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Gastroesophageal Reflux Disease In Infants

WHAT YOU NEED TO KNOW:

Gastroesophageal reflux occurs when food, liquid, or acid from your baby's stomach backs up into his or her esophagus. Reflux is common in babies. It usually gets better within about a year as your baby's upper digestive tract matures. Gastroesophageal reflux disease (GERD) causes other symptoms that can lead to other problems such as poor weight gain.


DISCHARGE INSTRUCTIONS:

Call 911 if:

  • Your baby suddenly stops breathing, begins choking, or his or her body becomes stiff or limp.

Return to the emergency department if:

  • Your baby has forceful vomiting.
  • Your baby's vomit is green or yellow, or has blood in it.
  • Your baby has blood in his or her bowel movements.
  • Your baby suddenly has trouble breathing or wheezes.
  • Your baby's stomach is swollen.

Contact your baby's healthcare provider if:

  • Your baby becomes more irritable or fussy and does not want to eat.
  • Your baby becomes weak and urinates less than normal.
  • Your baby is losing weight.
  • You have questions or concerns about your baby's condition or care.

Medicines:

  • Medicines are used to decrease stomach acid. Medicine may also be used to help your baby's lower esophageal sphincter and stomach contract (tighten) more.
  • Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Help manage your baby's symptoms:

  • Feed your infant thickened formula. Thickening your baby's formula with rice cereal or special thickeners may help decrease symptoms. Ask your healthcare provider how you should thicken the formula. It may also be helpful to hold your baby upright after feedings. Your healthcare provider may also recommend small, frequent feedings to help decrease your baby's symptoms.
  • Keep a diary of your baby's symptoms. Bring the diary to visits with your baby's healthcare provider. The diary may help the provider plan the best treatment for him or her.
  • Keep your baby away from cigarette smoke. Do not smoke or allow others to smoke around your baby.

Follow up with your baby's healthcare provider as directed:

Talk to your baby's healthcare provider about any new or worsening symptoms your baby has during your follow-up visits. Your baby may need other tests if his or her symptoms do not improve. Write down your questions so you remember to ask them during your visits.

© 2018 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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