As a parent, it can be distressing to see your baby in discomfort, but there are steps you can take to help alleviate their symptoms and provide them with relief. When your baby seems uncomfortable or is leaking a lot of milk, you may want to consider whether your baby has reflux. Reflux and silent reflux are both conditions that involve the flow of stomach contents back into the esophagus. However, they differ in their presentation and symptoms.

Reflux vs. Silent Reflux

Reflux (Gastroesophageal Reflux): Reflux, also known as gastroesophageal reflux (GER), is a common condition in infants where stomach contents flow back up into the esophagus. The most common symptom of reflux in infants is spitting up or regurgitation of milk after feeding. Other symptoms may include frequent vomiting, fussiness during or after feeds, arching of the back, and difficulty gaining weight.

Silent Reflux (Laryngopharyngeal Reflux): Silent reflux, also known as laryngopharyngeal reflux (LPR), is a type of reflux where stomach contents flow back into the esophagus and sometimes up to the throat without causing the typical outward symptoms of reflux, such as visible spit-up.

When a baby has silent reflux, they consume the milk rather than spitting or pouring it up their esophagus, or food pipe. The word "silent" refers to the fact that the symptoms aren't always evident because you don't always witness your child actively spitting up. Babies with silent reflux may also experience irritability, difficulty feeding, frequent hiccups, and gagging or choking during or after feeds.

How to Feed A Baby With Silent Reflux?

Feed in an Upright Position: One of the simplest ways to help manage silent reflux is to ensure your baby feeds in an upright position. This can help prevent stomach contents from flowing back into the esophagus. Hold your baby in an upright position during and after feeds for at least 30 minutes to allow gravity to aid digestion.

Frequent Burping: Burping your baby frequently during feeds can help release any trapped air in their stomach, reducing the chances of reflux occurring. Pause feeding every few minutes to burp your baby, especially if you're bottle-feeding.

Smaller, More Frequent Feedings: Instead of large meals, offer your baby smaller, more frequent feedings. This can help prevent their stomach from becoming too full, which may exacerbate reflux symptoms. Aim for feeding sessions every 2-3 hours, offering smaller amounts each time.

Thickened Feedings: Thickening your baby's milk, whether breast milk or formula, can help reduce reflux episodes. You can try adding a small amount of rice cereal to their milk, but be sure to consult with your pediatrician first to determine the appropriate amount.

Elevate Sleeping Area: Elevating your baby's sleeping area can help prevent reflux episodes during the night. Place a wedge or pillow under the head of their crib mattress to raise it slightly. This slight incline can help keep stomach contents down.

Monitor Your Diet: If you're breastfeeding, certain foods in your diet can exacerbate your baby's reflux symptoms. Common culprits include caffeine, spicy foods, citrus fruits, and dairy products. Try eliminating these foods from your diet one at a time to see if it makes a difference for your baby.

Consult a Pediatrician: If you suspect your baby has silent reflux or if their symptoms persist despite your efforts, it's essential to consult a pediatrician. They can assess your baby's condition, provide guidance on management strategies, and, if necessary, recommend medication to help alleviate their symptoms.

Dealing with silent reflux in your baby can be challenging, but with the right strategies and support, you can help alleviate their symptoms and provide them with the comfort they need.