Reflux is the abbreviated term for gastroesophageal reflux disease, or GERD. The American Academy of Pediatrics defines reflux as a weakness of the lower portion of the esophagus, which allows stomach contents to enter and burn the lining. In babies, this pain often manifests itself as colic. Babies who suffer from reflux arch their backs, scream and vomit after feedings. Respiratory infection may also be present. The AAP advises parents to contact their pediatrician immediately if they suspect reflux, as occasionally it may be mistaken for a serious condition called pyloric stenosis, which can only be corrected by surgery. Reflux can be treated, and babies usually outgrow it once their digestive systems mature.
Forceful Let-down or Oversupply
Breastfeeding resource Kellymom.com advises parents that reflux may sometimes result from a forceful milk ejection reflex or oversupply in breast-feeding mothers. Nursing in the side-lying position allows excess milk to dribble out of baby's mouth. More frequent but shorter feedings may also help, offering only one breast at each feeding. Mothers can also put their babies on the breast after let-down occurs, when the flow has slowed.
Cold compresses can help with oversupply, as can an avoidance of any extra breast stimulation between feedings. A lactation consultant should oversee the use of herbs or cabbage leaves, both of which can reduce supply. Kellymom.com reminds mothers that milk supply usually stabilizes around 12 weeks postpartum.
Diet
Breast milk is of utmost importance to reflux babies. Infant formula is often dairy- or soy-based, making it potentially allergenic. Author and pediatrician Dr. Jay Gordon advises mothers of reflux babies to remove dairy from their diets. If symptoms still do not improve, mothers could try removing citrus, peanuts, eggs, soy and wheat from their diets. Kellymom.com advises mothers to also remove any caffeine from their diets and tobacco from their environments. Often a mother's diet modification can have profound effects on her baby's reflux.
Position
Babies are horizontal much of the time, which aggravates reflux symptoms. Parents can "wear" their babies in an upright position in a sling or carrier. This not only makes it difficult for acid to back up into the esophagus, but the added closeness also comforts the baby. Parents should also make sure they hold their babies upright for 20 to 30 minutes after each feeding. While the American Academy of Pediatrics recommends all infants sleep on their backs to prevent SIDS, pediatrician and author Dr. William Sears argues that it may be more safe for reflux babies to sleep at a slightly elevated angle on their left sides. This makes it more difficult for the stomach contents to be regurgitated.
