Reflux in babies (2024)

Reflux is when a baby brings up milk, or is sick, during or shortly after feeding. It's very common and usually gets better on its own.

Check if your baby has reflux

Reflux usually starts before a baby is 8 weeks old and gets better by the time they're 1.

Symptoms of reflux in babies include:

  • bringing up milk or being sick during or shortly after feeding
  • coughing or hiccupping when feeding
  • being unsettled during feeding
  • swallowing or gulping after burping or feeding
  • crying and not settling
  • not gaining weight as they're not keeping enough food down

Sometimes babies may have signs of reflux but will not bring up milk or be sick. This is known as silent reflux.

Things you can try to ease reflux in babies

Your baby does not usually need to see a doctor if they have reflux, as long as they're happy, healthy and gaining weight.

Do

  • ask a health visitor for advice and support

  • get advice about your baby's breastfeeding position or how to bottle feed your baby

  • hold your baby upright during feeding and for as long as possible after feeding

  • burp your baby regularly during feeds

  • give formula-fed babies smaller feeds more often

  • make sure your baby sleeps flat on their back (they should not sleep on their side or front)

Don’t

  • do not change your diet if you're breastfeeding

  • do not raise the head of their cot or Moses basket

Non-urgent advice: See a GP if your baby:

  • is not improving after trying things to ease reflux
  • gets reflux for the first time after they're 6 months old
  • is older than 1 and still has reflux
  • is not gaining weight or is losing weight

Urgent advice: Ask for an urgent GP appointment or call 111 if your baby:

  • has vomit that's green or yellow, or has blood in it
  • is projectile vomiting (being sick with more force than usual)
  • has blood in their poo
  • has a swollen or tender tummy
  • has a very high temperature or they feel hot or shivery
  • keeps being sick and cannot keep fluid down
  • has diarrhoea that lasts for over a week or has signs of dehydration
  • will not stop crying and is very distressed
  • is refusing to feed

Also call your GP or 111 if you have any other concerns about your baby.

Treatment for reflux in babies

A GP or specialist may sometimes recommend treatments for reflux.

If your baby is formula-fed, you may be given:

  • a powder that's mixed with formula to thicken it
  • a pre-thickened formula milk

If the thickening powder does not help or your baby is breastfed, a GP or specialist might recommend medicines that stop your baby's stomach producing as much acid.

Very rarely, surgery might be needed to strengthen the muscles to stop food or milk travelling back up. This is usually only after trying other things or if their reflux is severe.

Causes of reflux

Reflux usually happens because your baby's food pipe (oesophagus) has not fully developed, so milk can come back up easily.

Your baby's oesophagus will develop as they get older and the reflux should stop.

Page last reviewed: 13 December 2021
Next review due: 13 December 2024

Reflux in babies (2024)

FAQs

Why do so many babies have reflux now? ›

GER is common in infants because they have a liquid diet and spend a lot of time lying down. They may outgrow this as they get bigger. If GER is more severe and longer lasting, it is called gastroesophageal reflux disease (GERD).

How does a baby act when they have reflux? ›

Check if your baby has reflux

coughing or hiccupping when feeding. being unsettled during feeding. swallowing or gulping after burping or feeding. crying and not settling.

What age is reflux the worst in babies? ›

It usually starts around the 2 to 3 week mark, peaks around 4 to 5 months, and typically goes away by about 9 to 12 months. Reflux is more likely to happen if a baby's belly is too full, if they're moved too quickly from laying to sitting or if they're experiencing pressure on their tummy after feeding.

Are babies with reflux healthy? ›

Reflux happens in healthy infants many times a day. As long as your baby is healthy, content and growing well, reflux is not a cause for concern. Sometimes called gastroesophageal reflux (GER), the condition becomes less common as a baby gets older. It's unusual for infant reflux to continue after age 18 months.

How did I cured my baby's reflux naturally? ›

Lifestyle and home remedies
  1. Feed your baby in an upright position. Then, hold your baby in a sitting position for 30 minutes after feeding. ...
  2. Try smaller, more frequent feedings. ...
  3. Take time to burp your baby. ...
  4. Put baby to sleep on the back.
Jan 24, 2023

Does reflux in babies ever go away? ›

When your baby brings up milk, or is sick during or after feeding, this is known as reflux. Reflux is quite common and babies usually grow out of it by the age of 1.

Does a pacifier help with reflux? ›

It's a common belief that using a dummy helps soothe babies with reflux. With acid reflux this is another big no no! Apart from teaching your baby the wrong association; sucking creates wind, stimulates stomach acid and adds fuel to the fire with reflux.

How do breastfed babies get reflux? ›

Babies who are not latching effectively for breastfeeds may have reflux. This can be because they are taking in air when feeding or when crying. Sometimes, babies just need to be in a slightly different position to latch more deeply. Sometimes it can be a result of physiological issues such as a tongue tie.

What to avoid when baby has reflux? ›

What Are Some Reflux Precautions To Take With Your Infant?
  • Avoid overfeeding your baby.
  • Keep your baby away from tobacco and other chemical smoke.
  • Your doctor may recommend a cow's-milk-free diet or thickened formula to help with reflux.

Do gas drops help with reflux? ›

OTC gas remedies for babies made with ingredients like simethicone may not specifically help with reflux, but they can relieve gas symptoms that could make the problem worse.

Does gripe water help with reflux in babies? ›

Smaller but more frequent feedings, changing position or interrupting feedings to allow time for burping may be all that is needed to get reflux under control. Many moms have found gripe water to be effective in helping to contain reflux and calming the digestive process.

Does burping a baby make reflux worse? ›

That's actually been studied! A study of 71 mother-baby duos found that burping babies did not reduce the rates of colic but did increase the rates of regurgitation or spit-up compared to not burping babies. It makes sense to me, and to Jones, that “hitting a baby with a full stomach on the back will cause vomiting.”

Does mom's diet affect baby reflux? ›

Because food intolerances or allergies can cause reflux, changes to your diet may help ease your baby's symptoms. Cow's milk protein (not the lactose, but the protein in dairy products) is the most common issue, but if you're not sure what the problem food is, start jotting down what you eat and when.

When should I be concerned about my baby's acid reflux? ›

If your baby has concerning symptoms that might be related to acid reflux, such as severe irritability, feeding refusal, or poor weight gain, talk to their health care provider.

What percentage of babies get reflux? ›

About 70 to 85 percent of infants have daily regurgitation by the age of 2 months. Most children no longer have GER symptoms by the time they are 12 to 14 months old.

What percentage of babies have reflux? ›

Acid reflux, the backward flow of stomach acid also known as gastroesophageal reflux disease (GERD), is a common condition in adults and infants. In fact, as many as 60 to 70 percent of babies between 3 and 4 months old experience infant reflux.

How common is acid reflux in babies? ›

In fact, it's estimated that more than half of all infants experience acid reflux to some degree. The condition usually peaks at age 4 months and goes away on its own between 12 and 18 months of age. It's rare for an infant's symptoms to continue past 24 months.

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