There are several reasons a baby may vomit and a doctor will need to rule out other causes, but one possible diagnosis is GERD (gastroesophageal reflux disease), also referred to as GOR (gastro-oesophageal reflux). When acid repeatedly “refluxes” from the stomach into the esophagus alone, it is known as gastroesophageal reflux disease (GERD). However, if the stomach acid travels up the esophagus and spills into the throat or voice box (called the pharynx/larynx), it is known as laryngopharyngeal reflux (LPR). Silent reflux occurs when stomach acid flows back up into the oesophagus and irritates the throat. It can cause discomfort, a cough or a sore throat in a baby.
Should I be concerned about my child’s reflux?
It’s called silent reflux because the symptoms aren’t always obvious. Your baby can still make plenty of noise though!. When she brings up milk, some of the acid from her tummy will come with it. This can make her uncomfortable, so you may find that she’s fretful and restless after feeding. children.
To help avoid silent reflux, hold your baby upright as you feed her and burp or “wind” her often during feeds. This can sometimes alleviate symptoms, but not always. A baby with silent reflux may cry during or after a feed without any obvious reason. They may also grimace or wince as they deal with the acidic reflux milk. If your baby has nasal congestion along with other symptoms of GERD, try home remedies for GERD and talk to your doctor about medications.
Baby reflux signs and symptoms
It is often worse after eating. Lying down or bending over after a meal can also lead to heartburn. If the reflux is causing problems or your baby has GORD, the doctor may suggest some treatment, such as feeding your baby thickened fluids. Pre-made thickened fluids are most suitable but these can cause constipation.
Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.
While rare, the condition does require diagnosis and treatment from a doctor. Esophageal pH and impedance monitoring, which measures the amount of acid or liquid in your baby’s esophagus. A doctor or nurse places a thin flexible tube through your baby’s nose into the stomach. The end of the tube in the esophagus measures when and how much acid comes up into the esophagus. The other end of the tube attaches to a monitor that records the measurements.
When those other tactics don’t work, some medications can help reduce or neutralize stomach acids or make digestion more efficient (like Prevacid or Zantac) safely in babies. Just keep in mind that they can occasionally cause side effects and should only be used with a doctor’s supervision in babies with GERD, not in babies with ordinary GER. You can also talk to your doctor about giving your child probiotics, which are available as drops for infants who are breastfeeding or in powder that can be mixed into baby’s bottle.
Similarly, reducing the volume of feeds might reduce reflux, but may also impact on the nutrition and growth of a baby. The number of feeds in a day may need to be increased if the volume of each feed is reduced. He might also prescribe a medicine to help your child’s stomach make less acid. But researchers aren’t sure whether these drugs ease reflux in infants. Gastric emptying study.
Even a paediatrician at our local hospital sent us away after examining ds from every angle, saying ds was ‘just grumpy’ when we turned up there in despair one evening when he’d basically screamed since the morning. It was other people suggesting silent reflux on MN that got us to look into it for ourselves and basically insist that the GP gave us a private referral to Dr Thomson.
Learn more about infant acid reflux symptoms and treatments. Upper gastrointestinal (GI) endoscopy and biopsy, which uses an endoscope, a long, flexible tube with a light and camera at the end of it. The doctor runs the endoscope down your baby’s esophagus, stomach, and first part of the small intestine. While looking at the pictures from the endoscope, the doctor may also take tissue samples (biopsy).
Babies have underdeveloped esophageal sphincter muscles at birth. These are the muscles at each end of the esophagus that open and close to allow for the passage of fluid and food.
This information will help them determine whether your child is a “happy spitter” or has symptoms of GERD. Disorders that affect our ability to speak and swallow properly can have a tremendous impact on our lives and livelihoods. ENT specialists treat sore throat, infections, gastroesophageal reflux disease (GERD), throat tumors, airway and vocal cord disorders, and more. GERD and LPR can result from physical causes and/or lifestyle factors. Physical causes can include weak or abnormal muscles at the lower end of the esophagus where it meets the stomach, normally acting as a barrier for stomach contents re-entering the esophagus.
How do doctors diagnose reflux and GERD in infants?
Newer pH probes placed in the back of your throat or capsules placed higher up in the esophagus may be used to better identify reflux. At either end of your esophagus is a ring of muscle (sphincter). Normally, these sphincters keep the contents of your stomach where they belong — in your stomach. But with LPR, the sphincters don’t work right. Stomach acid backs up into the back of your throat (pharynx) or voice box (larynx), or even into the back of your nasal airway.