General Practice 2022

Reflux in babyê: symptoms, causes and treatment

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Reflux in babyê: symptoms, causes and treatment
Reflux in babyê: symptoms, causes and treatment

Reflux in babies can happen due to immaturity of the upper gastrointestinal tract or when the baby has some digestion difficulty, intolerance or allergy to milk or some other food, which can result in the appearance of some signs and symptoms such as frequent spitting, difficulty breastfeeding and gaining weight, for example.

Reflux in a newborn baby should not be considered a worrying situation when the amount is small and occurs only after feeding. However, when reflux happens several times, in large amounts and a long time after breastfeeding, it can compromise the baby's development and therefore should be evaluated by the pediatrician so that the most appropriate treatment can be indicated according to the cause of reflux.

Symptoms of reflux in baby

Symptoms of reflux in babies are usually manifested through slugs in small amounts after feedings and some discomfort, which can happen in all babies. However, this reflux can be exaggerated, which can lead to the appearance of some other symptoms, such as:

  • Sleep restless;
  • Constant vomiting;
  • Excessive cough;
  • Gasgo;
  • Difficulty breastfeeding;
  • Irritation and excessive crying;
  • Hoarseness, as the larynx inflames due to stomach acidity;
  • Refusal to feed;
  • Difficulty gaining weight;
  • Frequent ear inflammation.

In the presence of these symptoms, it is important to take the baby to the pediatrician or pediatric gastroenterologist so that a general assessment of the baby's he alth status can be carried out and, thus, the most appropriate treatment can be indicated according to the cause of the problem. reflux.

This is because if reflux is not treated, there is an increased risk of the baby developing esophagitis, which happens as a result of frequent contact of stomach acid with the esophageal mucosa, resulting in pain and discomfort. In addition, another possible complication is aspiration pneumonia, which happens when the baby "returns" the milk that enters the trachea to the lung.

When reflux is not diagnosed and treated, the pain and discomfort generated can cause the baby to refuse food, which can compromise its development.

Main causes

Reflux in babies is a relatively common situation and is mainly due to the immaturity of the gastrointestinal tract, so that after the baby is breastfed, milk can return to the mouth, resulting in spitting.

In addition, other situations that can favor the development of reflux in babies are changes in the digestive process, intolerance to milk allergy or other food component, liquid feeding even after the pediatrician has indicated to start solid feeding and leave the baby lying on your stomach after eating, for example.

How to prevent reflux in babies

Some ways to prevent reflux in babies are:

  • When breastfeeding, support the baby in your arms, so that the mother's belly touches the baby's belly;
  • At feedings, leave the baby's nostrils free to breathe;
  • Prevent the baby from just sucking the nipple;
  • Give breast milk for as many months as possible;
  • Avoid giving large amounts of milk at once;
  • Increase the frequency of feedings;
  • Avoid rocking the baby;
  • The bottle should always be given elevated, with the nipple filled with milk;

If reflux continues to occur frequently despite these preventive measures, the baby should be taken to the pediatrician or pediatric gastroenterologist to make the diagnosis and guide the treatment.

How the treatment is done

Treatment for reflux in a baby should be done under the guidance of a pediatrician and involves some precautions such as avoiding rocking the baby, avoiding wearing clothes that squeeze your belly and choosing a good position during feedings to avoid the entry of air through the baby's mouth.

Furthermore, after feedings, it is advisable to burp the baby in an upright position on the adult's lap for about 30 minutes and then lay the baby down with the baby's belly up and with the head of the crib elevated about 30 to 40 degrees, placing a 10 cm wedge or an anti-reflux pillow. The lying position on the left side is recommended for babies from 1 year old.

Normally, reflux in babies disappears after six months of age, when they start to sit up and eat solid foods, however, if this does not happen, after all care, the intake of medications, such as Motilium or Label, as directed by your pediatrician or gastroenterologist, or surgery to correct the valve that prevents food from returning from the stomach into the esophagus.Learn more about treating reflux in your baby.

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