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Reflux (in Infants)

Physiological reflux seen in the vast majority of infants does not require treatment if it does not affect growth and development.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Reflux (in Infants)?

Gastroesophageal reflux in infants occurs due to the still-immature lower esophageal sphincter, with stomach contents flowing back into the esophagus after meals. In most infants, it is a physiological condition; if it does not affect growth and development, no medication is required.

Gastroesophageal reflux disease (GERD) is the pathological form in which reflux causes esophagitis, growth failure, recurrent pneumonia, or apnea. This condition requires evaluation and treatment.

Cow's milk protein allergy (CMPA) may produce a reflux-like picture in infants, and dramatic improvement can be achieved with an elimination diet.

Symptoms

Frequent regurgitation or vomiting
Back-arching and crying after feeding (irritability)
Refusal of feeding and loss of appetite
Slow weight gain (growth failure suggests GERD)
Recurrent cough or wheezing
Apnea or color change during sleep (in severe cases)

Risk Factors

Prematurity
Neurodevelopmental disorder
Congenital esophageal anomalies
Family history
Cow's milk protein allergy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If the infant is not gaining weight or is losing weight
  • When green or bloody vomiting is observed
  • If crying or arching is severe with every feeding
  • When apnea or breathing arrest occurs
  • If the entire feeding amount is consistently regurgitated

Treatment Methods

01
Position: keeping upright for 20-30 minutes after feeding
02
Small and frequent meals; formula thickeners (rice flour, carob)
03
In breastfed infants, mother eliminating dairy for 2 weeks (suspected CMPA)
04
Cow's milk protein-free hydrolyzed or amino acid formula
05
Proton pump inhibitors or H2 antagonists in GERD (with physician recommendation)
06
Elimination diet is the gold standard in allergic reflux

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.