Reflux – what to do when your baby has it

What is reflux and how do I manage it?

Gastro-oesophageal reflux (GOR) is when food from the stomach comes back up into the mouth or throat. 

Babies often have reflux, but it's usually gets better by the time they’re one year old. 

You can help reduce reflux by holding your baby upright after feeding.

If you're worried about your baby's reflux, talk to your family doctor or child and family health nurse.

Symptoms of reflux:

• Not sleeping well
• Often spitting up or throwing up
• Being fussy during or after feeding
• Crying a lot, either all the time or suddenly
• Feeling cranky or upset
• Arching their back.

What to do for reflux

• Feed smaller amounts more often.
• Feed slowly, taking 20 to 30 minutes for bottle feeding and up to 40 minutes for breastfeeding.
• Hold the baby upright for at least 15 minutes after feeding.
• Avoid rough play with young babies.
• Expect some fussiness with feeds and sleep.
• Talk to your family doctor if difficulties continue.
• Do not use medication unless told by a family doctor.
• Accept that some days will be better than others.
• Take care of yourself and ask for help when needed.

When is reflux serious?

Sometimes reflux can be more serious, and this is called GORD (gastro-oesophageal reflux disease). Symptoms include:

• poor weight gain 
• baby is upset or annoyed
• difficulty when settling the baby and staying asleep.

If your baby is showing these signs, try all the above recommendations and have your baby assessed and treated by your family doctor or paediatrician. 

More information

For more information, go to:

https://www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/

Kids Health Information : Reflux (GOR) and GORD (rch.org.au)

Breastfeeding and reflux | Australian Breastfeeding Association