Best first foods for baby with reflux
Feeding A Baby With Reflux | Parenting Blog | Babocush Limited
It may seem like it was just yesterday when you brought home your little bundle of joy then just like that, it’s time to wean your baby off of milk and introduce solid foods. This process might feel overwhelming, especially if your child is still experiencing baby reflux.
What are the symptoms of baby reflux?
It is important to note the symptoms. Repeated crying, vomiting or spitting up, arching of the back or neck during or after feeds, recurrent ear infections, incapacity to sleep or frequent waking, irritability and lastly, frequent hiccups. Babies typically grow out of reflux within the first two years of their life. With that being said, there are still some foods that can aggravate reflux and others that can ease it.
If your baby suffers with reflux, you may feel more comfortable consulting your doctor before you wean your baby off milk and transition them onto solid foods. As a general rule of thumb, you should avoid giving your baby solid food before they’re four months old.
It’s important that you start the weaning process with purees and baby led weaning.The best foods to feed a baby with reflux are purees of vegetables, particularly root vegetables like potatoes, carrots, pumpkin, swede, parsnips and sweet potato. You can also feed your baby any non-acidic fruits. You should avoid citrus fruits like oranges, apples and grapes, tomatoes, peppers, courgettes, cucumbers and aubergines. In addition to that, you should also avoid any foods that have cow’s milk proteins as well as spicy foods.
How to introduce solid foods?
By the time your little one is 4 to 6 months old, you'll probably have your breastfeeding or formula drill down to an art. However, don’t get too comfortable - your baby will soon be ready for "real" food. When it comes to giving your baby solid food, there are a few tips you can follow that can make the process much easier…
Wean your baby slowly
As a general rule of thumb, you should wean your baby slowly and let them take the lead on how much food they need. Don’t hurry meal times, allowing plenty of time for food to settle in your baby’s tummy.
Start with smooth foods
You should also start your baby on food that is completely smooth. The textures of different kinds of foods can be a trigger for your infant to spit it up. That is not to say you can never introduce different textures, just make sure that you do so slowly. You should also make sure that you sit your baby upright when feeding them.
Watch out for allergies
You can include any foods that are a part of your family’s diet during complementary feeding. As a precaution, you could introduce foods one at a time for three days at first and, if your baby has no issues, the next new food should be added.
This way, any problematic food would be easier to recognise in the unlikely event that an acute or delayed form of allergic reaction occurs. Once potential allergens, such as eggs and peanuts, have been introduced it is recommended that you continue to include them in your baby’s diet, ideally at least twice a week, to ensure that your baby remains tolerant to that particular food.
Spacing the time in between introducing new foods will give you the opportunity to discover the foods your baby likes and dislikes. Although your baby’s reflux can make introducing solid foods a challenge, it’s by no means impossible.
- Why Do Babies Hiccup?
- How To Burp A Baby
Feeding Solid Foods To A Baby With Reflux: 5 Tips
Home / baby-solids-how / Feeding Solid Foods To A Baby With Reflux: 5 Tips
by Emily DeJeu in baby-solids-how —
Reflux: it’s a problem that affects many babies (up to 50% of babies age 0-3 months!) And if your baby has ever struggled with reflux, you know how hard it can be — the gas, the vomiting, the constant fussiness.
Since reflux is a digestive issue, introducing solid foods to your baby will definitely have an impact on her reflux symptoms. Some parents find their babies’ reflux symptoms actually improve with the introduction of solid foods; others find that starting solids increases reflux symptoms like gas and vomiting.5 Tips For Feeding Babies With Reflux
Does your baby struggle with reflux? Below, we’ve included 5 tips to help you feed solid foods to your baby with reflux.Offer good “first foods”.
Rice cereal is usually considered a good first food for babies without reflux, and it may be fine for a baby with reflux, too. However, rice cereal has been known to cause constipation and gas in some babies, so you may want to avoid offering it right away, if your baby has reflux.
