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by Agustina Fernandez October 08, 2024 8 min read
Reflux is a surprisingly prevalent condition in newborns, with as many as 50% of babies 3 months old and younger experiencing symptoms like spitting up at least once a day. Although reflux in babies is commonplace and often harmless, watching your baby deal with its unpleasant symptoms can be distressing. Thankfully, with the right approach, baby reflux can be effectively managed!
So come along as we break down the simple science behind acid reflux, explaining why it happens, the symptoms, and evidence-based solutions to help you keep reflux at bay! Plus, if your little one relies on formula for nourishment, we discuss specialty formulas designed to reduce spit-up. The focus of our attention is HiPP formula Anti-Reflux, frequently described as Europe's best formula for babies with reflux. Keep reading to equip yourself with the necessary knowledge to help your baby avoid reflux!
Table of Contents
To learn how to manage it, we must first understand what is reflux in babies. Reflux is short for acid reflux, medically referred to as gastroesophageal reflux (GER). With GER, the stomach contents in your little one's belly flow back into their esophagus, causing them to spit up.
This happens frequently in infants because their digestive systems are still developing. Essentially, our bodies have a mechanism similar to a trap door at the bottom of our esophagus called the lower esophageal sphincter. Its job is to prevent what's in our stomachs from reentering our esophagus.
However, it's not yet fully mature in young babies, which means this trap door doesn't close as tightly as it should, allowing some milk, food, and stomach acid to come back up. When this happens, it can lead to discomfort for your little one. It may even manifest in more serious symptoms like excessive crying, irritability, and trouble feeding.
In some cases, reflux can become more severe, leading to gastroesophageal reflux disease (GERD), a more chronic and serious form of acid reflux. A key difference is that while GER is typically harmless and resolves on its own by the time your baby reaches 12 to 18 months if GERD in infants is left untreated, it can cause significant discomfort and complications, such as poor weight gain and feeding problems.
Consequently, gastroesophageal reflux disease in babies may require more medical attention and interventions. However, most babies experience regular reflux (GER) rather than GERD. Understanding the difference between the two is important when deciding the best course of action for your little one, so be sure to consult your baby's doctor for guidance.
It can be tricky to determine if your baby is dealing with reflux, as many of the symptoms are common baby behaviors. However, if you notice the following signs, reflux may be the culprit:
Frequent spitting up or vomiting
Fussiness or irritability during or after feedings
Arching of the back during or after feedings
Coughing, gagging, or choking during feedings
Difficulty gaining weight
Refusing to eat or having trouble eating
If these symptoms sound familiar, it's essential to consult with your pediatrician to rule out other possible issues and ensure your baby is healthy.
In your search for how to help baby reflux, you may have come across the term silent reflux. As the name suggests, this type of reflux occurs when babies do not spit up or vomit visibly. Instead, the stomach contents come up to the esophagus but are then swallowed back down.
Since there is no visible spit-up, it can be much harder for parents to identify. However, the acid that comes up can still cause discomfort, resulting in a variety of reflux symptoms.
Symptoms of silent reflux in babies include:
Unexplained crying or irritability, especially after feedings
Difficulty sleeping or frequent waking
Chronic cough or hoarseness
Gagging, choking, or swallowing excessively without spitting up
Trouble feeding or arching the back during feeding
Silent reflux can be just as uncomfortable as regular reflux, so it's important to recognize the signs and work with your healthcare provider to find the best solution.
We have already touched on the immaturity of a baby's digestive system-a common culprit behind reflux in newborns-but several other factors can contribute to the development of reflux in infants, including the following:
1. Immature digestive system: Until your baby's lower esophageal sphincter is fully developed, stomach contents can move back up into their throat more easily, causing spit up.
2. Lying flat: Since babies spend much of their time lying down on their backs or bellies rather than sitting upright, gravity isn't there to help keep food down in the stomach as much as it does for older children or adults. Thus, infants are more prone to reflux.
3. Overfeeding: Babies have very small stomachs, and feeding them too much breast milk or formula at once can cause them to become overfull, increasing the likelihood of reflux.
4. Food sensitivities or allergies: Some babies may have a sensitivity or allergy to certain ingredients in their formula or breast milk, contributing to reflux symptoms.
The best approach for dealing with reflux is to consult your pediatrician. They can assess your baby's unique cause and presentation of reflux and tailor a personalized treatment approach. Some of the recommendations you may be told to implement during feedings include the following practices, which are designed to help manage and reduce baby spit-up:
• Avoid overfeeding: Feeding your baby smaller amounts more frequently can help prevent overfilling the stomach, reducing the likelihood of reflux.
