10 Indicators of Acid Reflux’s Effect on Infants


The diagnosis of Reflux is common these days. I find it more and more often in the families with whom I provide postpartum douse services. Below find the obvious symptoms of this condition. It is important, as parents, to understand any issues your baby may have. I believe strongly in active participation of parents in making choices in medical treatment for their infants. Before you agree to treatment for a particular condition in your baby be sure you are aware of the symptoms and the side affects of any medications that may be prescribed. Ask questions about the long term affects of the condition as opposed to the complications that may result from medication. Talk with your friends and relatives who may have experienced the condition with their infants. If you are inclined, look into homeopathic ways of dealing with the issue at hand. More education can only give you a border foundation from which to make decisions. Do not hesitate to contact those in the field of infant care. Our goal is to provide you and your infant with the best experiences possible as you navigate the adventure of parenthood!!


Indicators of Reflux: Infants are more prone to acid reflux because their LES may be weak or underdeveloped. 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. If they persist, it may be a sign of gastroesophageal reflux disease (GERD), which is a more severe condition. While they may vary, the 10 most common signs of acid reflux or GERD in infants include:

1 spitting up and vomiting
2 refusal to eat and difficulty eating or swallowing
3 irritability during feeding
4 wet burps or hiccups
5 failure to gain weight
6 abnormal arching
7 frequent coughing or recurrent pneumonia
8 gagging or choking
9 chest pain or heartburn

10 disturbed sleep

Spitting up and vomiting

Spitting up is normal for infants. However, forceful spit-up may be a symptom of GERD. This is especially true if your infant is older than 12 months and still spitting up forcefully after meals.
Spitting up blood, green or yellow fluid, or a substance that looks like coffee grounds may also signify GERD or other more serious disorders.
Spitting up is normally painless. Your baby should still appear happy and healthy after spitting up. Forceful spitting up or vomiting is more painful and will be followed by crying and fussing.
Refusal to eat and difficulty eating or swallowing
Your infant may refuse to eat if they experience pain during feeding. This pain might be due to the irritation that occurs when the contents of the stomach come back up into their esophagus.
Irritability during feeding

Wet burps or hiccups

A wet burp or wet hiccup is when an infant spits up liquid when they burp or hiccup. This can be a symptom of acid reflux or, less commonly, GERD.

Failure to gain weight

Weight loss or failure to gain weight may occur as a result of excessive vomiting or poor feeding associated with acid reflux or GERD.

Abnormal arching

Infants may arch their body during or after feeding. It’s thought that this may be due to a painful burning sensation caused by the buildup of stomach fluid in the esophagus.
Abnormal arching may be a neurologic problem on its own. However, it can be a symptom of GERD if your baby also spits up or refuses to eat.

Frequent coughing or recurrent pneumonia

Your infant may cough frequently due to acid or food coming up into the back of the throat. The regurgitated food can also be inhaled into the lungs and windpipe, which may lead to chemical or bacterial pneumonia.
Other respiratory problems, such as asthma, can develop as a result of GERD as well.

Gagging or choking

Your baby may gag or choke when stomach contents flow back into their esophagus. The position of your baby’s body during feeding can make it worse.Gravity helps keep the contents of the stomach down. It’s best to keep your infant in an upright position for at least 30 minutes after feeding them to prevent food or milk from coming back up.

Disturbed sleep

GERD and reflux can make it more difficult for your baby to sleep through the night.

Try to feed your baby long before bedtime so stomach contents have a chance to settle fully. There are other ways to help your baby sleep, too.


It’s important to speak with your baby’s doctor or pediatrician if you think your infant has GERD.
The doctor can rule out other conditions or confirm a GERD diagnosis. They can also suggest certain lifestyle changes that may help treat your baby’s GERD or acid reflux.
Last medically reviewed on July 3, 2017

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