How Do You Know if a Baby Has Heartburn
Recognizing Acid Reflux/GERD in Infants
Medically reviewed by Karen Gill, Thousand.D. — Written by Tayla Holman on July 2, 2017
Understanding acid reflux
Acrid reflux happens when the contents of the stomach back upwardly into the esophagus.
The esophagus is the tube that carries food from the throat to the stomach. At the bottom of the esophagus — where it joins the stomach — is a ring of muscle that normally opens when you swallow. This band of musculus is known as the lower esophageal sphincter (LES).
When the LES doesn't close completely, stomach contents and digestive juices can come back up into the esophagus.
Acid reflux'due south effect on infants
Infants are more prone to acid reflux considering their LES may be weak or underdeveloped. In fact, information technology's estimated that more than half of all infants experience acid reflux to some caste.
The condition usually peaks at age 4 months and goes away on its own betwixt 12 and 18 months of age.
Information technology's rare for an babe's symptoms to keep by 24 months. If they persist, it may be a sign of gastroesophageal reflux disease (GERD), which is a more than severe condition. While they may vary, the ten almost common signs of acid reflux or GERD in infants include:
- spitting up and airsickness
- refusal to eat and difficulty eating or swallowing
- irritability during feeding
- wet burps or hiccups
- failure to gain weight
- aberrant arching
- frequent coughing or recurrent pneumonia
- gagging or choking
- breast pain or heartburn
- disturbed sleep
1. Spitting upward and vomiting
Spitting up is normal for infants. However, forceful spit-up may be a symptom of GERD. This is especially truthful if your infant is older than 12 months and all the same spitting up forcefully after meals.
Spitting upwardly blood, greenish or yellow fluid, or a substance that looks like java grounds may besides signify GERD or other more serious disorders.
Spitting upwardly is normally painless. Your baby should still appear happy and salubrious after spitting upward. Forceful spitting up or vomiting is more painful and will be followed past crying and fussing.
ii. Refusal to eat and difficulty eating or swallowing
Your infant may refuse to eat if they feel hurting during feeding. This hurting might be due to the irritation that occurs when the contents of the tum come back up into their esophagus.
iii. Irritability during feeding
Infants with GERD may also offset screaming and crying during feeding. The response is usually due to intestinal discomfort or esophageal irritation.
4. Moisture burps or hiccups
A wet burp or wet hiccup is when an infant spits upwards liquid when they burp or hiccup. This can exist a symptom of acid reflux or, less normally, GERD.
5. Failure to gain weight
Weight loss or failure to proceeds weight may occur as a event of excessive vomiting or poor feeding associated with acid reflux or GERD.
6. Abnormal arching
Infants may arch their body during or later feeding. It's idea that this may be due to a painful burning sensation caused by the buildup of tummy fluid in the esophagus.
Abnormal arching may be a neurologic problem on its own. However, it tin be a symptom of GERD if your baby also spits up or refuses to eat.
7. Frequent coughing or recurrent pneumonia
Your infant may cough frequently due to acrid or food coming up into the back of the throat. The regurgitated food can likewise exist inhaled into the lungs and windpipe, which may lead to chemical or bacterial pneumonia.
Other respiratory problems, such as asthma, tin can develop as a issue of GERD as well.
eight. Gagging or choking
Your baby may gag or choke when stomach contents menstruum back into their esophagus. The position of your baby's body during feeding tin make it worse.
Gravity helps keep the contents of the stomach downwards. It'due south all-time to keep your infant in an upright position for at least 30 minutes after feeding them to preclude food or milk from coming back up.
9. Chest pain or heartburn
Regurgitated breadbasket contents may irritate the esophageal lining and cause heartburn.
This is 1 of the nearly common signs of acid reflux in older children and adults, but it may be difficult to recognize in infants.
Last medically reviewed on July 3, 2017
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Source: https://www.healthline.com/health/gerd/recognize-gerd-infants
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