infant acid reflux symptoms

For more information about infant acid reflux symptoms check out Acid Reflux Disease – GERD

Q: Infant acid reflux 1week old baby need help please!!!!!!!!!?
My daughter has acxid reflux well i think she does because she has almost all the symptoms of it, im going to the doc today but i want to know from other people what i can do to help her get though this problem. She was up last night for 5 hours straight i thought i was going to go mad. Now what makes me belive she has acid reflux are theses reasons.
she arches her back when feeding she coughs, hiccups, gags sometimes refuses feeding and sometimes eats small amounts, she is fussy when feeding, she will vomit sometimes as well after a feeding, she will spit up during of after a feeding, she has wet burps, poor sleeping habits, and she has colic like symptoms, thoose are all symptoms of infant acids reflux. so my question is before i go to the doc i want to know from people with exsperience of having a infant with acid reflux what is the best meds or remidies that work for my 1 week old baby, i’ve used gripe water it works a bit but not good enough please help i dont know what to do

A: my baby had reflux that started at around a week. we waiting until his 2 week appointment so that we could ask the doctor about it. it was really bad. he wouldn’t sleep, he would always cry and arch his back, he would spit up and sometimes throw up, etc. i could tell it really bothered him.

he needed Prevacid one dose a day. he also was put on Enfamil AR Lipil to help his food stay down. both were helpful, but of course with a baby with reflux, it doesn’t make all the symptoms go away. it just helps with pain.

it lasted all the way to 8 months. he is now 10 months and he does spit up occasionally but not more than any other baby. he is on regular formula and off prevacid. the worst is in the past.

it is hard to deal with it. if your baby does have reflux she will spit up constantly. make sure you keep lots of bibs and burp cloths handy. keep her upright as much as possible even if it means holding her. sometimes i would let my baby sleep on my shoulder while i was sitting. get reflux wedges for the crib for her to sleep. really the only you can do is offer comfort.

here are some things you might want to look into (we had both)
http://www.walmart.com/catalog/product.do?product_id=4631165

http://www.walmart.com/catalog/product.do?product_id=4631162

this site has reflux wedges that are sometimes covered by insurance

http://www.pollywogbaby.com/cat–Infant-Positioning-Products–Positioners.html

good luck

Q: Are these symptoms of infant reflux?
My son is 2 weeks old. He just started with these symptoms a couple of days ago. He spits up pretty much every feeding. Sometimes a lot. About a tablespoon. When we burp him, he sometimes spits up with that. I pump my breast milk so he is bottle fed, sometimes by breast. His spit up seems kinda curd like. Not just milky. He is now making weird faces, like disgust, when I try to give him his bottle or pacifier. He also hiccups a lot. After feedings sometimes or out of no where.He just started this cause we tried to up his feeding cause he was always sucking on things after a 2-3oz feeding. Maybe were just over feeding him but I thought they stop when they’re full. Imjust so nervous cause I hate seeing him spit up or puke like that. Is this just normal baby behavior or is it infant acid reflux?
No formula and no whinning. Only when he wants more to eat he throws a tantrum, kinda. No gasping for air or anything. Yawning though. The hiccups seem to kinda bother him. He has wet diapers but yesturday and today so far has had about 2-3 poopy diapers. That seems unusual.
*no whinning when eating. He does seem like he is trying to poop. Maybe his tummy bothering him from reflux or constipation?

A: When my son was newborn he had reflux and he had those faces as well. The one symptom that distinguished the reflux was him gasping for breath for apparently no reason.

Q: How do you get the doc to take you seriously about infant acid reflux?
Madeleine is 3 1/2 months old and has been showing all of the symptoms of acid reflux (from my research online anyway) for over 3 weeks now. Just when she seemed to get over her severe gas problems, she started waking up in her sleep 2-3 times in the night screaming, would arch her back and cry while trying to eat all day, always seems starving (especially after 8PM), spits up with every bottle, sweats profusely and snores like my husband! My poor little one is usually a very happy baby, but she is miserable most of the day now. I brought the symptoms up with our current doc and she didn’t even mention acid reflux! She just said…well, babies do that. She will grow out of it. What can I do?

