Preventing Infant Reflux

Many babies have spitting up problems that don't require treatment. Referred to as "happy spitters," their symptoms usually disappear after six to eight months. For some infants, however, their symptoms are a sign of something more serious, and they need medical attention.

The tips below can help reduce your baby's reflux. You should consult your baby's doctor before making any major changes in your infant's feedings, positions, etc. The doctor will be able to tell you if the reflux is normal spitting up, or a chronic problem that needs medical treatment, and give you advice on the best treatment for your baby.

Hold Baby Upright

Keep infants upright during feedings, and for at least 30 minutes after feedings. This will decrease the amount of gastric reflux.

Lay Baby Down When Awake

If you lay your baby down after feeding, place the baby on his stomach (prone position) on an incline of at least 30 degrees.

This can reduce regurgitation. But only place the infant in this position if he is awake. Also, this is not recommended during sleep for infants from birth to 12 months because of the link between this position and sudden infant death syndrome. Based on guidelines set forth by the American Academy of Pediatrics, positioning the infant on his/her back (supine position) during sleep is generally recommended.

In infants with GERD, the risk of SIDS generally outweighs the potential benefits of prone sleeping. Prone positioning during sleep is only considered in unusual cases where the risk of death from complications of GERD outweighs the potential increased risk of SIDS. It is very important to discuss this with your infant's doctor before undertaking any changes in sleeping positions.

Nighttime Sleep Position

As noted above, position your infant on his back, and elevate the head of the bed 30 degrees. Gravity will help keep stomach contents where they belong.

Try Smaller, More Frequent Feedings

Feedings every two to three hours when the infant is awake will reduce the occurrence of gastric reflux. Overfeeding can increase abdominal pressure, which can lead to gastric reflux.

Rice Cereal May Help

This can reduce the amount an infant will regurgitate. Start with one teaspoon of rice cereal to each ounce of formula. If the baby is breast-feed, try pumping and then adding rice cereal to the breast milk.

Diet Modifications for Mothers who Breastfeed

Certain foods -- such as caffeine, chocolate, and garlic -- can promote reflux, so if you breastfeed your infant, you should consider cutting these foods out of your diet.

Infant Seats and Car Seats

The way the infant is positioned in the car seat can cause regurgitation to increase. If the infant slouches over, it causes abdominal compression, increasing the risk of reflux. Using simple supports to keep the infant upright will prevent this.

Burping the Infant

Burping your infant several times during the feeding will help minimize gastric pressure, and the reflux it can cause. Waiting to burp your infant until after she has a full stomach can increase the chances of regurgitation.

Other Things You Can Do

Avoid tight elastic around your baby's waist, and keep diapers loose. Also, don't give your infant caffeinated beverages, orange juice or other citrus juices.

If none of the above methods work, there are a number of medications that often help. Keep in contact with your doctor as you make any of these lifestyle changes. Your doctor will advice you as to the next steps to take. ——————

_{Sources:
"Gastroesophageal Reflux in Infants." NIH Publication No. 06–5419 August 2006. National Digestive Diseases Information Clearinghouse (NDDIC). 28 Dec 2006 .
Marsha Kay, M.D., Vasundhara Tolia, M.D.. "COMMON GASTROINTESTINAL PROBLEMS IN PEDIATRIC PATIENTS." The American College of Gastroenterology. 28 Dec 2006 .}

acid flux diet

Gastroesophageal Reflux Disease Diet

Purpose
The esophagus is the tube that carries food from the throat to the stomach. However, it is not just a simple tube. The lower esophagus has a specialized muscle around it that usually stays tightly closed, opening only to allow food and liquid into the stomach. It acts to prevent the reflux of stomach acid into the esophagus.

Symptoms occur when this specialized muscle weakens and allows stomach acid to splash up into the esophagus. These symptoms include heartburn, chest discomfort, and bitter fluid flowing up into the mouth. Chest discomfort can occur. If the stomach juice trickles into the breathing tubes, hoarseness, cough, and even shortness of breath can occur. This entire problem is called GERD (Gastroesophageal Reflux Disease). A number of factors, including certain foods, may cause the lower esophageal muscle to relax, causing GERD.

Nutrition Facts
A diet designed to prevent or reduce acid reflux is usually easy to follow. The basic food groups of cereals, vegetables, fruits, dairy products, and meats can be eaten with only a few limitations. So, this diet generally meets the Recommended Dietary Allowances (RDA) of the National Research Council. A vitamin C supplement may be needed if an individual does not tolerate citrus foods such as orange, tomato, etc.

Special Considerations

The lower esophageal muscle can be weakened by factors other than food. The following recommendations may be helpful in reducing symptoms: Stop using tobacco in all forms. Nicotine weakens the lower esophageal muscle. Avoid chewing gum and hard candy. They increase the amount of swallowed air which, in turn, leads to belching and reflux. Do not lie down immediately after eating. Avoid late evening snacks. Avoid tight clothing and bending over after eating. Eat small, frequent portions of food and snack if needed. Lose weight if overweight. Obesity leads to increased reflux. Elevate the head of the bed six to eight inches to prevent reflux when sleeping. Extra pillows, by themselves, are not very helpful. The following foods aggravate acid reflux, and should be avoided: fatty or fried foods peppermint and spearmint whole milk oils chocolate creamed foods or soups most fast foods The following foods irritate an inflamed lower esophagus and may need to be limited or avoided: citrus fruits and juices (grapefruit, orange, pineapple, tomato) coffee (regular and decaffeinated) caffeinated soft drinks tea other caffeinated beverages Spicy or acidic foods may not be tolerated by some individuals.

Food Groups
Group	Recommend	Avoid
Milk or milk products	skim, 1% or 2% low-fat milk; low-fat or fat-free yogurt	whole milk (4%), chocolate milk
Vegetables	all other vegetables	fried or creamy style vegetables*, tomatoes
Fruits	apples, berries, melons, bananas, peaches, pears	citrus*: such as oranges, grapefruit, pineapple
Breads & grains	all those made with low-fat content	any prepared with whole milk or high-fat
Meat, meat substitutes	low-fat meat, chicken, fish, turkey	cold cuts, sausage, bacon, fatty meat, chicken fat/skin
Fat, oils	none or small amounts	all animal or vegetable oils
Sweets & desserts	all itmes made with no or low fat (less than or equal to 3 g fat/serving)	chocolate, desserts made with oils and/or fats
Beverages	decaffeinated, non-mint herbal tea; juices (except citrus); water	alcohol, coffee (regular or decaffeinated), carbonated beverages, tea, mint tea
Soups	fat-free or low-fat based	chicken, beef, milk, or cream-based soups
*Individually determined