Increasing the frequency of feedings while decreasing the amount at each feed will likely help. Breastfed babies may benefit from a change in the mother’s diet. Some studies have shown that babies benefit when mom restricts her intake of milk and eggs.
Hold your baby in an upright position. Try the “Australian hold” while feeding. According to the study mentioned above, hold the baby vertically during and after feeding for about 20~30 minutes.
Small changes to your diet can eliminate or reduce acid reflux in your breastfed baby. A baby can experience acid reflux from certain foods in a breastfeeding mother’s diet.
I have excluded dairy, wheat and eggs along with some citrus fruits from my diet over the last 3 weeks. She started getting what looked like eczema but this cleared up after excluding some foods from my diet. I tried to reduce down the zantec over the last 3 days by only giving her 2 doses instead of 3. She spent all of yesterday crying and she seemed to be in alot of pain.
H2 blockers are usually used for short-term or on-demand relief and PPIs are often used for long-term GERD treatment. In breastfed babies, removing immunogenic foods, such as cow’s milk and eggs, from the mother’s diet may improve symptoms. Learn which formulas will help ease your baby’s acid reflux, including hydrolyzed protein formulas, soy milk formulas, and specialized formulas. Always put your baby to sleep on their back on a firm mattress. Make sure the crib or sleeping area is free of thick blankets, pillows, loose objects, or plush toys.
Allow baby to completely finish one breast (by waiting until baby pulls off or goes to sleep) before you offer the other. Don’t interrupt active suckling just to switch sides. Switching sides too soon or too often can cause excessive spitting up (see Too Much Milk?). For babies who want to breastfeed very frequently, try switching sides every few hours instead of at every feed.
Talk to your doctor about which treatment plan is best for your baby based on the severity of their symptoms. Medication may still be the best option for infants with severe symptoms.
Reflux Nursing Troubles? Pumping and Re-Feeding
A barium swallow (upper GI) is not so invasive (baby swallows a barium mixture, then an x-ray is taken) but is not really effective for diagnosing reflux in babies, since most babies will reflux when given barium. An upper GI will not identify whether baby’s stomach contents are higher in acid or if there has been any esophagus damage due to reflux, but it will show if there are any blockages or narrowing of the stomach valves that may be causing or aggravating the reflux. Additional tests may be recommended in certain circumstances (see the links below for additional information).
A small percentage of babies have troublesome, severe or persistent reflux, called gastro-oesophageal reflux disease (GORD) (NICE 2015a, Rosen et al 2018) . Lots of parents go through this stage, as it affects half of all babies.