Child Health and Diseases Specialist Dr. Kemal Akpınar said, “It is natural for your baby to vomit a little after breastfeeding. In order not to confuse this condition, which is defined as physiological reflux, with reflux disease, the symptoms in the baby should be observed very well. If your baby vomits frequently, refuses to feed, cannot gain weight, is restless and sleepless, consult your doctor as soon as possible.
Noting that the complaints of “My baby refuses to breastfeed, does not gain weight, does not sleep, is very restless…”, which worries mothers, can be strong precursors of reflux, Child Health and Diseases Specialist Dr. Kemal Akpınar, “Actually, every baby may vomit a little after breastfeeding. It is involuntary that the air swallowed by the baby during breastfeeding comes out with some food (within 30 minutes after sucking, in the form of water, milk or milk cut, overflowing from the corners of the mouth), which is defined as physiological reflux. It can usually be caused by breastfeeding in the wrong position or overfeeding. However, when the frequency of vomiting increases, the baby refuses to eat, does not gain weight, cannot sleep and becomes restless, then we can talk about reflux, which we define as a disease.
Reflux is more common in premature babies
Emphasizing that although reflux is not seen in every baby as a disease, it is seen in 70 percent of newborn babies, especially one-month-old babies. Kemal Akpınar said, “It is more common in babies with developmental disorders, babies born prematurely or who have a genetic predisposition. Some infections, such as urinary tract infections, can also predispose to reflux. After the age of two, the frequency of reflux decreases to 5%.
It is important to apply the correct breastfeeding technique first in the treatment.
In reflux that has turned into a disease; Underlining that complaints such as frequent vomiting, refusal to feed, inability to gain weight, growth retardation, bad breath are seen, Dr. Kemal Akpınar said, “In children over the age of two, additional complaints such as bloating, burning sensation and constipation are observed in the stomach. The most important criteria in early diagnosis are detailed history and physical examination. Further examinations may be performed for a definitive diagnosis. In the treatment phase, approaches such as the correct breastfeeding technique, mother’s diet, and anti-reflux foods are recommended to the mother, which will improve her lifestyle. In medical treatments, firstly, mucosa-protective and then gastric acid-suppressing drugs, esophagus and stomach movement regulators, stomach content thickeners can be given. If these treatments are not beneficial, surgical treatment may be considered.
Breast milk is the most natural remedy for reflux.
Sharing that the frequency of reflux is less in breastfed babies due to reasons such as the ratio of nutrients in its content, ease of digestion and faster passage to the intestines, Dr. Kemal Akpınar made the following suggestions to reduce the usual vomiting seen after breastfeeding or bottle feeding in non-disease physiological reflux:
10 tips to reduce baby’s vomiting
• Make sure to breastfeed your baby in a vertical position.
•Make sure your baby grasps not only the nipple but also the brown area of the breast. This will reduce air swallowing and vomiting.
• After sucking, put it on your shoulder in a suitable position and massage your back to release the gas. In the meantime, avoid sudden and hard movements and compressions that will increase intra-abdominal pressure.
• If you are bottle-feeding your baby, do not feed at night. The last feeding of the day should be done 1-2 hours before sleep in babies who vomit frequently.
•Feed by holding the bottle at a near vertical angle.
• Stop feeding as soon as your baby refuses to breastfeed or bottle feed at least twice. Remember; In order for the stomach to be hungry again, the contents of the stomach must descend into the intestines. When this does not happen, the baby will feel full. If you insist on feeding, vomiting will increase.
• Avoid foods and diets that will disturb your stomach, cause bloating, burning and gas. Especially if you are breastfeeding, any food that disturbs you will also disturb your baby.
•After breastfeeding or bottle feeding, it is beneficial to keep your baby’s head in bed at a height of 10-20 degrees.
•Make her sleep by turning her head to the left. According to studies, the frequency of reflux is lower in babies, especially when they sleep with their heads turned to the left.
•Make sure that your baby’s clothes are loose. Especially do not tighten the diaper too much.