Overall, the review papers suggest that probiotics are beneficial. One of the ones that I’ve recommended before on the show is Ther-Biotic Infant, which is Bifidobacterium infantis. It’s a probiotic that’s appropriate for kids under two years of age. Another probiotic that’s been studied quite a bit in infants is called Lactobacillus reuteri, R-E-U-T-E-R-I.
But in the case of reflux and most cases of mild-moderate GERD in infants, they aren’t going to help and will only expose the child to the potential side effects. There are times when they are appropriate, however, such as when endoscopy findings reveal significant inflammation or when there are anatomical/medical conditions that increase the likelihood of GERD. When symptoms are severe and don’t respond to conservative measures, a trial is also reasonable.
That’s where to start. Fortunately, babies and young kids in general tend to respond really well to dietary interventions and probiotics and prebiotics. They haven’t had as many years to become damaged as we have as adults. They’re easy to work with in a certain way, because they respond so quickly.
Diagnosis of gastroesophageal reflux is made by taking a medical history and physical exam. Testing is not usually needed. Some of the following tests may be done if your child doesn’t respond to treatment or if your doctor or nurse practitioner is concerned that something else may be going on. Gastroesophageal reflux can cause heartburn (esophagitis, inflammation of the esophagus) which may make the baby fussy. However, not all irritability or fussiness in babies with reflux is cause by reflux, and treatment may not improve it.
A medical review is useful to help look for any other causes prior to making a diagnosis of reflux. The most common symptom of reflux is a small spill of milk after a feed. Sometimes when the milk mixes with stomach acid then washes back up the oesophagus, the resulting regurgitation causes pain. Reflux isn’t necessarily a bad thing for babies.
Suggested management plan for irritable, crying infants
- Here’s how to help baby in the meantime.
- Learn about treatments, prevention methods, and other causes of chronic coughing.
- Lots of parents go through this stage, as it affects half of all babies.
There’s even a paper in the scientific literature-I nearly spit on my coffee when I came across it-that was called Evidence That Proton Pump Inhibitor Therapy Induces the Symptoms It Is Used to Treat. I mean, that’s a paper you don’t even need to read, really, right?
Are There Any Special Herbs or Supplements for Reflux in Babies?
If you notice your baby is not gaining weight or is vomiting green or yellow, take them to the pediatrician. For more tips from our Medical co-author, including how to use natural remedies to treat your newborn’s acid reflux, scroll down. Hi my baby is just 3months and she is exhibiting almost all the symptoms of acid reflux and colic,am on gripe water but it doesn’t seem to help much and now she isn’t feeding well on both breast milk and formula making her lose weight.
Any parent whose newborn has suffered from reflux knows the helplessness of trying to comfort an infant who hurts after each feeding. Babies with reflux may be irritable, spit up or refuse to eat. They arch their bodies during or after feedings, or cry when placed on their backs, especially if they just ate. But sometimes the most obvious symptoms don’t show up-this is known as “silent reflux.” Regular reflux occurs when food and digestive acid leaks up from the stomach, causing painful irritation in the esophagus. But silent reflux in babies might not spit up at all, swallowing the regurgitated liquid instead.