Instead, consider starting with these foods:
- Avocado — Foods that are high in fat, like avocados, can be good for babies with reflux. Babies with reflux may eat less than babies without, so it’s considered good practice to offer them high fat, high calorie foods.)
- Pears — Pears are one of the least acidic fruits, and since acid can trigger reflux, pears make a great first food for your baby.
- Bananas — Bananas have been shown to actually help with digestion.
Foods that are known to cause gas can cause lots of pain and discomfort for a baby who already struggles with reflux. Those foods include:
- Brussel sprouts
Other foods that have been known to increase reflux symptoms include:
- Dairy products (particularly milk)
- Acidic foods, like tomatoes and oranges
- High-fat meats
- Carbonated drinks (not that you should be offering those to your baby anyway! 😉 )
Remember the 4 Day Rule? Essentially, the 4 Day Rule advises you to wait 4 days between introducing new foods to your baby. This allows you to figure out which (if any) foods your baby might be allergic to.
This rule works for babies with reflux, too. After you’ve offered your baby a new food, wait a few days to see if it triggers any reflux symptoms. This’ll make it much easier for you to uncover your baby’s “trigger foods” and keep those out of her diet as much as possible.Offer frequent, small meals (but not too close to bedtime!)
Your baby will have an easier time digesting small quantities of food than larger ones. And for some babies, eating large meals triggers reflux symptoms. So consider creating your own daily feeding schedule that’ll include 4 or 5 (or even 6) small meals.
What’s more, avoid offering your baby any solids in the hour before bedtime. This’ll help ensure that if he does have any reflux symptoms after eating, they won’t interfere with his nighttime sleep.Keep your baby upright.
If your baby’s struggled with reflux since birth, you probably know this one already. The fact is that keeping your baby in an upright position after feeding can actually help him digest food, and can help prevent vomiting. This is true for babies when they’re breastfeeding or bottle feeding; it’s also true for babies when they’re eating solid foods!
Sit babies upright when it’s time for a solids meal, and avoid laying them down flat on their backs (or their stomachs) after eating. It’s also recommended that you avoid placing your baby in a walker or exersaucer (or anything else that’ll put pressure on his stomach) after he’s eaten.Everything You Need To Know About Starting Solids – All In One e-Book!
What if you could find everything you needed to know about starting your baby on solid foods – when it’s best to start solids, how to introduce solids, complications, food allergies, etc. – in one easy-reference guide? Now you can! Your Baby’s Start To Solid Foods: A Comprehensive Guide will walk you through every step of starting solids. Plus, your e-Book package includes several bonus materials, designed to maximize your success in starting solids. You’ll get a thorough guide to treating constipation, a dietitian’s advice on how to avoid 5 common solid-foods mistakes, and a weekly meal plan for your baby’s first year. Grab your e-Book today, and ensure your baby has the healthiest possible start to solid foods!Does your baby have reflux? Do you have any tips to offer on feeding solids to a baby with reflux? Share your story and advice!
*Some of this information was taken from homemade-baby-food-recipes. com.
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20 Ways to Calm a Child with Reflux
The duration and intensity of treatment for reflux depends on how severely the reflux interferes with the growth and well-being of the child. The doctor observes the child and prescribes a treatment regimen, but parents are also responsible for most of the treatment. As you will soon learn, children with reflux need special care and attention. The goals of reflux treatment are the comfort of the baby, its optimal development and minimization of possible damage to the esophagus. Treatment is continued until the child's digestive system has matured naturally to overcome reflux. The basis of reflux therapy is the following:
Development of a meal plan and the selection of fast-digesting foods, and it is also necessary to ensure that food remains in the stomach and is not thrown into the esophagus.
The correct position of the body of the child - day and night - so that gravity helps to keep food in the stomach.
Proper care and care of the child , reducing the frequency of crying attacks, since it is crying that increases pressure on the stomach, which, in turn, increases reflux.
