Three Things Your Doctor Won't Tell You About Baby Reflux... and What You Can Do About It

Reflux, ranging from no vomiting (silent reflux) to competition-winning projectile vomiting is distressing, for baby, mum and dad.

When we visit our doctors to ask for help, we are told that "reflux is normal", that "baby will grow out of it", and that we "don’t need to worry about it".

Yet the gut instinct that got us to visit the doctor in the first place is yelling “No!” about this, “No!” to letting our babies continue to suffer, because we know it is not normal. 

The truth is that our doctors are not trained in baby reflux specifically. In fact, they can do no more than follow the guidelines that tell them to "watch and wait", and then to medicate, medicate, medicate.

Here are three facts about reflux that your doctor is not going to tell you:

1.   Reflux is a symptom.

It’s a simple sentence, and at the same time, it's quite profound.

Western medicine tells us that babies "get" gastro oesophageal reflux (GOR/GER), and that if it is causing distress, it becomes gastro oesophageal reflux disease (GORD/GERD). 

However, reflux is not something that baby "gets", or even "has".

And it is important that we understand the better language to use.

Our bodies (those of everyone, from babies right through to adults), reflux. It is something our stomachs do rather than have.

Reflux has no pathological cause. It is a symptom.

This means that it presents in our babies as a result of something else that is “wrong”, or out of balance. It is important to understand this because your baby’s body is not "over producing stomach acid."

And your baby does not have reflux because of a weak lower oesophageal valve (LES), the ring of sphincter muscle between the oesophagus (food pipe) and the stomach. I say this because all babies are born with a weak LES, and not all babies reflux. Therefore, a weak LES is not the cause of reflux, if it was, all babies would reflux, all the time. 

Babies are born with lower muscle tone and strength in general, and as the LES is muscle, this applies there too. The weakness in the LES makes it easier for food and stomach contents to come back up into the LES, however, on it's own, it is not the cause.

2.   “I don’t know what's causing your baby’s reflux”

Your doctor is not trained to understand the symptoms and behaviours that go with reflux, and probably (especially in the days of Covid-19) does not have the time to ask you about over 80 different symptoms and behaviours that are needed to understand what the underlying pattern of your baby’s reflux really is. 

Perhaps our expectations of our doctors are too high.

To support the health of a community, doctors must know a little about a lot, which means they cannot know everything about everything. That would simply take too long for them to qualify. 

To combat this, guidelines for treatment are provided to all doctors, in the UK, these come from the National Institute of Clinical Health and Excellence, who derive their guidelines from the World Health Organisation.

When it comes to reflux, the guidelines advise the following stepped approach:

  1. Reassure parents that reflux is normal (as long as possible)
  2. Trial smaller feeds more frequently (2 week trial)
  3. Trial thickened milks or adding a thickener (2 week trial)
  4. Trial medication: alginate therapy (2 week trial)
  5. Trial gastric acid suppression medication (proton pump inhibitors such as omeprazole, or histamine-2 receptor antagonists such as ranitidine) (4 week trial)
  6. Refer to a paediatrician.

If adhering to the guidelines, babies can be waiting 10+ weeks to get a referral to a paediatrician, then the wait for the appointment itself could be months away. Meanwhile, baby, mum, dad and siblings are left struggling with the direct and indirect consequences of reflux.

3.   Medication won’t resolve reflux for 80% of babies

Medication has a very important role to play for babies, when it is used appropriately.

However, its rate of effectiveness is very low: in a survey of over 1,900 parents, less than 20% rated the improvements in their baby’s reflux as 8/10 or greater.

Babies are kept on medications for too long, increasing doses and adding more medications into the mix when it isn’t working. This poses longer term risks to their health as these medications are supposed to be used only for the short term, as per the instructions for use from the manufacturers.

The gastric acid suppression medication that are prescribed for babies are designed for reflux in adults. The mode of operation of these medications assumes that there is too much acid in the stomach.

However, the only time that this really occurs in babies, is when their bodies are adjusting to or from these medications.

So what should we do?

To truly help our babies, we need to anaser a different question.

What we really need to be asking is “What is causing their reflux?

When we answer this seemingly simple question, we know, with confidence, what specific action to take to have each baby as an individual.

The challenge comes when we ask what is causing this symptom, because it is a symptom of many things, including

Reflux is always a symptom of something else, and causes range across the following and more....

  • Allergens
  • Birth Trauma
  • Breech presentation
  • Cleft lip & Palette
  • Digestive Immaturity
  • Excessive crying (could be due to reflux pain, or over tiredness, or over stimulation)
  • Formula Ingredients
  • Hiatal Hernia
  • Histamine Sensitivity
  • Latch Difficulty
  • Lip tie
  • Intestinal Blockage
  • Oral Motor Dysfunction
  • Pyloric Stenosis
  • Small Intestine Bacterial Overgrowth (SIBO)
  • Tongue tie
  • Ulcers (in stomach)
  • Vaccines (I’m not getting into an anti/pro conversation, we can support babies around their jabs that minimises the impact and the resulting reflux that can happen)

The list goes on.

When we figure out whats causing each baby’s reflux, we can take direct and quick action to resolve it... sometimes within days!

To know what treatment will be effective for each baby, we need to understand the specific cause for each baby first.

And the way we do that is by playing Sherlock Holmes. Being the detective and looking at the clues your baby is giving you, every day.

In the Reflux Free Baby workshop, I walk you through all the symptoms you need to observe and record for your baby, what they mean, and how to use them as clues.

I tell you what the clues mean individually and when they occur with other groups of symptoms. 

And this leads us to being able to say what is causing each baby's reflux with much more confidence. 

Based on this, I tell you what specific action to take for them.

To get your baby free from their reflux as quickly as possible, enroll now. You will have your answer within an hour.

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