• Feed your baby smaller amounts: Instead of offering large meals, try to break feedings into smaller, more frequent sessions.
• Burp your baby more frequently: Burping your baby during and after feedings can help release any trapped air that could contribute to reflux.
• After a feeding, place your baby in an upright position: Holding your baby upright for about 20 to 30 minutes after feedings gives gravity the chance to help food settle in the stomach.
• Consider changing formulas: Certain formulas may contribute to reflux if your baby is formula-fed. For instance, regular cow's milk-based formulas might be harder for your baby to digest, leading to more reflux. If you suspect your baby's formula is the culprit, speak with your pediatrician about using a specialty acid reflux baby formula instead.
For babies who experience excessive spit-up, an (AR) anti-reflux baby formula may be the best option. This type of special formula for babies is crafted to be thicker than conventional infant formula. Because baby formula for acid reflux is thickened, it stays in the stomach better, reducing the chance of formula re-entering the esophagus.
Thickening agents like starch or carob bean gum are added to baby formula for reflux to help it become more viscous. This allows the special baby formula to stay in the stomach more easily, reducing spit-up. Despite being thicker, AR specialty baby formula is still nutritionally complete and easy for babies with reflux to digest!
Because acid reflux formula like the HiPP AR formula specifically addresses reflux issues, they can be a game-changer for parents dealing with frequent spit-ups and a fussy baby. Not only do they reduce the amount of reflux, but they also provide babies with the nutrients they need to grow and thrive. Many parents find that switching to an AR formula significantly improves their baby's reflux symptoms. However, it's important to only use an AR milk based on your pediatrician's recommendation.
Many parents wonder what formula is best for reflux. It's important to remember that every baby is different, so a formula that helps with reflux in one baby may not work as well for another. That being said, HiPP Anti-Reflux is widely considered an excellent choice for soothing acid reflux in newborns from birth up to their first birthday. Let's discuss its unique and effective qualities next!
When it comes to finding the best formula for reflux, HiPP AR (Anti-Reflux) Formula is a reliable choice that's been proven to significantly reduce the number of regurgitation episodes in infants. Its thoughtfully crafted recipe is carefully designed for the dietary management of reflux and regurgitation.
HiPP AR formula is produced in Germany but offered in German and UK variations (HiPP AR UK). Both feature a blend of skimmed cow's milk thickened with carob bean gum. Thanks to its whey-dominant protein profile and 100% lactose-based carbohydrates, it remains gentle on babies' tummies while reducing reflux. Parents also appreciate that it's GMO-free and made with only clean ingredients from European farms.
Parents often have several questions about baby reflux, and we're here to answer some of the most common inquiries.
Reflux can start as early as the first few weeks of life and is most common in babies younger than six months. The good news is that as babies grow and their digestive systems mature, reflux symptoms typically improve, often resolving completely by the time they reach 12 to 18 months of age!
Yes, pacifiers can sometimes help with reflux! Interestingly, sucking on a pacifier increases saliva production, which can help neutralize stomach acid and reduce reflux symptoms. As an added bonus, sucking is often soothing for babies, helping to calm them down if they are uncomfortable due to reflux.
Most babies outgrow reflux by their first birthday, with symptoms typically peaking around 4 to 5 months. Babies around 12 to 18 months old have typically outgrown it completely, thanks to their more developed digestive systems.
If your baby is formula-fed and experiencing reflux, switching to a specialized formula, such as an AR formula, may be helpful to reduce symptoms. But before making any changes, consult with your pediatrician to ensure the switch is appropriate for your baby's specific needs.
If your little one suffers from newborn reflux and your doctor recommends using HiPP AR formula, it's important to remember that the thicker consistency of this specialty formula is best managed with a slightly wider single-hole, fast-flow nipple for feeding.
Disclaimer:
Please be aware that this information is based on general trends in babies, and it is not medical advice. Your doctor should be your first source of information and advice when considering any changes to your child’s formula and when choosing your child’s formula. Always consult your pediatrician before making any decisions about your child’s diet or if you notice any changes in your child. Breastfeeding is the best nutrition for your baby because breast milk provides your child with all the essential nutrients they need for growth and development. Please consult your pediatrician if your child requires supplemental feeding. |
Dr. Agustina Fernandez earned her medical degree from the prestigious Universidad Nacional de Córdoba, Argentina. With a deep-rooted passion for pediatrics, Dr. Fernandez is currently on the path to specializing in children's healthcare. Recently, she has delved into the vital field of infant nutrition. Her research interests include breastfeeding, infant formula, and baby food in little ones’ formative years. Dr. Fernandez's commitment to this area of study underscores her dedication to ensuring the health and well-being of children from their earliest days.
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