Reflux in babies

Infant reflux

Bringing up a little milk after a feed is very common in babies, but if it begins to happen on a regular basis, it could be a sign that your baby has reflux. Reflux occurs because the valve which stops food from coming back up is too weak in young babies, and it can mean your baby doesn’t keep enough food down to get adequate nutrition. Read more about how to tell if your baby has reflux, and how you can help to reduce it.

Infant reflux

Posseting – where your baby regurgitates a little milk after a feed – is quite common. But whilst some regurgitation is expected in babies, when regurgitation is excessive and occurs frequently with larger amounts of food being brought back up, it could be a sign that your baby has reflux. And although around half of younger babies experience reflux, after 10 months this number drops down to about one in twenty babies.

Remember that both posseting and reflux are different from actual vomiting; whereas vomiting involves forceful heaving, posseting requires no effort or force.

Baby reflux

What causes reflux?

The lower esophageal sphincter, or LES, is the muscle which acts like a valve to stop food from coming back up our oesophagus from our stomach. Babies are born with a weak LES, so are less able to keep their food down than older infants or adults. During the first year of a baby’s life, this valve mechanism will gradually become stronger as they develop, thus decreasing the occurrence of reflux.

What to do if your baby has reflux

Babies with reflux may regurgitate milk after feeding and experience minor discomfort in their oesophagus which can make them cough a little. As long as your baby is otherwise well and healthy, reflux is rarely problematic. Keeping a cloth or tissue handy to catch their milk ‘possets’ can make feeding that little bit less messy.

Feeding your baby in an upright position, not laying them down straight after feeds and trying smaller but more frequent feeds can also help to minimise episodes of reflux.

However, speak to your midwife or health visitor if:

  • the reflux is happening regularly, particularly more than five times a day
  • your baby cries excessively after feeding
  • they are vomiting regularly
  • are coughing on a regular basis
  • they’re not quite themselves and don’t seem to be thriving

If you’d like to ask a question about your baby’s feeding habits, why not ask our team? They’re available anytime on 0800 996 1000, or online via Live Chat, Monday to Friday, 8am - 8pm.

15 comments

antika said...

So, which baby milk product could fit to those babies?

6 August 2010 20:33
binalp said...

My daughter who is 3 months has reflux and i found that Aptamil Comfort works for her. She seems to keep the milk down more.

20 August 2010 11:40
antika said...

we already tried this, but it wasn't helpful. My baby was angry, he didn't like comfort milk.

20 August 2010 12:10
dizzydora said...

i tried all milks and non suited my baby always brought the whole feed up afyter every bottle, So much so he kept losing weight and we ended up in hospital where they discovered he had cows milk allergy so they tried Aptamil Pepti Formula Milk and it worked first time straight away. The other fortunate thing was is that it is on prescription too so free!!! Hope this helps guys.

26 August 2010 17:50
Jen_5 said...

My baby has just turned 4 months and even when on breastmilk, he was still really sick. Always hungry as a result though so weight ok. Since swapping to formula, we went to the Comfort milk with no change in sickness. The GP just prescribed Gaviscon infant powders to add to the milk. This has reduced the reflux a little, but still not happy with this as a solution. I'm sure my baby can tell the difference and he starts to 'give up' half way through the feed, almost like he is frustrated! There must be something else we can do!

19 September 2010 22:57
harrison'smummy said...

my baby was born 13 weeks early and was in hospital for 11 weeks, his reflux was so bad that his heart rate and saturation levels dropped during every feed ! He was breastfed in hospital but i put him on comfort milk when i brought him home, he also takes 3 lots of drugs for reflux. My doctor prescribed a dairy free milk which he hated and it didn't help at all, so he's back on comfort milk and although he still refluxes it's not as bad. I have found feeding him every three hours during the day helps aswell !

29 September 2010 12:56
Savvanah said...

My grandson who is now 3 months old suffered badly from silent reflux. He was prescribed various medicines by his GP but he continue to be very distressed during feeding. He also fed every two hours - day and night, which was exhausting for my daughter. With all the medicines failing we researched alternatives, and found that slippery elm and liquorice were or had been used for stomach/digestive problems. We bought slippery elm powder and liquorice tincture (online from Baldwins Uk). We made a mixture of _ tsp of slippery elm and 5 drops of liquorice to 100ml of water. At the beginning of each feed he was given 5 mls. We made a new mixture each day, increasing (or diluting) the dose as he increased weight. All his prescribed medicine was stopped when we started this alternative treatment. He became better immediately, although he has continued feeding on average every 3 hours. He is gaining weight and is much more content. The mixture doesn't just treat the symptoms, it also heals the sore oesophagus and stomach too. We are keeping him on this medication for now (he's been on it for 6 weeks), but will probably wean him off after he reaches 6 months. We have not seen any side effects to this, and have suggested it to other mums whose baby has reflux silent or otherwise. He was breast fed throughout all of this, although he now has breast and formula.

13 October 2010 12:13
Slgardner04 said...

My daughter is 5weeks old and has reflux midwives not that helpful so I changed her milk to aptamil comfort she is a lot Better although occasionally will have reflux.

23 October 2010 22:55
mc kee said...

my son is 8 mths old and still very hard to feed. GP give him gaviscon for infant which did help. I was told he would get better when he walk s. like my first son. it is hard work

23 November 2010 20:00
sally anne c said...

my daughter is thriving and putting on weight but for about two days now she is possiting an she seems to feed every two hours she is being breast fed and she is quite restless

15 December 2010 12:14
acollins said...

my son has refluxs. I found that giving him infacol and burp him half way through the feed helps. I have also put books under the legs of the head end of his cot to elevate his head when he is sleeping. I let him sit in the biunser for a while after feed to keepi him up. it is very scary when he is so sick it is coming out his nose and he is screaming. he is much better after these trics, using lectose free or redused formula helps as well.

11 January 2011 16:38
Saarax said...

My daughter is 9 weeks old now. She was three weeks early and measuring small for dates. We didn't notice any reflux straight away but after a couple of weeks she started to bring quite a lot of her milk up. She's breastfed with expressed milk top-ups after each feed and reflux started only after the bottle but then got worse and she has reflux also after breast. Our GP prescribed a thickening agent called Carobel for her, which we add into the bottle of EBM and this has made it a bit better and she's gaining more weight.We also noticed that sitting her up in her bouncer with a dummy in her mouth (to keep the sucking going) after the feed have helped.

20 January 2011 14:18
steph1977 said...

can you just change milk or is there a way to do it ?

2 April 2011 17:21
tina77 said...

I think my little boy may have reflux but I have been to the doctors 4 times already and they are taking no notice! He is 9 weeks old today, and has constantly had the silent "gags" since birth, but last night this changed into a full on choking fit. He is still full of mucus in his nose since birth and has a really weak and chesty sounding cough. He hasnt been a sickie baby though and has been gaining weight really well. Last night scared me so much but I am worried about going back to the doctors again as I dont want to be one of those mums, but would like to know he is ok?

18 April 2011 14:11
ReyleeLucaslucas said...

I have been to hospital with this. They have prescibed 2 medicines three times a day. A lot better now.

24 January 2012 11:46

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