Infant acid reflux

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Lifestyle and home remedies

By Mayo Clinic staff

Infant acid reflux happens. To minimize the mess, consider these tips:

  • Keep it calm. Make each feeding peaceful and relaxed. Feed your baby before he or she becomes frantic.
  • Sit up. Feed your baby in an upright position. Follow each feeding with 15 to 30 minutes in a sitting position. Try a front pack, backpack or infant seat. Gravity can help stomach contents stay where they belong. Be careful not to jostle or jiggle your baby while the food is settling.
  • Try smaller, more frequent feedings. Feed your baby an ounce (about 30 milliliters) less than usual or limit nursing sessions to just one breast.
  • Take time to burp. Frequent burps during and after each feeding can keep air from building up in your baby's stomach. Sit your baby upright, supporting his or her head with your hand. Avoid burping your baby over your shoulder, which may put pressure on your baby's abdomen.
  • Check the nipple. If you're using a bottle, make sure the hole in the nipple is the right size. If it's too large, the milk will flow too fast. If it's too small, your baby may get frustrated and gulp air. A nipple that's the right size will allow a few drops of milk to fall out when you hold the bottle upside down.
  • Thicken the formula or breast milk. If your baby's doctor approves, add a small amount of rice cereal to your baby's formula or expressed breast milk. You may need to enlarge the hole in the nipple to make sure your baby can drink the thickened liquid.
  • Raise the head of the crib. To reduce the risk of sudden infant death syndrome, it's important to place your baby to sleep on his or her back. This position can aggravate reflux, however. It may help to slightly elevate the head of your baby's crib.

Remember, infant acid reflux is usually little cause for concern. Keep plenty of burp cloths handy as you ride it out.

DS00787

Aug. 23, 2008

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