Internal reflux in babies: understanding this common condition

Baby reflux, also known as gastro-oesophageal reflux disease (GERD), is a common complaint among infants. It is characterised by the involuntary reflux of stomach contents into the oesophagus. Although worrying for many parents, it is benign in the majority of cases and disappears naturally over time.

Why does internal reflux occur in babies?

The main cause of internal reflux in babies is the immaturity of the digestive system . The oesophageal sphincter, which is supposed to prevent acid reflux, is still developing in infants. This means that milk can easily come back up, particularly when lying down or after a feed.

All-liquid feeding, combined with frequent feedings, creates an environment conducive to reflux. What’s more, babies spend most of their time lying down, which mechanically facilitates the reflux of gastric contents.

Internal reflux or simple regurgitation: making the difference

Regurgitation is normal for all babies. Internal reflux becomes a problem when it is frequent, abundant and associated with other signs:

– Significant irritability
Frequent crying after meals due to gastric discomfort
– Refusal to eat or loss of appetite
– Insufficient weight gain
Sleep disturbance for the whole family

It is essential to distinguish between benign discharge, due to an overflow of milk, and pathological GERD, which can cause complications if left unattended.

When should you seek help for baby’s internal reflux?

In 9 cases out of 10, regurgitation is not serious. The baby continues to eat well, gain weight and remains smiling. This type of simple reflux disappears spontaneously between 10 and 12 months, when the child begins to stand and walk.

However, you should consult your paediatrician as soon as possible if your baby presents with :

– Inconsolable crying
– Regurgitation with blood
– Weight loss
– Restlessness during meals

Remain vigilant without over-dramatising

Baby reflux is often a source of worry for young parents. However, it generally requires no medication or heavy treatment. A few simple day-to-day adjustments are all that’s needed: keeping baby in a semi-upright position after meals, splitting up bottles and adjusting feeding quantities.

Observation, patience and common sense are your best allies. If in doubt, talk to your paediatrician. Remember: baby reflux is often a temporary, completely normal stage in your child’s digestive development.

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