Identifying typical infant reflux
Reflux (spitting up) is common in young infants due to an immature lower esophageal sphincter. Normal reflux involves effortless spit-up after feedings without discomfort, good weight gain, and minimal fussiness.
Signs that need attention:
- Frequent, forceful vomiting or projectile vomiting.
- Poor weight gain, difficulty feeding, or breathing problems.
- Persistent irritability during or after feeds or feeding refusal.
Management strategies
- Feed smaller amounts more frequently and keep the baby upright for 20–30 minutes after feeding.
- Ensure proper latch or bottle flow to reduce swallowed air.
- Burp the baby more often during feeds and consider slightly elevating the head of the crib (consult safe sleep guidelines).
- If symptoms are severe or growth is affected, the pediatrician may evaluate for gastroesophageal reflux disease (GERD) and recommend further steps.
Most infants improve as the digestive system matures by 6–12 months. If you’re concerned about frequency, forcefulness, or associated symptoms, seek pediatric evaluation for tailored advice and safe treatments.