Reflux In Babies & Children

Key points about reflux

• the medical name for reflux is gastro-oesophageal reflux
• reflux is when your baby's stomach contents are released back up towards their mouth
• it's very common and doesn't usually hurt pēpi
• reflux mostly gets better by itself with time - most often by the time your baby is 1 year old
• reflux does not usually need any investigation or treatment
• see your health professional or Well Child nurse if you are worried

What is reflux?

Reflux is when your baby's stomach contents are released back into their food canal and mouth. The food canal is called the oesophagus. It is a long tube of muscle that runs from the mouth to the stomach.

The medical name for reflux is gastro-oesophageal reflux, or 'GOR'.

Reflux is very common and happens in around half of all pēpi (babies).

Reflux does not usually need any special tests or treatment.

Why some babies have reflux

Milk in the stomach is more likely to be released back up towards a baby's mouth because: 

• the muscles (sphincter) between a baby's stomach and oesophagus are less well developed
• young pēpi only drink milk - it's easier for milk to reflux than solid food
• pēpi spend more time lying down 

Signs and symptoms of reflux

Pēpi often bring up milk during or shortly after feeding. This is sometimes called spilling or reflux and is different to vomiting. Reflux is effortless. Vomiting is forceful.

You might hear your baby burp, belch or swallow hard. Most reflux is swallowed back into the stomach but sometimes it comes all the way back up into your baby's mouth. Parents are usually more aware of the reflux when the milk comes all the way up to the mouth, especially after feeds. It does not usually harm your baby and is unlikely to cause problems later on in life.

How long reflux lasts

Although it can be very distressing to parents, pēpi do reflux and bring up feeds more than older children, and it usually gets better by itself.

Reflux usually begins before pēpi are 8 weeks old and may get worse until they are around 4 months of age. Most pēpi get better before they are 1 year old. This probably happens because pēpi are spending more time sitting and standing by this age. They are also eating more solid foods.

A small number of pēpi continue to have symptoms after the toddler period.

Things you can try to help your baby's reflux

Reflux can be upsetting for parents.

It is natural to be worried that something is wrong.

There are a number of simple steps you can take which may help your baby:

• take your time with feeds and try to stay calm and relaxed
• burp your baby regularly throughout feeding
• don't force them to take more milk than they want - some pēpi like to feed small amounts often
• if you're bottle feeding, check that the hole in your baby's teat is not too big - giving milk too quickly can make reflux worse
• hold your baby upright for a short time after feeding

Remember, if your baby brings up a lot of milk, they may be hungry again quite quickly. If that happens, you might need to feed them again sooner than usual.

Is there anything else I should do about reflux?

For most pēpi, you don't have to do anything about reflux. It is a natural process which will get better by itself.

Changing formulas won't help the reflux and neither will changing from breastfeeding to bottle feeding.

When to get medical help for your baby

See your health professional or Well Child nurse urgently if:

• you are worried
• the reflux becomes forceful
• the reflux is green or dark yellow
• you see blood in the reflux
• there are any changes in your baby you are not sure about
• the reflux carries on after your baby turns one

Can reflux cause any other problems?

Reflux won't normally cause other problems.

In a very small number of pēpi, reflux can lead to problems. In this case, your baby might have gastro-oesophageal reflux disease (GORD).

A baby with GORD may have:

• long or frequent periods of irritability and crying
• blood visible in the reflux
• back arching after feeds
• poor sleeping
• poor weight gain
• long-lasting cough or wheezy breathing

If you are worried about any of these signs see a health professional. They will discuss with you whether your baby needs any tests or treatments.

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