Wants to learn baby reflux remedies, causes, symptoms & treatment? With or without regurgitation, newborn reflux is a very common problem, especially among newborns in the last decade. Parents receive advice and medications to try to manage this problem, often without reaching the effective disappearance of the symptoms.
Crying, screaming, breast rejection, difficulty falling asleep or lying down, regurgitation, anger. These are some of the symptoms that are attributed to a diagnosis that is most often incorrect. Even when the baby seems to gain weight equally. The error of evaluation entails a failure to solve the problems presented.
Symptoms of reflux in the newborn
- Frequent regurgitation and/or vomiting, present in 90% of cases.
- Significant sleep disturbances.
- Frequent and inconsolable crying, especially during and after feedings.
- Restlessness during breastfeeding.
- Needs to be fed constantly and/or frontally.
- Breast refusal.
- Inadequate weight gain.
- Respiratory problems: bronchitis, cough, dyspnoea, pneumonia, episodes of apnea and cyanosis, suffocation.
- Dysphagia, pharyngeal irritation, coughing up blood.
- Malaise, loss of consciousness.
The “silent reflux”
If the newborn does not often experience profuse regurgitation, but makes faces and seems to “chew” from time to time, this is called ” silent reflux “.
In this case, as in other exceptions, an evaluation of the feeding by a professional consultant is advisable.
Most children regurgitate due to the lack of firmness of the cardia and the immaturity of the physiological mechanisms of gastric emptying. Without considering, then, the enormous amount of nutrients absorbed by infants when compared to that of an adult (in proportion, it is as if a 65 kg adult drank 8 liters of milk a day).
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Baby Reflux Remedies
Having a child with diagnosed gastroesophageal reflux (GER) test is not easy for parents, who can feel incompetent and desperate in the face of a child who cries for hours and seems inconsolable.
In these cases, the mother may think that her baby is suffering from her milk: it is necessary to reassure her, informing her that breast milk is the best medicine for the baby and suggesting measures that can alleviate the symptoms.
- keep the baby upright during and after feedings. Gravity will help avoid acid reflux;
- carry the baby with the carrier, sling, and other supports. These ensure a comfortable position, with the head higher than the trunk. However, care must be taken to avoid abdominal compression, to ensure his preferred position, and to avoid crying as much as possible, as this increases the risk of reflux;
- observe it when it is positioned in the egg because in some cases it is folded back on itself;
- observe how meals are offered, remembering that increasing their frequency and reducing their volume is a common-sense measure, but certainly not effective against reflux. The stomach, distended by a large volume of liquid, overflows more easily than a less full stomach. Also, with a slow flow of milk, the baby swallows less air. Sometimes, for these purposes, it is preferable to offer only one breast to feed.
It should also be noted that some babies want to breastfeed often because swallowing milk reduces esophageal acidity, buffering gastric secretions, and sucking has a calming effect. Others, however, immediately realize that the meal is followed by painful events, refusing to feed on the breast.
In this case, it is useful to vary the breastfeeding positions, perhaps remaining standing while the baby sucks and remaining in high physical contact with him.
Natural Remedies for Baby Reflux Remedies
In addition to paying attention to the baby’s diet, there are also natural baby reflux remedies to keep gastroesophageal reflux under control and, above all, the consequences it brings with it. Licorice and blueberry are for example very useful to reduce acidity, both in the gut and in the mouth. The mallow, calendula, and chamomile are indicated to soothe the esophagus and stomach, in burning cases.
The juice of aloe vera has a protective function and purifying of the mucous membranes and goes to strengthens the immune system, even the ginger is valuable for the stomach and manuka honey protects the health of the esophagus. Of course, it is always better to ask your pediatrician for help, even in the case of natural substances.
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Causes of reflux in infants
The main cause of reflux in infants is the cardia, or lower esophageal sphincter, the valve that divides the esophagus from the stomach and ensures the one-way passage of food. In infants, the cardia may still be immature or not very functional.
If this ring does not close, the food returns to the esophagus, reflux. For this reason, newborn reflux occurs especially in the first 18 months of life, when the cardia is not yet completely ready.
Infant reflux can be favored by other factors :
- the liquid diet, consisting of breast milk or formula ;
- the child who drinks too fast;
- creation of bubbles in the esophagus, which cause distention of the cardia and also hiccups;
- excessive amounts of milk or food, in the case of older children.
When to see the Doctor?
As mentioned several times, the reflux of the newborn is a condition that, in mild terms, occurs quite frequently, therefore it is to be considered an almost normal phenomenon.
If, however, the child manifests:
- Violent episodes of vomiting, or “bullet” vomiting
- Weight loss or failure to gain weight
- Regurgitation up to the mouth of yellow or green color
- Vomiting with traces of blood or with something reminiscent of coffee grounds (NB: the presence of blood is consequent to the irritation produced by the gastric juices to the damage of the mucous membrane of the esophagus).
- Respiratory difficulties
- Blood in the stool
- Vomiting from the age of 6 months
- Strong repulsion for food
- it is advisable to contact your pediatrician immediately and request an appointment to investigate the situation.
The aforementioned manifestations could be the signal of morbid conditions – such as gastroesophageal reflux disease, eosinophilic esophagitis, pyloric stenosis, etc. – which have also reached an advanced/severe stage.
In most cases, the reflux of the newborn requires simple (but effective) measures, rather than particular treatments, such as:
- Small (i.e. in small quantities) and frequent meals
- Moderate the rate of food administration
- Several stops during the meal, to allow the infant to ” burp “
- Infant reflux small feedings keep the baby upright, both during and after each meal
If baby reflux remedies are ineffective (because behind there is a gastroesophageal reflux disease, etc.), or if the presence of an allergy to cow’s milk is confirmed, more specific treatments must be used. Indeed, in the most complicated cases, surgical practice becomes necessary.
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MEDICINES AGAINST REFLUX
If the infant’s reflux is chronic and prevents the baby from growing, the doctor may prescribe the administration of drugs such as ranitidine and/or omeprazole.
Ranitidine is an antagonist of the H2 receptors of ‘ histamine, with the function to inhibit acid production by the stomach (thus avoiding a massive production of gastric juices).
Omeprazole, on the other hand, is a proton pump inhibitor, which – like ranitidine – reduces the production of acid in the stomach.
Surgery consists of a procedure, known as fundoplication, during which a part of the stomach is sutured around the base of the esophagus, exactly where resides the cardia.
This is done to oppose a greater resistance to the rising of the food upwards.
The fundoplication operation is essential when the infant’s reflux is severe and does not respond to any other remedy or treatment.
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