Here's how to calm a child with reflux.
Natural education . This style of parenting, when you are as close as possible to your child, reduces the child's need to cry (remember that crying increases reflux) and helps parents build relationships with their own child. Less crying and more interaction with your baby is the best recipe for reflux. Natural parenting (especially the three parts of it: breastfeeding, carrying the baby, and learning to recognize the baby's signals) not only helps to calm the baby if he is hurt, but also helps parents better use their intuition to recognize the baby's body language and those signs that he delivers even before crying and before an attack of reflux, and in time to intervene. The mother, under the influence of increased prolactin and oxytocin, feels more calm and relaxed. But above all, avoid the crowd advising you to let the baby cry. Children with reflux cry because they are in pain. If you do not pay attention to a crying baby, then reflux will only increase. Imagine that your timely response to the baby's crying is the best medicine. (See Chapter 1 for a detailed description of how natural parenting helps both parents and children grow.)
DR BILL'S NOTE. Don't take it personally that your baby cries a lot. Any child knows that his parents are there and take care of him, even if they can not always relieve his pain.
Hold the baby half upright, especially during feedings . Gravity helps to naturally hold food in the stomach, preventing it from rising up. Carry your baby in a sling most of the day. Do not leave your child to sit in a car seat or high chair for a long time. When sitting, the child bends over, and thus creates pressure on the stomach, which causes reflux in some children.
The baby should be calm after feedings . Carry your baby in your arms or in a sling for at least 30 minutes after feedings. Dance slowly, but don't squat. But above all, do not involve the baby in too active activities or play immediately after feeding. This can cause reflux.
Feed more often, but in small portions . Follow Dr. Bill's rule: half a serving, but twice as often. Less food in the stomach reduces the chance of reflux. More frequent feedings stimulate salivation. Saliva contains a substance called epidermal growth factor that helps heal damaged tissue in the esophagus. It also neutralizes stomach acid and lubricates irritated esophageal mucosa.
Let the baby burp . If the child swallows too much air, the reflux increases. When breastfeeding, let your baby burp when you transfer him from one breast to the other. If the baby is bottle-fed, let him burp a few times throughout the feeding. Some modern feeding systems reduce the amount of air in the bottle.
Breastfeed . Breast milk is often referred to as an easy-in and easy-out food. Typically, breastfed babies don't have as much reflux as formula-fed babies. And a breastfeeding mother copes with the problem more easily for the following reasons:
• Breast milk "evacuates" from the stomach much faster than formula.
• Breast milk has a better effect on the intestinal microflora.
• Breastfed babies naturally have more feedings per day, and breastmilk is a natural antacid (acid-reducing agent).
• Breastfed babies have softer stools and are rarely constipated.
• Maternal hormones released during breastfeeding allow the mother to relax.
NOTE TO ONE MOTHER. After four doctors, Jacob was diagnosed with gastroesophageal reflux at the age of five months. How glad I am that I did not give up and got to the bottom of the truth, what still hurts my child. One of the drugs given to Jacob was to improve his digestion so that reflux would not occur. I realized: what could be better for a baby than the most easily digestible food in the world - mother's milk! When we went to the specialist recommended by our doctor, he was extremely surprised to see Jacob in such high spirits. He said that most of the children with the same degree of reflux as Jacob's developed poorly and looked very sickly. I'm sure that breastfeeding helped Jacob get better.
Consider food or formula intolerance . In the next chapter we will look at food as the cause of colic. It can also cause reflux. If you are breastfeeding, review your diet. Eliminate dairy and wheat products first. Then check to see if there are any other foods that cause your child to worry about in your diet.
Do not put your baby to bed with a bottle or leave your baby unattended with a bottle . Babies with reflux may choke while feeding and may even experience respiratory arrest.
