by Natasha L. Kohlhoff Polak

Created on: February 18, 2007   Last Updated: April 25, 2007

Infantile acid reflux (A.R.) is caused by the sphincter muscle's inability to close completely during digestion, thus allowing the acid to be regurgitated. This happens when the sphincter is immature, such as when a baby is premature, and generally will correct itself without medication by the child's first or second birthday; often times much sooner. Some babies are still happy and healthy, regardless of their problem, and no action is usually needed. However, it is when refluxing interferes with weight gain or physical discomfort that medication or other treatments may deem necessary.

When my daughter developed A.R. at 3 weeks of age, I was horrifiedI couldn't imagine such a small baby having such an uncomfortable and persistent problem. Her pediatrician then assured me of how common it is for babies to suffer from acid reflux. More infants today are being diagnosed with A.R. because doctors have discovered in several cases that what was once thought of as just colic was indeed A.R.similar to that of what adults develop, with paralleling treatments.

With my daughter, it finally got to the point where she was screaming after spitting up excessively, and gagging, before I informed the pediatrician. She was evaluated that same day. Her initial concern was to check for pyloric stenosis, (narrowing of the pylorus) and to see if her weight had decreased. That done, the pediatrician explained the symptoms and treatments of acid reflux and colic, as their symptoms are similar.

Symptoms include:
Excessive spit up
Coughing or gagging during or after feeding
Excessive hiccupping
Raspy-sounding breathing
Crying for no apparent reason
Disturbed sleeping patterns
Arching back while feeding
Difficulty burping or excessive gas

Treatments vary, according to each child. The most extreme measure would be to perform surgery, if warranted by any sort of physical abnormality causing A.R.

Treatments include:
Medicine
Keeping baby upright for 30 minutes to an hour after feeding
Keeping baby semi upright to sleep
Feeding less per feeding more frequently
Adding cereal to bottles
Burp more frequently during feedings

Medicines are prescribed on a trial basis, as some babies do not respond well to the medication, and may need them to be switched occasionally. There are two types of medicines: H2 blockers, or Proton pump inhibitors. H2 blockers cut down on the amount of acid released from the stomach. Such medicines include Zantac, Pepsid, Tagamet, or Axid. Proton pump inhibitors, another way acid is controlled,

• 1
• 2
• Next Page >>