Reflux - how to help your baby
Infant reflux, or gastroesophageal reflux (GER), is common in newborns and occurs when stomach contents flow back up into the esophagus, causing discomfort. While most babies outgrow reflux by their first birthday, it can be challenging for both baby and parents in the meantime. Thankfully, there are several ways to help alleviate reflux symptoms and keep your little one more comfortable. Here are some practical tips to manage your baby’s reflux
Feed Smaller, More Frequent Meals
Large feedings can overwhelm your baby’s tiny stomach, leading to more reflux episodes. To reduce the chances of reflux, try offering smaller amounts of milk or formula more frequently. This will help keep the stomach from becoming too full and minimize the likelihood of regurgitation
Keep Baby Upright After Feeding
Gravity can help prevent milk or formula from flowing back into the esophagus. After feeding, keep your baby upright for about 20-30 minutes. Holding your baby in an upright position, either in your arms or using a baby carrier, can help digestion and reduce reflux symptoms
Elevate the Head of the Cot
While your baby should always sleep on their back (following safe sleep guidelines), slightly elevating the head of the cot can help reduce nighttime reflux. You can do this by placing a wedge or towel under the cot mattress (never under the baby directly) to create a gentle incline. This position helps prevent stomach contents from flowing upward while your baby sleeps
Burp Frequently During Feedings
Burping your baby frequently during feedings helps release trapped air that can increase pressure on the stomach and contribute to reflux. Try burping your baby every few minutes during feeding, especially when switching breasts or after every ounce of formula
Thicken the Milk or Formula
If your baby’s pediatrician recommends it, you can thicken breast milk or formula with a small amount of rice cereal or a thickening agent designed for infant reflux. This can make the milk heavier, reducing the likelihood of it coming back up. Always consult your doctor before making changes to your baby’s diet
Consider a Different Formula
If you’re formula-feeding and your baby has persistent reflux, they may be sensitive to certain ingredients. Your doctor may recommend trying a hypoallergenic or anti-reflux formula, which is designed to be gentler on sensitive stomachs and can reduce symptoms of reflux
Wear Loose-Fitting Clothing
Tight clothing, especially around the belly, can increase pressure on your baby’s stomach, exacerbating reflux. Dress your baby in comfortable, loose-fitting clothing to minimize any added pressure on their abdomen
Breastfeeding Adjustments
If you’re breastfeeding, certain adjustments may help reduce reflux symptoms:
- Change your diet: Some babies may be sensitive to foods in a breastfeeding mother's diet, such as dairy or spicy foods. Consider eliminating potential triggers to see if it makes a difference
- Optimize breastfeeding position: Positioning your baby upright or at a slight incline during nursing can help reduce reflux
Try Paced Feeding
For both breastfed and bottle-fed babies, paced feeding is a method that mimics the natural feeding rhythm, allowing the baby to control the flow of milk. This reduces the chance of overeating or swallowing too much air, which can worsen reflux
Monitor for Allergies or Intolerances
Sometimes reflux is a symptom of an underlying condition, such as cow’s milk protein allergy (CMPA) or lactose intolerance. If your baby has additional symptoms like severe fussiness, skin rashes, or blood in their stool, consult your pediatrician for further evaluation
Create a Calm Feeding Environment
Feeding in a calm, quiet environment with minimal distractions can help prevent your baby from swallowing too much air or overeating, both of which can worsen reflux. This can also help your baby feed more effectively
Use Reflux-Friendly Carriers
When babywearing, use a carrier that keeps your baby in an upright position, such as a structured carrier or wrap that supports their back and neck. This can help prevent reflux symptoms while keeping them close and comforted
Consult Your Pediatrician
If your baby’s reflux is severe or causing feeding difficulties, discomfort, or weight loss, it’s essential to consult your pediatrician. They may recommend medication to reduce stomach acid or perform further tests to rule out gastroesophageal reflux disease (GERD), a more serious form of reflux
Reflux in babies can be uncomfortable, but there are many strategies to help manage it. With a combination of feeding adjustments, positioning techniques, and possibly changes to your baby’s diet, you can help ease their symptoms and ensure they’re more comfortable. Always consult your pediatrician before making any significant changes to your baby’s routine, especially if the reflux persists or worsens
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