DR BILL'S ADVICE. The mother of a child with colic is under stress, which negatively affects the milk supply. If there is less milk, the baby becomes even more restless, and the mother gradually refuses to breastfeed. Remember our advice: a child needs a happy, rested mother. Seek help from a lactation consultant to maintain your milk supply, seek help with household chores, and make time for yourself.
Try pacifier . Although your chest and arms are the best sedatives, for some children with reflux, frequent use of a pacifier helps. This is why breastfeeding mothers find their babies constantly begging for food. (On the other hand, some babies associate feeding with pain and therefore refuse to eat.) Frequent sucking stimulates saliva production, which, as already mentioned, relieves irritation of the esophagus with reflux. However, be careful, sometimes too much sucking on a pacifier can increase reflux as the baby swallows more air. So see what suits your child.
Minimize air intake and gas production . When breastfeeding, make sure your baby latch on properly. If you are bottle feeding, use bottles and nipples to reduce air swallowing. Simethicone preparations have a slight effect. These drugs break up large air bubbles into smaller ones that are easier to pass through the intestines. A large amount of air in the stomach and intestines works like a pneumatic pump, when the stomach filled with air contracts, this can cause reflux.
Try only one breast per feed . In the first few minutes of feeding, the baby receives the so-called foremilk, which is rich in lactose. If a baby suckles from one breast for less than 10 minutes, he will most likely burp, as foremilk contributes to gas and bloating. Hold the baby at one breast for 20-30 minutes so that he also receives low-lactose hindmilk. Discuss with your doctor or lactation consultant the use of this technique, known as block feeding, to reduce reflux.
Avoid constipation . The tension caused by constipation increases abdominal pressure and can increase reflux. In addition, food that cannot move further along the filled intestine can be thrown into the esophagus.
Thicken food . If your baby is formula-fed and ready to start complementary foods (that is, he is about six months old), and if your doctor recommends complementary foods, add two or more tablespoons of rice porridge to each bottle of formula (240 grams). The heavier the food, the better it stays in the stomach. Thicker foods help some babies overcome reflux, and for others, on the contrary, make it worse. I'm not sure how thicker foods help with reflux. Also, too much rice porridge can cause constipation.
DR. BILL'S ADVICE: Because many babies with reflux are also allergic to milk-based formula, try a hypoallergenic formula that digests faster in the stomach than regular formula.
Find a sleeping position that will reduce reflux symptoms . While babies under six months of age are best placed to sleep on their backs, babies with reflux often sleep better on their left side. (On the left side, the entrance to the stomach is higher than the opening of the pylorus, which helps gravity keep food in the stomach.) Discuss with your doctor whether reflux attacks justify sleeping on your stomach or on your side. Otherwise, put the baby to sleep on his back. Also try the following to reduce reflux symptoms:
• Use a chair or box to raise the head of the crib by at least 30°.
• Try the special crib holder. It is fixed around the top of the mattress, like a fitted sheet. Then the fabric is threaded between the baby's legs, like a diaper, and fastened on the stomach with Velcro. The design does not allow the child to slide down from the tilted mattress.
• If your baby sleeps in your bed, use a reflux-reducing pillow available at baby stores.
Do not smoke near your child . Nicotine stimulates acid production and opens the lower esophageal sphincter.
Do not put clothes on your baby that will squeeze the tummy.
Try reflux medication . The following medications can, of course, help reduce the discomfort of reflux and minimize damage to the esophagus. But they can only be used in conjunction with the already described ways to alleviate reflux: natural parenting, the correct position of the child's body and proper feeding.
Antacids. These medicines, available from pharmacies without a prescription, neutralize stomach acid. They are given three to four times a day with meals (the specific drug and dose should be determined by the doctor), and the effect is not long in coming. However, the neutralizing effect lasts only a couple of hours. For older children, it is better to give chewable tablets, as they stimulate salivation, mix with saliva, which helps the antacid coat the esophageal mucosa and better neutralize acid. Long-term use of some antacids can cause constipation or diarrhea.
