GERD (Gastro Esophageal Reflux Disorder) refers to having pain with the reflux which may require treatment. All infants have some form of non-painful reflux (GER) due to the under developed lower esophageal sphincter (LES) muscle allowing gastric contents to easily pass back into the esophagus. The LES tightens between 6 to 12 months of age, thus preventing reflux from then on.
Infant reflux tips to get the best sleep
Esophageal Reflux Disorder), your doctor will probably suggest
thickening baby's milk for a
while and/or taking anti-acid medication (such as ranitidine, omeprazole (Prilosec), and lansoprazole (Prevacid)).
Whether your child has GERD, or the less serious GER (Gastro
Esophageal Reflux), you can do the
following to help her feel better and sleep more
upright and burping
: After feeding, always hold your baby upright for at least 20-30
minutes. Pat her back and/or put her high on your shoulder to help with
: Every 3-5 minutes or so, pause the feeding and
hold baby upright.
Burping also reduces the amount of air/gas in the stomach that is swallowed during feeding. This extra gas would act in a way to
more milk back into the esophagus, causing more reflux.
: Have your infant sit/lie as much upright as
possible during feeding.
: Having to deal with less food at a time helps
reduce the infant acid reflux effects.
breastfed babies have less chance to develop a serious form of reflux.
That's because breast milk is lighter and digested much faster. And, the
sooner the food leaves the stomach, the less chance it has to go back in the wrong direction.
Being held close to you during feeding also helps with soothing and relaxing.
out different breastfeeding positions: lying down, sitting up are rugby
position are good sitting-down options. Or try walking around. Whichever way helps baby
feel more comfortable.
if your baby has difficulties feeding (is restless, cannot
'cope' with the milk flow, coughs, gags, etc.).
Carrying your infant upright after feeding becomes so much easier
(hands-free) and is very (!) efficient at helping your baby soothe. A
good sling will also allow a breastfeeding position. See more on
though finding the right diet for acid reflux in babies is often
trial-and-error, some foods do trigger or make
acid reflux worse so it is worth trying to eliminate those. Keeping a
log will help you discover food-reflux connections.
When breastfeeding: mind your own food and experiment
out dairy products and
limit of foods known to cause gassiness if consumed by mom: broccoli, cabbage, cauliflower and (excessive) garlic. Infant abdominal distention from intestinal gas causes more pressure against the stomach and makes reflux worse. Also limit fizzy drinks.
When formula feeding: consult your doctor or pharmacist
to see if
you can try out different formulas and note how your little one reacts.
When baby is on solids: avoid the allergens as above.
Sadly, sometimes none of these tips will make a big difference in preventing
the infant reflux symptoms at all. Then, it
is all about keeping your baby as comfortable as possible (like with
carrying in a sling).
it's worth trying different things (always give one idea
before deciding if it works or not - unless it's causing horribly bad side effects of course!) - you may find just the thing that works for you.
Heidi Holvoet, PhD, is the founder of the Baby Sleep Advice website and movement, an award-winning author, baby & toddler sleep consultant with 15+ years experience as well as a certified lactation counselor.
Over the years, Heidi has received several awards inluding a Mom's Choice Award (MCA) and National Parenting Awards (NAPPA) for her Baby Sleep Advice website, programs and books. Also, Baby Sleep Advice was awarded "Most Trusted Infant's Sleep Solutions Company 2023" in the Benelux Enterprise Awards 2023.
Heidi continually conducts personal research and participates in continued education and in that way stays up to date with current scientific and pyschosocial infant care.
She is also a member of the Association of Professional Sleep Consultants of which she was one of the earliest contributors. She obtained her PhD degree in physics at the University of Ghent in Belgium.
Heidi is passionate about helping babies and their parents sleep more and better, with her trademark approach that has been proven and praised time and again by parents worldwide to be effective and truly no-tears. Respect for you as a parent and your baby, is at the heart of Heidi's warm and kind support. Her approach always keeps in mind a baby's needs and abilities at any given age, is based on pediatric science and the most up to date knowledge in infant care and sleep science.