A: Find a different pediatrician.
Tell the doc you suspect Acid refulx, and you want the tests run to confirm (barium swallow).
You will find that doctors do not speak the absolute truth word of god. And YOU have to be an ASSERTIVE and PROACTIVE parent. You are your childs only voice.

Q: Acid Reflux in Breastfed Infant question… Your Experience?
My son is 1 month old and I believe he may be suffering from acid reflux. He spits up severeal times a day 4-5+ times. On top of that, he has Colic pretty bad as well which I believe his spitting up has some role in his Colic.

My question is… What were your experiences with your 1 month old infant if they had Acid Reflux? What type of symptoms did they present? What did your doctor do for it? What did you do for it?
Also,… Did your infant have colic and when you treated the reflux did the colic get better or go away?
Also,… Did your infant have colic and when you treated the reflux did the colic get better or go away?

A: Reflux is usually not medically treated unless it’s causing severe problems like failure to gain weight, or ulcers in the esophagus.

For my daughter, it was so bad she stopped gaining weight even though she was nursing nearly every 30 minutes. My doctor prescribed Reglan and Zantac. Zantac reduces the acid, so it burns less when coming back up the esophagus. It does not actually stop the reflux from happening. Reglan is some scary stuff….I’d think twice about giving that to my baby again. It made her all shaky, and did nothing to help the reflux.

Symptoms were excessive spitting up. 4-5 times a day is NOT excessive, but he could still have reflux if it’s coming into the esophagus but not out the mouth. My daughter spit up at least 50 times a day.

Other symptoms were frequent hiccups and crying and arching the back while nursing. That’s caused by the milk refluxing as she’s nursing.

I stopped the Reglan shortly after starting it due to the side effects and the scary stuff I found out about it. I talked to a pediatric gastroenterologist who prescribed Prevacid instead of the Zantac. One dose and my poor daughter cried all day long. She did not take it ever again. (Your baby may do fine on it, but mine did not!)

Eventually, I went with my instincts (after checking with the pediatric gastroenterologist). What I did was try to keep her upright and as still as possible after feedings. I woke her in the night at least twice to nurse because she would go right back to sleep and actually kept that milk down. I used the Zantac as needed…meaning when I could tell the acid was bothering her, I’d give her a dose.

She finally outgrew it around 8 months.

Talk to your doctor. It may not be reflux, and even if it is, it’s usually a laundry issue, not a medical issue.

ADDING ON: Your baby may not even have Colic…it could be just the reflux since the crying is a common symptom. Many parents with reflux babies think it’s colic until they really find out what’s going on. Your doctor, if you have a good one, should be able to differentiate whether it’s reflux, colic, both, or neither.

Q: Infant acid reflux? 8 wk old.?
My son is 8 weeks old today and recently he has started gagging occasionally, never during feeding, usually about an hour or so after. He has foamy spit bubbles and he doesn’t necessarily spit up alot, but he always has wet burps. He has only ever thrown up twice.

He doesn’t cry out of pain when he eats but at 8 weeks old, he still does not consistantly eat an entire 4 oz bottle. On occasion he’ll eat the entire bottle, but more often than not, he’ll only eat 2 ounces before he refuses more. Last night he ate an ounce and refused more and still slept a solid 5 hours, but during the rest of the day he’ll want to eat more often.. about every 2 – 2.5 hours. If we make it to 3 hours, it’s a miracle.

He is on Similac Advance formula and according to the pediatrician and the last time he was measured and weighed, he’s gained almost 4 lbs since birth and right on target. We do have an appointment for his 2 month shots tomorrow and I’ll ask the doc about the acid reflux but I was wondering if anyone else experienced something similar to this as far as symptoms?

