Feed your baby in an upright position. Also hold your baby in a sitting position for 30 minutes after feeding, if possible.
I would ask him/her. AFTER reflux pain is well controlled.
If the child’s medical practitioner determines that the stomach sleeping position is necessary because of a rare medical condition or other concern, the medical practitioner should advise the parents in writing. The medical practitioner should also provide information about the child care practices that reduce the risk of sudden infant death. While props in the shape of a wedge may provide an aid during feeding, and tummy time while the baby is under supervision, they should never be used during sleep or when baby is awake and not being watched by an adult. Australian doctors examined 24 babies who were so irritable they had to be hospitalized (all under 3 months of age). Each was checked for acid reflux, but only one had it.
The differences between the two conditions are marked by the severity and by the lasting effects. Aside from not gaining enough weight, being fussy after most feedings and having forceful spit-up episodes, babies with GERD have a lot of trouble sleeping. That’s because the safest sleep position-lying on their back-can cause painful stomach acid to enter baby’s throat and mouth. But since back is still best, even for GER and GERD babies, you’ll need to find other ways to minimize their discomfort while sleeping.
Change position while feeding. Lie down or lay back and have baby on your chest so baby has to “work harder” to get the milk and gravity isn’t helping the milk come out at a faster than necessary rate.
Gradually reduce your soothing as he learns to do it himself. If his crying ramps up quickly then pick him up and hold him to sleep and try again another day- especially if his reflux is newly under control and you are still concerned. I would rather you wait until you are confident that your baby is not in pain before you start sleep coaching- no matter how gentle the method. As with a colicky baby, reading reflux babies’ sleep cues can be difficult.
Some healthcare providers prefer to wait for symptoms to subside or improve, while others prefer to start medication sooner rather than later. Either way, you will want to plan a course of action with your healthcare provider before you start to work on improving sleep. Getting an infant to sleep can be tricky for anyone, but acid reflux may add yet another challenge. Talk to your pediatrician about how acid reflux may be affecting your baby’s sleep and how you can help your baby sleep better. Your doctor can suggest tips and tricks that will help your baby feel more comfortable.
- Fifty percent of babies got better on the medicine…but 50% got better on the placebo, too.
- Anthony Porto, MD, MPH, FAAP is a board certified pediatrician and board certified pediatric gastroenterologist.
- Other symptoms of GER include mild feeding problems, such as occasional prolonged feeds or interrupted feeds.
Gravity can help stomach contents stay where they belong. Be careful not to jostle or jiggle your baby while the food is settling. Rarely, the lower esophageal sphincter is surgically tightened to prevent acid from flowing back into the esophagus. This procedure (fundoplication) is usually done only when reflux is severe enough to prevent growth or to interfere with your baby’s breathing. Your doctor will start with a physical exam and questions about your baby’s symptoms.
Nichols, Hannah. “What’s to know about acid reflux in infants?.” Medical News Today. MediLexicon, Intl., 3 Feb. 2017. Web. Cases of infant GERD can be relieved through diet and lifestyle changes under the guidance of the child’s doctor.
As your baby grows, the muscles that control the valve will strengthen, his food pipe will get longer and his stomach will get bigger. He is likely to grow out of reflux before the end of his first year (Davies et al 2015, NHS 2016a, NICE 2015a) .
When baby lies down, food is more likely to travel back up the throat, so aim to make your feeds at least 30 minutes before sleep time. Ever had heartburn? Well you’ll have a good idea of how reflux feels. And add to that the fact that babies are not able to get up in the night to pace the floor, take an antacid and curse the curry they ate the night before.
Once the reflux is under control, a baby without poor sleep habits will learn to sleep easier. Sometimes your pediatrician may recommend medications that neutralize or decrease the acid in your child’s stomach to treat symptoms associated with GERD. The AAP believes it is important for all pediatric health care providers to be able to properly identify and treat children with reflux symptoms, and to distinguish GER from more worrisome disorders to avoid unnecessary costs and treatments.
Some physicians may recommend elevating the head of your baby’s crib so that she is sleeping on an incline in order to allow gravity to help keep her stomach contents where they belong. While studies have not looked specifically at babies sleeping at an incline in their cribs, studies of babies sleeping at an incline in a car seat find that this practice is associated with an increased risk of SIDS. It is very important to talk with your infant’s doctor before undertaking any changes in sleeping positions.