What Makes Reflux Worse In Breastfed Babies?

Reflux, also known as Gastroesophageal Reflux (GER), is a common condition in babies where the contents of the stomach flow back into the esophagus. It can be unsettling for both parents and babies, causing discomfort and sometimes distress. For breastfed babies, certain factors can exacerbate reflux and make the condition more challenging to manage.

Forceful Milk Ejection

One of the factors that can make reflux worse in breastfed babies is forceful milk ejection. When the milk releases rapidly and forcefully during feeding, the baby may struggle to keep up with swallowing at the same pace. This can lead to the intake of excess air along with milk, increasing the likelihood of reflux episodes.

Oversupply of Milk

Another factor that can contribute to worsening reflux in breastfed babies is an oversupply of breast milk. When a mother produces more milk than her baby needs, the infant may end up consuming larger volumes in a short period. This can overwhelm the baby’s digestive system, leading to increased regurgitation and reflux symptoms.

Inadequate Burping

Proper burping is essential for babies to expel swallowed air and prevent it from causing discomfort. Inadequate burping during or after feeding can trap air in the baby’s stomach, making reflux more likely to occur. Ensuring effective burping techniques can help alleviate reflux symptoms in breastfed infants.

Poor Latching Technique

A correct latching technique is crucial for efficient milk transfer and optimal feeding experience. A poor latch can result in the baby ingesting more air while nursing, contributing to reflux issues. Educating mothers on achieving a proper latch can minimize the risk of exacerbating reflux in breastfed babies.

Consumption of Gas-Inducing Foods

Some breastfed babies may be sensitive to certain foods in their mother’s diet that can lead to increased gas production. Gas-inducing foods such as cruciferous vegetables, beans, and spicy foods can provoke gastrointestinal discomfort in babies, potentially worsening reflux symptoms. Mothers can observe and adjust their diet to identify and eliminate potential triggers.

Unsuitable Feeding Positions

The position in which a baby is fed can influence the occurrence and severity of reflux episodes. Feeding a baby in a reclined or slouched position can compress the stomach and esophagus, promoting regurgitation. Opting for more upright feeding positions can help alleviate pressure on the digestive system and reduce reflux symptoms.

Infrequent Burping

Regular burping throughout the feeding session is vital for releasing trapped air and promoting comfortable digestion. Infrequent burping intervals can lead to the accumulation of air in the baby’s stomach, contributing to reflux issues. Encouraging frequent burping breaks during feeding can aid in minimizing reflux symptoms.

Feeding Too Quickly

Feeding at a rapid pace can overwhelm a baby’s ability to keep up with swallowing and managing intake. Babies who are fed too quickly may gulp air along with milk, leading to increased aerophagia and reflux episodes. Controlling the feeding pace and allowing the baby to feed at a comfortable rhythm can reduce the likelihood of exacerbating reflux.

Pacifier Overuse

While pacifiers can offer soothing comfort to babies, excessive reliance on pacifiers can contribute to increased air swallowing and gas accumulation. The use of pacifiers, especially during or immediately after feeding, may interfere with effective burping and promote reflux symptoms. Moderating pacifier use can help in managing reflux in breastfed babies.

Maternal Stress Levels

The emotional state of the mother can impact the breastfeeding experience and the baby’s digestive health. High stress levels in mothers can lead to alterations in breast milk composition and flow, potentially exacerbating reflux symptoms in infants. Encouraging stress-reducing activities and providing adequate support to mothers can positively influence breastfeeding outcomes and reflux management.

Untreated Allergies or Sensitivities

Undiagnosed allergies or sensitivities in breastfed babies can manifest as gastrointestinal issues, including reflux. Infants with sensitivities to certain foods consumed by the mother may experience aggravated reflux symptoms. Identifying and addressing potential allergens through consultation with healthcare providers can aid in managing reflux effectively.

What Makes Reflux Worse In Breastfed Babies?

Consulting a Healthcare Professional

If reflux symptoms persist or worsen despite implementing strategies to alleviate discomfort, consulting a healthcare provider is recommended. A healthcare professional can assess the baby’s condition, provide tailored guidance for managing reflux, and address any underlying issues contributing to the symptoms. Open communication and proactive management can support the well-being of both the baby and the breastfeeding mother.

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Nancy Sherman

Nancy Sherman has more than a decade of experience in education and is passionate about helping schools, teachers, and students succeed. She began her career as a Teaching Fellow in NY where she worked with educators to develop their instructional practice. Since then she held diverse roles in the field including Educational Researcher, Academic Director for a non-profit foundation, Curriculum Expert and Coach, while also serving on boards of directors for multiple organizations. She is trained in Project-Based Learning, Capstone Design (PBL), Competency-Based Evaluation (CBE) and Social Emotional Learning Development (SELD).