A: Hi there. My 5 week old son has acid reflux. He vomits alot, often it looks like most of what he has eaten. Often it doesnt happen until up to an hour after he feeds. He also brings up clear liquid and very diluted milk. He also gets severe hiccups where a mouthful of milk will come up with each hiccup. Despite this he is gaining plenty of weight and is very happy, but there are definetly times that he is in distress with it. I can hear liquid gurgling up into his throat and he coughs and splutters, gags and grimaces. Im assuming this is the acid burning his throat. Also sometimes his voice sounds hoarse when he crys. He is breastfed and feeds very often but not for very long and when he does occasionally get a bottle of formula he rarely takes more than 1/2 ounces in one go.

I described all this to my health visitor today and she said it is acid reflux. She said the two defining symptoms areb bringing up milk so long after the feed and bringing up clear fluid. So the gagging an hour after feeding and foamy spit you experience with your little one sound like it definetly could be acid reflux.

Health visitor told me I should ask the doctor for infant gaviscon to neutralise the acid.

Good luck, hope you get sorted.

Q: Infants with acid reflux?
What are symptoms of acid reflux in infants? My son spits up what I think is quite a bit, but my first never spit up so I don’t have much of a comparison. Is excessive spit up even a symptom?

A: These are some of the more common symptoms of reflux. Your baby may only have some of them, and may have other symptoms that are not listed. (I * the ones my son had)

Spitting up frequently
Vomiting
Unexplained crying-colicky behavior*
Poor sleep; frequent waking *
Fighting/crying during feeding *
Arching neck or back during feeding *
Frequent hiccups *
Congestion *
Wheezing *
Coughing *
Hoarseness
Strange odor on breath *
Poor weight gain
Frequent choking episodes
Fusses when legs are lifted during diaper change: the bend in the tummy put pressure on the stomach and causes reflux to be worse*
Fusses when in sitting position, like in a car seat: the bend in the tummy put pressure on the stomach and causes reflux to be worse.*
Chewing or smacking of lips after feedings*
Apnea-spells of not breathing
Bradycardia-spells of slow heartrate
Wet Burps*
Curdled spit up*

Important: There are a couple of common misconceptions about reflux:

First, your baby does not have to be losing weight to have reflux. On the contrary, many reflux babies actually overeat because eating eases the pain.

Second, your baby does not have to be spitting up to have reflux. This is known as “silent reflux” and can actually be harder on your baby because their esophagus is getting burned by the acid on the way up and again when it goes back down. It’s also a lot harder to recognize as reflux.

If your baby is exhibiting signs of reflux, you should talk to your pediatrician about it. Be forewarned though that many pediatricians only consider reflux to be a problem if the baby isn’t gaining weight properly. Beyond that, many seem to think it’s merely a laundry problem for an overreacting parent and will tell you that your baby will grow out of it and send you on your way. Yes, your baby will grow out of it, but if your baby is experiencing pain and discomfort from reflux, there’s no reason why he should have to suffer while he’s growing out of it! You need to make sure that your doctor understands that your baby is in pain and that you’re not complaining about the laundry. And if he still doesn’t listen, find another doctor.

Things YOU can do to help you child with reflux

Keep infants upright during feedings, and for at least 30 minutes after feedings. This will decrease the amount of gastric reflux. Placing them in a swing, bouncer, car seat (as stated below) will put a bend in their tummy area which will put pressure and could cause reflux to worsen. Hold or wear your baby in an upright postion.

If you lay the infant down after feeding, place the baby on his/her stomach (prone position) on an incline of at least 30 degrees. This can reduce regurgitation. But only place the infant in this position if he/she is awake. Laying on the stomach is not recommended during sleep for infants from birth to 12 months because of the link between this position and sudden infant death syndrome. Based on guidelines set forth by the American Academy of Pediatrics, positioning the infant on his/her back (supine position) during sleep is generally recommended. In infants with GERD, the risk of SIDS generally outweighs the potential benefits of prone sleeping. Prone positioning during sleep is only considered in unusual cases where the risk of death from complications of GER outweighs the potential increased risk of SIDS. It is very important to discuss this with the infant’s doctor before undertaking any changes in sleeping positions.

As noted above, position the infant on his/her back, and elevate the head of the bed 30 degrees. Gravity will help keep stomach contents where they belong.

