Gastroesophageal reflux in infants
Definition
Gastroesophageal reflux is a condition in which stomach contents travels backward from the stomach to the esophagus, rather than down through the digestive system. This article discusses reflux in infants.
Alternative Names
Reflux - infants
Causes, incidence, and risk factors
In infants, a small amount of gastroesophageal reflux is normal. Persistent reflux with frequent vomiting leads to irritation of the esophagus. Reflux associated with weight loss or reflux that causes breathing difficulty is considered abnormal.
Symptoms
- Chronic cough
- Excessive crying as if in pain
- Excessive vomiting during the first few weeks of life
- Extremely forceful vomiting
- No breathing or breath-holding spells
- Slow growth
- Weight loss
- Wheezing
Signs and tests
The baby may have a history of breathing in foods or fluids into the lungs, leading to aspiration pneumonia.
Tests that may be done include:
- Esophageal pH monitoring to determine how often and for how long stomach acid enters the esophagus
- X-ray of the esophagus
Treatment
If your baby has reflux problems, hold him or her upright for 1 to 2 hours after feeding.
When the infant begins to eat solid food, thickened foods are preferable to thin foods.
Sometimes medicines are used to help reduce symptoms, such as antacids or a prescription drug called metoclopramide (Reglan).
Expectations (prognosis)
The majority of infants outgrow this condition. In unusual cases, reflux may persist into childhood and can cause varying degrees of esophageal damage.
Complications
- Aspiration pneumonia caused by stomach contents passing into the lungs
- Irritation and swelling of the esophagus
- Scarring and narrowing of the esophagus
Calling your health care provider
Call your health care provider if your baby is vomiting frequently, especially if the vomiting is forceful or if other symptoms of reflux occur.
Prevention
Hold your baby upright for some time after meals. Hold your baby upright for some time after meals.
Reviewed By: Deirdre O’Reilly, MD, MPH, Neonatologist, Division of Newborn Medicine, Children’s Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts. Also reviewed by Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Reviews provided by VeriMed Healthcare Network. (10/13/2006)
