Adult disease and known as 'heartburn' refluxis actually seen more in babies! Reflux in infants presenting with excessive vomiting and cough; The most important point is to know 'to be patient' and take simple precautions. 80 percent of the baby's one-year-old reflux survived; your baby tilt the head upright, breastfeeding Feed less and frequently, stay away from the bottle!
Medical Park Fatih Hospital Pediatrics and Health Specialist Feyza Çivici Silver;Describes those who are curious about reflux in infants:
Reflux, commonly known as 'heartburn' or 'gastric reflux', can be roughly defined as 'back-escape'. Reflux disease; gastric content (secretions, stomach acid and pepsin substance that allows the digestion of food) escaping back to the esophagus. Normally after food has passed through the esophagus into the stomach, they should not come back into the esophagus. But in reflux disease, this order is disrupted. The leakage from the stomach to the esophagus is called 'gastro-esophageal reflux' when it is just below the esophagus and 'laryngo-pharyngeal reflux' when it is up to the larynx.
Can babies have reflux?
It is known as adult disease but is actually the opposite. Reflux diseaseContrary to popular belief, it is not only seen in adults; even more often in infants and children. The cause of reflux is common in infants; the valve mechanism that allows food to pass into the stomach is not yet functioning adequately and infants are mostly in the supine position and are fed with liquid foods. Infants These are the most important points to be considered about reflux.
Most babies eat what they eat after eating or suckling milk. In some infants, this occurs more frequently and intensively. Vomiting occurs in infants. When babies take their food out too often, parents are anxious and consult a doctor. Reflux; It can be confused with many diseases because it manifests itself with many different symptoms and affects other organs. Therefore, the symptoms of reflux in infants need to know very well. 'Recurrent upper respiratory tract inflammation, do not pass hoarseness, wheezing, cough' respiratory symptoms such as, the possibility of reflux disease should be considered.
Reflux, which is frequently seen in infants, is considered 'physiological' and is not considered as physiological reflux disease in infants. There is no problem in the development and weight gain of these babies. Only vomiting is common. As the baby begins to grow (especially to an age when she starts to walk); With the transition to solid food and sitting upright on its own, spontaneous symptoms diminish and reflux in babies can be eliminated. Such babies do not need treatment. In short; If you become patient and allow time, your baby will survive reflux in one year old babies. However, the severity and frequency of vomiting increases, the baby can not gain weight, respiratory problems are beginning to experience intense; The child should be followed by contacting a pediatrician.
Does reflux in babies cause other diseases?
Reflux in infancy usually improves spontaneously or with some precautions to be taken, but it can cause various diseases. Of these, the most frequently encountered; esophageal deformities, laryngitis, respiratory infections, pneumonia, anemia, sinusitis and otitis media.
Care should be taken to position the posture in order for the baby to be less affected by reflux. The most accurate position; After eating the food is to lay them on their bellies with the head above. However, most babies do not want to stand in this position and cry; in this case, the baby may be placed on its back and with the head and body upright at a 45-degree angle. Anti-slip and angular cushions can be used for this posture.
What should families with infant reflux pay attention to when feeding the baby?
Before anything else; Reflux is less common in breast-fed infants. The baby should be breastfed as little as possible and as often as possible. In infants who do not receive breast milk; Making changes in food will reduce reflux for a while, but after a while, complaints start again. Bottle feeding can also increase reflux; When the baby is unable to withdraw the food from the bottle, it swallows more air, which triggers reflux. It is seen that reflux decreases when feeding with solid foods and spoon feeding.
Increases the severity and frequency of vomiting in the baby, respiratory complaints began to be experienced intensively and despite all the measures taken if the complaints continue; firstly, drug treatment and rarely surgical treatment can be applied. In very few children who require treatment, the most commonly used treatment is 'nissen funduplication'. In this surgery, the upper part of the stomach is wrapped around the esophagus. Thus, when the stomach is contracted, escape is prevented by contracting the wound part and closing the esophagus.
What are the simple precautions against reflux in infants?
If the parents take the following precautions; Most infants can be treated for reflux without medication:
• Lay the babies upside down on the abdomen or back after feeding (the pillows can be used to prevent slipping and provide the desired 45-degree angle).
• Breast milk as often as possible, with little or no nutrition.
• Mothers who feed their baby with breast milk; avoid caffeinated beverages in their own diet and avoid smoking.
• Extraction of the baby after feeding.
• Use of special foods with a thicker consistency in the use of food.
• After feeding; keeping the baby away from activities that activate the abdominal muscles, such as crying and laughing, and cause air swallowing.