Smaller, more frequent feedings
Feedings every two to three hours when the infant is awake will reduce the occurrence of gastric reflux. Overfeeding can increase abdominal pressure, which can lead to gastric reflux.

Diet modifications for mothers who breast-feed
Certain foods, such as dairy, caffeine, chocolate, and garlic can promote reflux, so if you breast-feed your infant, you should consider cutting these foods out of your diet. I’ve had to cut out TONS of foods! Milk, chocolate, caffine, tea and coffee (even decaf!), any carbonated beverage, eggs, tomatos, spicy foods, beans, broccoli, cauliflower, cabbage, onion, garlic, citrus fruits, apples, I could go on!! LOL I just pretty much eat pasta, rice, potatoes, yams, chicken and pears!

Burping the infant several times during the feeding will help minimize gastric pressure, and the reflux it can cause. Waiting to burp the infant after he/she has a full stomach can increase the chances of regurgitation.

Avoid tight elastic around the waist, and keep diapers loose.

Don’t give your infant caffeinated beverages, orange juice or other citrus juices.

The way the infant is positioned in the car seat can cause regurgitation to increase. If the infant slouches over, it causes abdominal compression, increasing the risk of reflux. Using simple supports to keep the infant upright will prevent this.

Let gravity help your baby whenever possible. Keeping your baby upright during feeding and for 30-45 minutes afterwards will help a lot. Also, many reflux babies have a really hard time laying flat to sleep. Finding a sleeping position that will be comfortable for your baby can be quite a challenge.

Let him sleep in a bouncy seat
Elevate the head end of the crib by placing books under the legs
Elevate the head end of the crib mattress by placing a pillow or quilt underneath
Use a crib wedge
Use a Tucker Sling

It’s always preferable if you can relieve your baby’s symptoms just by making changes in his feeding and positioning, but if you’ve tried all that and your baby is still suffering, there are medications that you might want to ask your pediatrician about.

I tried for 6 weeks to do anything and everything do avoid medication, but my son’s reflux is just to severe. He’s been on meds for 2 weeks and he is A LOT better. And remember, the acid in the stomach can cause burns and ulcers for your child.

Q: What are the syptoms of infant acid reflux and if an infant doesn’t have it what are the adverse side effects
My doctor put my son on Zantac but he never spit up before he was on it and now he does a little and I asked her about the dairl/soy intolerance and she said that my diet had nothing to do with his runny stools, rash on behind and crying almost all day and till the night but I cut back on dairy and he seems a whole lot better. does anyone have any info and their child that was given Zantac? And what are symptoms of dairy intolerance?

A: My daughter was diagnosed with reflux at 5 weeks. Her symptoms were:
- sour burps resulting in screaming
- arching back
- clawing at my face while screaming
- sour spit-up (not a lot) resulting in screaming
- hiccups all the time
- wheezing
- fussy after feeding
- upon exam at the office, very bad burns in throat

Started on Prevacid 15mg and saw improvement in 1 week. Sympotoms too bad for Zantac.

Q: Please Help! Infant with acid reflux?
My daughter (4 weeks old) has acid reflux. Changed formula 3 times, she has been on Zantac and is now on Prevacid. Symptoms still persist and her coughing and sneezing has become worse. She cries out in pain after she eats, arches her back and at times gags. Just a little spit up but not with every feeding. She gets the hiccups multiple times a day and I just hate to see her in so much pain. I worry about her constantly. We have taken all the measures, including buying those expensive Dr. Brown bottles and making sure she sits upright for atleast 30 mins. after every feeding. Please Help! Where do I go from here?

A: Ok i’ve been here and i know your pain. We were admitted to Vanderbilt twice. The second time I asked for a GI consult. We were there for about a week and they did ekgs and a ph probe and labs. It was hard to watch but if it helps it is all worth it. I think the GI consult is definitely the next step. Good luck.

