Acid reflux occurs frequently in infants because the lower esophageal sphincter, or muscle that surrounds the bottom of the esophagus, is immature. When this muscle doesn't contract on its own, it is very easy for stomach contents to flow back into the esophagus, causing the baby to spit up. Kellymom.com explains that half of all babies up to 3 months of age spit up at least once a day. Babies who gain weight and don't exhibit symptoms such as fussiness, coughing or refusing to eat are called happy spitters and require no treatment. Babies who do have these symptoms may require evaluation and treatment.
Step 1
Feed your baby more often so she will receive smaller meals that are easier to digest. Infrequent feedings tend to be larger, providing the opportunity for the breast milk or formula to re-enter the esophagus. If you normally feed every four hours, try every three, or nurse on cue when the baby seems hungry. Discuss the situation with your doctor and work out a feeding schedule.
Step 2
Stop feeding and take breaks frequently while feeding to burp your baby. Eliminating air bubbles in the stomach will help decrease spitting up. Take a break about every five minutes.
Step 3
Feed your baby in an upright or angled position. Avoid feeding him while he is lying flat on his back. Gravity can help the milk stay in his stomach if he is upright. Placing a wedge under the crib mattress to allow him to sleep on an incline can also help decrease reflux.
Step 4
Latch the baby onto the breast properly if breastfeeding, ensuring the baby has a wide mouth and allowing the baby to take in as much of the areola as possible. The nipple should be above the baby's tongue and you should not feel pain as the baby feeds. A good latch will decrease air intake and eliminate frustration from the baby popping off, which can increase reflux due to agitation.
Step 5
Wear your baby in a sling or wrap to maintain an upright position. Many babies also find this position soothing and will sleep peacefully. The position is beneficial in reducing reflux symptoms due to gravitational pull.
Step 6
Handle your baby gently and avoid fast or sudden movements that can cause regurgitation.
Step 7
Consult with your pediatrician if altering your feeding technique and other methods do not decrease reflux symptoms. Pediatricians can do further testing and prescribe medication to help alleviate reflux until the baby grows out of it at 12 to 18 months.
