First, do not panic, even if it's easier said than done! It is true that sometimes regurgitations are plentiful and very impressive for parents. Do not panic is not always easy. Moreover, the regurgitations so much anguish the parents that it is the second cause of consultation in pediatrics.
Here are some simple steps if your baby regurgitates:
- First, split the meals, with breaks, three or four breaks to allow the baby to be well rotten. Be careful, however, that feeding times do not become too long.
- Remove morning orange juice that promotes acidity and contractions of the esophagus. In any case, the milks have vitamin C supplements, largely sufficient for the daily needs of the baby.
- Do not over-tighten diapers or clothing, so as not to increase abdominal pressure.
- Baby sleeping on the back, possibly raising the head of the bed by 30 °.
- Baby-relax is not currently recommended: it would increase the abdominal pressure and thus promote reflux.
- Ventilate living rooms, especially the baby's room and above all, do not smoke in the presence of the baby: passive smoking decreases the tone of the lower esophageal sphincter!
In addition to these tips, among the treatments, the doctor may begin by offering an anti-reflux milk that is simply a thickened milk. The anti-reflux milks contain a thickening agent: carob flour, precooked rice starch, or pre-cooked corn starch.
They are not always remarkably effective, but, at least, have the advantage of not being toxic to the baby. Only downside, however, they tend to constipate.
The efficacy of the treatments is very controversial and seems very limited in the case of benign regurgitations.
There are several types of medications that can be prescribed: those that affect the motor function of the esophagus and stomach, gastric bandages, antacids or anti-emetics.
- Among the stimulants of gastric motility, the molecule of cisapride has been prescribed a great deal. It is no longer used by pediatricians today because of the cardio-toxic effects it causes in the long term.
- Digestive dressings can be used to line the mucosa and protect it from acidity.
- Inhibitors of acid secretion : PPIs, translate, proton pump inhibitors. These are drugs whose action reduces the production of stomach acid. It's effective. It may be the most effective medicine against the consequences of gastroesophageal reflux. It presents, however, a risk: by decreasing the gastric acidity, it reduces, at the same time, the anti-infectious role of acidity. Our health authorities (the French Agency for the Safety of Health Products) recommend this type of treatment only on pathological reflux.
- Anti-emetic drugs (against nausea and vomiting) have not shown much efficacy on reflux.