GastroEsophageal Reflux (GER) is a newcomer to the hidden causes of colicky and night-walking babies. Irritating stomach acids are regurgitated into the esophagus, causing pain like the one adults call heartburn. Regurgitation occurs more in the horizontal position, accounting for greater pain when baby is lying flat, so baby often feels better when upright.
There are some clues that baby suffers from Reflux;
*They are frequent bouts of painful crying – “unlike the usual baby cries”.
* They are frequent episodes of spitting up after feeding, which may include forceful regurgitation through the nose.
* Frequent inconsolable bouts a abdominal pain, day and night.
*. Painful bursts of night waking.
* Fussiness after eating; drawing up legs, knees to chest.
* Arching or writing as if in pain.
*. Diminishing fussiness when carried upright and sleeping prone (on the stomach), propped up at a 30-degree angle.
* Frequent unexplained colds, wheezing, and chest infections.
* Stop breathing episodes.
Note: A baby with reflux may have only a few of these signs. Sometimes baby may regurgitate only partway up the esophagus and there fore not visibly spit up. Some babies are so exhausted from crying all day that they sleep well at night. GER is a frequently missed hidden cause of the hurting baby.
Suspected GER can be confirmed by placing a stinglike tube into baby’s esophagus (this cauwes minimum discomfort), leaving the tube in place for twelve to twenty-four hours, and continuously measuring the amount of stomach acids regurgiated into the esophagus. Since around one-third of infants normally have some degree of reflux, simply measuring the stomach acids doesn’t prove that reflux is the cause of baby’s pain. For this reason a parent or a trained observer records the timing of baby’s colicky episodes. IF thes coincide with the time when baby refluxes, the hidden cause of colic has been found. If GER is evident from your baby’s symptoms, your doctor may choose to begin treatment without subjecting baby to this pH study.
This are the best Treatment of GastroEsophageal Reflux (GER);
1. Place baby propped up at a 30-degree angle in the prone position for thirty minutes after feeding and while sleeping. The stomach -down position is most effective; simply placing baby upright in an infant seat is of little help. A special sling is available that holds baby while lying prone on a propped0up crib mattress.
2. Thicken the feedings, such as by giving rice cereal during or after breastfeeding or by adding it to the formula bottle.
3. Offer smaller, more frequent feedings rather than large feedings (milk acts as an antacid).
4.Give doctor-prescribed medicines to neutralize the acids or to accelerate their removal from the esophagus.
5. Wear your baby as much as possible to decrease crying. Babies reflux more while crying.
6. Breastfeed. Studies show the GastroEsophageal Reflux is less prevalent in breastfed babies.
One of the most experienced babywearing mothers feels that wearing here baby after a feeling promotes “digestive organization”; that gentle motion and closeness this belief. Perhaps this is similar to the system in which mother cats lick their kittens’ abdomens after feeding.
In most babies, GastroEsophageal Reflux lessens somewhat by six months and subsides by the first birthday. Some children continue to need treatment, or are not even diagnosed, until later.