee girl Matilda, 3.5 months, who has been diagnosed with gerd and is currently on Ranitidine and Domperidone. We have tried Losec and gaviscon infant too, and after trying pepti jnr and neocate we are now on elecare formula. Also have done the usual, raise cot, chiro, upright after feeds etc. We don't seem to be making much progress and its really heart-breaking to try all these medications on such a wee person! We do seem to have 3-4 great days when she is happy and contented but then have 3-4 terrible days with constant crying, not much drinking, so much vomit and terribly unsettled, not much sleeping etc; my question is, is this 'normal' ?! Is gerd cyclonic? Thanks, Amanda :)
My four month old son has recently been diagnosed with reflux after his feeding has become worse and worse over the last month. He will cry before and during a feed and constantly turns his head from side to side. It takes alot of coaxing to get him to drink. He has also started waking almost hourly through the night. We have tried gaviscon which gave him terrible constipation and now ranitidine. After reading the dosages on the spilt milk site we realized the dose we were given was far too low so have now been on a high ish dose for a week with little change. How long should it take to see a change? We also have a script for omeprazole so can try that next. Anyone else with a reflux baby also had these sleeping issues? Any tips welcome, we have raised the bed and keep him upright after feeds. Thanks in advance
Anyone recommend a good paediatrician in Auckland, son has reflux and looking to get some help!
How can I give my omeprazole granules to a 5 month old? I have been putting in pear puree but now want to introduce food and think this is putting her off wanting to eat!
Our membership form is now working again. Sorry for the delay. We are looking forward to meeting some new members. http://www.reflux.cryingoverspiltmilk.co.nz/grsnnz.../ Joining Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust gives access to our Newsletters and Private Local and National Support Networks. Membership is free, and this gives you opportunities to discuss gastric reflux related issues with others in a safe and confidential setting.
hi i have a nearly 8 month old girl, she is on ''Kari-care anti reflux AR'' now they say by six months the reflux or spewing up heaps of milk should be fine now. but im scared to put her on normal kari care cause she use to vomit like crazy, what formula should i be going on? thanks :)
Advice sought please. My bf 11mo has reflux which is basically under control with restricted diet (no dairy, no soy and query gluten intolerance too, so no gluten) for us both and 10mg omeprazole daily. Gaviscon as required. Acid symptoms generally improved. However still no sleep due to wind/tummy pain etc. and we are exhausted (waking hourly to 2-hourly in discomfort/wanting to feed). Found this remarkable thread re windy toddlers (err see first comment for link) which totally resonated. Wondered if any GERD families on here had wind issues and perhaps tried low FODMAP diet? Or had other tips to share re calming the entire GI tract, top to bottom? Thanks.