Acid secretion suppressors. These drugs block changes in the level of acid production in the stomach. The effect will have to wait from 30 minutes to two hours, but it can last up to 8 hours. Such drugs are usually given to the child twice a day. If the symptoms of reflux prevent the child from sleeping, give him the drug an hour before bedtime.
Drugs that affect gastrointestinal motility. These drugs work in the following way: they increase muscle tone and thereby cause the muscle of the lower esophageal sphincter to tighten or increase the muscle motility of the stomach and upper intestine, and therefore food passes from the stomach to the intestines faster. They are sometimes called prokinetics. Antacids and drugs that block acid secretion do not reduce reflux, but only pain and reduce the negative effect of acid on the esophagus. While drugs that affect motility do reduce reflux symptoms, they may have more side effects.
An individual reflux treatment regimen that is right for your child should be developed exclusively under the supervision of a pediatrician or pediatric gastroenterologist. Do not exceed prescribed dosages of medications and do not use over-the-counter medications without the knowledge of your doctor. All drugs have both positive effects on the body and side effects, and drugs that reduce acidity or block the secretion of gastric juice can only be used when reflux really bothers the child and / or can damage the lining of his esophagus. On the other hand, untreated reflux can lead to serious consequences such as a damaged esophagus or asthma. One of the reasons to be careful with antacids is that the acid produced by the stomach has a positive effect. It promotes better digestion of proteins, some vitamins and minerals. The acid also destroys harmful bacteria that enter the stomach, thereby maintaining the balance of beneficial bacteria in the intestines. And finally, the right amount of gastric juice maintains a balance of hormones that facilitate the passage of food into the intestines. Use antacids only if your reflux symptoms have not improved after you tried the methods above.
Keep a diary . You need to be a close observer and carefully record any signs of reflux in your child, as the doctor will often base a treatment regimen on your observations. The doctor relies on your observations to change the treatment regimen, drugs and dosages. In your diary, note the child's main symptoms, treatment regimen used, and progress (better, worse, or no change).
Seek support . Ask your doctor which parents whose children also suffer from reflux might be consulted. Reflux has been recognized as one of the causes of colic, frequent respiratory infections and asthma, and therefore, understanding this phenomenon and its timely treatment will soon bring positive results.
PARENT ADVICE: Never give up on what your child is really worried about. Be persistent in getting the medical attention you need.
Additional advice for children from the year . Although most children outgrow reflux by their first birthday, some children have it for longer. Try the following tricks for children aged one and older:
Chew Chew Chew. If you teach your child to take food in small pieces and chew thoroughly, he will swallow less air. In addition, well-chewed food is digested faster in the stomach and passes into the intestines.
Let the child "graze". Frequent, tiny meals help digest food easily (see tips for organizing your baby's "buffet" tray).
Sit quietly and eat. Restless behavior at the table causes the release of acid into the esophagus. Teach your child to sit or stand quietly for half an hour after eating.
Don't eat too much at night. Eat early and save low-fat, fast-digesting foods for an evening snack. It is useful for adults to remember: "Do not eat after nine."
Befriend the blender. Fruit and yogurt smoothies and vegetable purees pass through the stomach quickly and therefore cause less reflux.
Don't let your baby get fat. Obesity contributes to the development of reflux.
Avoid foods that take a long time to digest. As well as products that increase the secretion of gastric juice and possibly provoke reflux.
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Reflux in infants: symptoms and treatmentsearch support icon
Home ›› What is reflux in babies?
Home ›› What is reflux in babies?
Signs and what to do
Post-feed regurgitation is a common occurrence in the first few months of life. This is usually harmless and completely normal, but parents should read about gastroesophageal reflux (GER) and laryngopharyngeal reflux (LPR) in infants and how long it lasts to give them peace of mind.