Q: Is it possible to have acid reflux without spitting up in a infant?
My daughter is 9 weeks old. She rarely ever spits up. But I still feel like she may have acid reflux. She is constantly swallowing. Like I can actually hear her food coming back up, and then she keeps swallowing. She will even wake from her sleep and start doing it back to back. And sometimes she will gag or even choke from it…
I am going to mention it to her doctor today and see what she says. But I am just curious if your little one had acid reflux what were their symptoms? It its not acid reflux could this possibly be a reaction to her formula, she is on Enfamil Gentlease… she’s a VERY gassy baby? Is it possible to be diagnosed with acid reflux without experiencing actual spitting up? Thanks

A: My son did the same thing. He was constantly swallowing, and you could actually hear the food coming up, and then him swallowing. He was about the same age when they finally gave him some Zantac. He never actually spit up though. But I knew it was acid reflux. After giving him the medicine, he was so much better. Try sitting her in a bouncy seat, or car seat, something that is inclined,

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A: tums

Q: Does acid reflux in infants just develop randomly?
If my baby has it, then why it is just showing up all of a sudden? What are the symptoms?
My is 3 months old and he just started vomiting once a day or so. It started when he went to daycare.

A: My son had reflux that started around 3 to 4 weeks old.
This also produced endless crying and the only thing that would stop that would be more food which would cause more vomiting.
The Dr. put him on liquid antacids and a pain reliever since this was very painfull to the little guy.
Many of my friends called this colic and said it would be gone in 3 months. Well after 3 months nothing changed.
The Dr. told me it would stop around the time he sat up since this was a valve problem not closing properly.
I honestly did not believe him at this point since I was out of my mind from all this crying. I got used to the vomit but the endless crying was hard to live with.
Well low and behold a week or so after he learned to sit up on his own the vomiting and crying slowing was stopping.
My one girlfriend who is a nurse used to move his legs as if he was on a bicycle and rubbed his belly which stopped the crying.
I also tried with some success adding some baby rice to his bottle to try and hold the food down.
Good Luck and remember this will not effect his life later on and it will end around 5 to 6 months old when his muscles mature.

Q: What specific tests are done for acid reflux in a 4 week old baby?
What specific symptoms would indicate that a 4 week old infant might have acid reflux? I’m asking because I have been going back and forth with pediatrician. She had the baby switch to lactose free and soy-based formulas and baby is still in pain. She will curl up and whine with this sad little voice and I know she is in pain. I called the Pedi’s emergecy # and she is calling a perscription in for Baby Zantac for her tonight.

Wouldn’t they have to perform certain tests to determine acid reflux? Or is this a common thing that is perscribed to babies. Sorry, I am a new mother and I’ve never been thru this before. Thank you

A: There isn’t really a good test for diagnosis reflux. Doctors are usually pretty comfortable diagnosing it based on symptoms. Common symtoms are :

Crying or fussing during or after feeds
excessive spitting up
” wet sounding” burps
chronic cough

Zantac is very safe and very effective in treating reflux. It does take a few days to work though, so I would leave her on it for at least ten days.The good new is that babies generally out grow reflux with in the first few months, once their epiglottis has a chance to mature and fully seal off the esophogus, preventing stomach acid from refluxing up.

Good luck!

Q: Chiari Malformation symptoms in infant disappear than reappear?
When my son was only a few months old he would have these “gagging” fits. We would feed him and he could not keep it down. We made several Er visits and spec visits at our local childrens hospital but they all thought we were crazy. One nurse even told my husband and me that we were giving him his bottle wrong. Anyway this went on for months. He also had torticolus, weak to no cry, several ear infections that led to tubes and mulitple other problems. Around 10-12 months he was diagnosed with silent acid reflux. To this day I have never heard of anyone dx with this. Fast forward 4 years and he has had a mRi bc of a lump on his spine. During the MRI they found CM, but said it was minor. He has had gastro problems and has qualified for state preschool bc of his voice quality plus we take him to an outside pathologist. He has an appt next month but my ? is can Cm symptoms lessen with time and then reapper later. He still c/o something catching when he drinks but seems OK

A: Often symptoms appear in adolescence. See-
“Many people with the Chiari I Malformation experience no symptoms. When symptoms are present, they usually do not appear until adolescence or early adulthood, but can occasionally be seen in young children. ” Your son probably exhibited some mild symptoms earlier, or as dx by the doctors, he had some other problem.
All the best for your son!

