However, while asleep, infants are recommended to sleep on their back to reduce the risk of sudden infant death syndrome. Refusing to feed, difficulty swallowing, and frequent vomiting may be symptoms of GERD in infants. Sometimes, a more severe and long-lasting form of gastroesophageal reflux called gastroesophageal reflux disease (GERD) can cause infant reflux. Most infants “spit up” milk as part of their daily activities. The action of spitting up milk is known as reflux or gastroesophageal reflux.
Even Sylvie, when she was six months old, egg yolks were one of the first foods that we introduced. She had a projectile vomiting episode after she ate her first soft-boiled egg yolk, which was pretty horrifying for us. Then we just waited. We said, â€œOkay, that doesnâ€™t work.â€ We went on to liver, which she loved. Then we went back to egg yolks about a month later, and she had no problem then, and still has no problem with them.
Note; similar symptoms can be seen with low milk supply, oversupply or a forceful let-down. The acronym for gastro-oesophageal reflux disease is GORD or GERD depending where you are in the world and how you spell oesophagus. Sources suggest only one in 300 infants actually has GORD needing treatment16 yet the number of babies given acid-reducing medication tends to be very much higher than this figure (Hassall, 2012).
In this way, you would be able to comfort and nurse the baby more easily. Or you may decide that youâ€™d like to try having your baby sleep in your bed, even if this means the baby sleeps flat on the mattress rather than in an inclined position. Your doctor may agree to let you experiment with different sleep options for a week or two to see what makes a difference for you and your baby. How a newborn is positioned at the breast is very important in preventing sore nipples as well as ensuring that the baby milks the breast effectively.
Talk to your doctor about which treatment plan is best for your baby based on the severity of their symptoms. Medication may still be the best option for infants with severe symptoms.
MedlinePlus recommends a varied diet with minimal items excluded, unless your baby has given you reason to restrict your diet further, such as developing acid reflux after you consume certain foods. Alcohol, caffeine and any other stimulants should be limited or avoided when nursing. Because water is a key ingredient in breast milk, you need to drink at least 64 ounces of water or caffeine-free fluids per day. Acid reflux can be a temporary or long-term condition in breastfeeding infants.
Some babies do better with smaller, more frequent feeds. This causes less pressure on the sphincter muscle between the oesophagus and the stomach. They may not want both breasts at each feed, or may do better if offered only one side, but more often.
Substituting breast milk for formula is unlikely to help reflux and is likely to make the symptoms worse25. In a small number of cases, reflux is a sign of something more serious such as pyloric stenosis-the narrowing of the exit from the stomach to the small intestine. A common symptom of pyloric stenosis is forceful projectile vomiting that can travel several feet across a room. For more symptoms see Pyloric Stenosis from Birmingham Childrenâ€™s Hospital NHS Trust.
Mothers need to be counselled that breast milk is not causing reflux and breast milk is the best possible food for babies until they are six month old. Babies have a small esophagus and weaker muscle tone than adults. This means that the valve that guards the lower end of their esophagus (lower esophageal sphincter or LES) where it connects to the stomach is weaker. This makes some babies susceptible to gastroesophageal reflux disease (GERD). A hiatal hernia is a condition in which part of the stomach sticks through an opening in the diaphragm.
So sometimes kids are sensitive to foods initially. Things like eggs, dairy-all of the ones that we look for as adults are also likely to aggravate kids, in some cases. You want to do some experimentation there. Obviously, removing gluten, gluten-containing grains, grains in general, processed and refined flour, legumes, things that can aggravate poor digestion should be removed.
If a mother has a copious milk supply then feeding one side only at each feed may ease discomfort. However, it is worth looking at what seems to suit your baby.
Many mothers find the traditional cradle hold to be the easiest. The mother sits up, perhaps with a pillow behind her back for support, and holds the baby’s head in the crook of her elbow, with her hand holding the babyâ€™s buttocks or thigh. The baby should be lying on his side, facing in toward the mother. He should not have to turn his head to take the breast, and his mouth should be right at nipple level. It might take two or three pillows to get him to the proper height.
Hope you are clear about the information provided on breastfeeding and heartburn. Did you suffer from heartburn while nursing your baby?