We look at signs of reflux in babies, symptoms of different types of reflux, and how to help a child with signs of reflux. If you require further information, always contact your healthcare provider.
What is reflux in babies?
So we know reflux is common, but what causes reflux in babies? Because young children have not yet fully developed the lower esophageal sphincter (LES), that is, the muscle at the bottom of the esophagus that opens and closes to let food into the stomach and keep it there, food can easily pass back up the esophagus.
Acid reflux, also known as gastroesophageal reflux (GER), is a normal reflux that occurs in babies. This type of reflux is considered normal and occurs in 40-65% of babies.
How do I know if my child has acid (gastroesophageal) reflux?
If a baby is spitting up milk after a feed, it is most likely acid reflux. As babies get older, GER usually goes away on its own without any intervention. If a baby has complications beyond just spitting up a small amount of milk (such as feeding difficulties and discomfort), they may have gastroesophageal reflux disease (GERD).
Symptoms of GERD include:
- baby arching during or after feeding;
- crying more than three hours a day for no apparent reason;
- gag reflex or difficulty swallowing;
- irritability, restlessness after eating;
- eating little or not eating;
- poor weight gain or loss;
- difficult breathing;
- severe or frequent vomiting.
GERD usually occurs when LES muscles are not toned in time, causing stomach contents to back up into the esophagus.
How do I know if my child has Laryngopharyngeal Reflux?
Another type of reflux, laryngopharyngeal reflux (LPR), also called silent reflux, is when the contents of the baby's stomach leak back into the larynx, the back of the nasopharynx. This type of reflux does not always cause external symptoms, which is why it is called "silent". Babies can have GERD and silent reflux at the same time, but their symptoms are somewhat different.
Some of the symptoms of laryngopharyngeal reflux are listed below:
- trouble breathing;
- gag reflex;
- chronic cough;
- swallowing problems;
- hoarseness of voice;
- poor weight gain or weight loss.
We have looked at the signs of reflux in infants, now we will move on to the treatment and duration of silent reflux in children, as well as the treatment of GERD.
How to deal with laryngopharyngeal reflux in babies while breastfeeding?
Breastfeeding mothers may need to review their diet if their babies show signs of reflux. The American Academy of Pediatrics (AAP) recommends breastfeeding mothers cut eggs and milk from their diet for two to four weeks to see if their baby's reflux symptoms improve or disappear. It may be worth eliminating acidic foods from your diet.
In most cases, GER and laryngopharyngeal reflux go away on their own. Typically, children outgrow reflux in the first year of life. If a child has persistent symptoms of laryngopharyngeal reflux, parents should consult a doctor. If your baby has severe vomiting, blood in the stool, or any of the symptoms of GERD listed above, parents should contact their pediatrician as soon as possible.
How can I help my child with reflux or GERD?
Reflux symptoms usually go away on their own in babies, but the following tips may help relieve symptoms:
- Thicken your food with rice or a special milk thickener.
- Hold the bottle at an angle that fills the nipple completely with milk to reduce the amount of air your baby swallows. This can help prevent colic, gas, and reflux.
- Try the AirFree anti-colic bottle, designed to reduce air swallowing during feeding.
4. Let your baby burp during and after feeding. If the baby is bottle fed, parents can let him burp after every 30-60 ml. If the mother is breastfeeding, she may let the baby burp when changing breasts.
5. Hold baby upright after feeding. As a rule, in order for the milk to remain in the stomach, after feeding the baby, it is necessary to hold it in an upright position for 10-15 minutes. But, if the child has reflux, parents should keep him upright a little longer.
These tips may help relieve symptoms, but they do not replace a doctor's advice.
Parents should not change their infant formula formula without first talking to their healthcare provider.
Don't panic! Reflux is very common in babies during the first three months of life, and most babies outgrow it without any consequences. Although GERD is a slightly more serious condition, there are many treatments, ways to manage it, and help newborns. Feel free to contact your doctor with any questions or concerns you may have.