Q: Has anyone’s baby had any problems with dha/ara in the infant formula?
Hi, I was wondering if anyone has had any problems with the dha/ara in infant formula. My child has been having digestive issues since about 2-3 weeks old. She was breastfed in the beginning, but my milk never came in fully despite my desperate efforts So, we started her on formula. She has been having gas, gas pains, screaming, etc with just about every feed. She is pretty much miserable after just about every feed. We have been to two different doctors multiple times. She was diagnosed with acid reflux – we have tried two different meds – we currently have her on prevacid, but haven’t really noticed a huge help. We have tried her on just about every formula made I think – regular milk based, lacto-free, sensitive, gentle ease, soy, alimentum, and nutramigen – all with the same results (and we are giving her time on each formula). She will do good for a few days, then all the symptoms always return. Then the Dr. said she is having gastric spasms and gave us Levsin drops. They don’t seem to help that much though and I don’t really like the thought of having to medicate my child just to feed her. The Dr. said that she doesn’t think the baby is allergic to milk or soy because the hypoallergenic formulas would have worked on her, and she doesn’t think that it is any malabsorption problems because she is gaining weight good. The other Dr. we saw said that he thinks that it might be something (a particular ingredient) in the formula that she has problems with. Out of ALL the formulas we have tried, the common ingredient is that they ALL have dha/ara. I am wondering if anyone has any input on these ingredients – I know they are supposed to be good for development, but I have heard of infants unable to tolerate them. We have an appt to see a GI specialist but the first available appt wasn’t until May 20th, so in the meantime I’m just trying to get opinons on whether or not I should try the non dha/ara formula? Please help!!!!!
The Dr. has told us to switch the formulas – we didn’t start switching formulas until after all the digestive symptoms appeared.

A: This woman seemed to have the same issue as you!

http://community.babycenter.com/talk/a2232895/dha_sensitivity

I do know DHA is derived from fish oil. So if your baby is somehow allergic to fish or fish oil, this could be causing the problem.

Q: New mom and dad question about reflux?
Our 4 week old son was diagnosed with reflux on his second day of life and that pediatrician switched his formula from Similac Advance to Isomil Advance. 4 weeks later and no improvement with his symptoms, although he has good days and bad days, a friend of mine suggested using Dr. Brown’s bottles. He’s been on them for 2 days and they have helped a bit by reducing gas, but the pain from the acid still persists, which i’ve found he’s been swallowing so he’s doing double the damage to his esophagus.

After 4 weeks of countless sleepless nights, we took the little man to the pediatrician’s office and his affiliate saw him today and prescribed zantac twice a day. I was against using medication without exploring other options, but the doctor made me feel very comfortable with using it and I just want my son’s pain to end and end for good.

With all of that being explained, my question is for parents who have used zantac to treat their infants’ reflux, how fast did you see improvement? His doc said the medicine could take up to a week to work, so I’m wondering is there anything else my fiance and I can do to relieve his pain other than keeping him upright while feeding and for 30 minutes after? This sometimes works and sometimes doesn’t. Anything anyone can share would be greatly appreciated!

Also, at his next appointment on Friday, should I ask his pediatrician if seeing a GI specialist is needed? I’m concerned about the condition of his esophagus.

A: I’m so sorry to hear this. My daughter had reflux also, which was aggravated by a dairy allergy. I was breastfeeding so I had to cut out all dairy from my diet – a huge headache!

You have made the right decision to treat your baby. So much pain, for so little reason! If you can stop the tremendous pain, you should.

Our daughter was on Zantac and it didn’t work at all. So they gave her soluable Prevacid tablets. I would put just 2-3 drops of water on the tablet and it would dissolve into a paste. I would then put the paste into her mouth and she would take it just fine.

It made an enormous difference. When we would forget it, within a few days, she would start screaming whenever she would lie down. And we’d be like, OH NO, REFLUX!

The good news is that she outgrew it around 9 months, and we haven’t had to use it since (she’s now 21 months).

I would highly recommend this website:

http://www.infantreflux.org/

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