- Infant reflux is defined as passage of stomach contents to the esophagus with or without reaching the mouth.
- Regurgitation or lunged in Tagalog, is when the milk already reaches the mouth. To some it becomes more worrisome when it comes out of the nose.
- Infant reflux is common with infants having one episode a day1
- More infants experience regurgitation at 4 months of age where almost half of the babies regurgitate during most feedings and 2/3 at least once a day. This gradually declines up to 12 months of age but may persists up to 2 years of age.1
- Infant reflux is normal but if the following troublesome symptoms2 appear, then it becomes a disease:
- When the mother or caretaker cannot stop the baby from crying (irritability)
- Incessant crying, or continuous crying
- Frequent regurgitation
- Back arching
- Infant reflux is caused by the underdeveloped or immature muscle that prevents the stomach contents from going back to the esophagus.
- Other reasons why infants have reflux include:1,3,4,5
- Liquid diet of the baby (milk)
- Always lying down
- Short esophagus
- Reflux in babies causes pain to the babies
- Symptoms of reflux in babies affect the babies' quality of life6,7
- Symptoms of reflux in babies also affect the mother& and care takers' quality of life
- Symptoms of reflux in babies can affect the mothers' health and social life7
- Some parents feel rejected by their babies and this will lead to feelings of failure7 as a parent because of their inability to comfort their babies
- There is now an anti-reflux medicine for babies that is safe, effective to help babies suffering from infant reflux
- This is anti-reflux medicine for infants can be given to breastfed or bottle-fed babies without the need to change your preferred way of feeding.8
- For symptoms of infant reflux and how to manage them appropriately, please consult your pediatrician.
1. Baird DC, et al. Diagnosis and treatment of gastroesophageal reflux in infants and children. Am Fam Physician. 2015;92(8):705-714.
2. Kim J, et al. Simultaneous development of the Pediatric GERD Caregiver Impact Questionnaire (PGCIQ) in American English and American Spanish. Health Qual Life Outcomes. 2005;14:35.
3. Oman TI, et al. Mechanisms of gastro-oesophageal reflux in preterm and term infants with reflux disease. Gut. 200451:475-479.
4. Newell SJ, et al. Maturation of the lower oesophageal sphincter in the wets= baby. Gut. 1988;29:167-172.
5. National Institute for Health and Care Excellence. Colc - infantile. Clinical Knowledge Summary, June 2017. Available at.httoviteks nice orn ukfrntir-i0fantae
6. Czinn SJ, Blanchard S. Gastroesophageal reflux disease in neonates and infants when and how to treat. Pediatr Drugs. 2013;1539-27.
7. Kim J, et al. Simultaneous development of the Pediatric GERD Caregiver Impact Questionnaire (PGCIQ) in American English and American Spanish. Health Qual Life Outcomes. 2005;14:35.
8. Gaviscon Infant SPC.