Spitting up is a normal part of life with a newborn. But what if your baby seems uncomfortable, cries during or after feedings, and has trouble sleeping flat? It might be more than just “normal reflux.”

Let’s talk about GERD (Gastroesophageal Reflux Disease) in babies—what to look for, how it’s treated, and how to soothe your little one.

🌟 What Is GERD?

GERD happens when stomach acid and milk flow back up from the stomach into the esophagus. This reflux can irritate a baby’s sensitive tissues, causing discomfort and feeding issues.

🚩 Signs of GERD in Babies

While many babies spit up, GERD usually includes other symptoms like:

Frequent spitting up or vomiting Crying during or after feeds Refusal to eat or arching the back while feeding Poor weight gain or slow growth Trouble sleeping, especially lying flat Chronic cough, wheezing, or noisy breathing Sour breath or hiccups

Note: Babies with silent reflux may not spit up but still experience discomfort from acid backing up.

🛠️ What Helps?

Most mild cases of GERD can be managed at home with gentle changes:

✅ Feeding Adjustments:

Smaller, more frequent feeds Keep baby upright for 20–30 minutes after feeds Burp often during and after feedings Ensure a deep, relaxed latch if breastfeeding Use slower flow nipples for bottle-feeding

💤 Sleep Tips: Please check with your pediatrician before implementing any changes to adjustments.

****Try a slightly elevated position for naps under close supervision Consider babywearing during naps to keep baby upright Talk to your doctor before using any wedges or products in the crib

Try adding a pacifier when laying the baby down, sucking will help to hold milk down.

🍼 Formula Options:

Hypoallergenic or anti-reflux formulas may help Always speak with your pediatrician before switching

💊 When Medical Treatment Is Needed

If reflux is affecting your baby’s growth, comfort, or feeding patterns, a pediatrician may recommend:

Thickened feeds Prescription medications (like H2 blockers or PPIs) Referral to a pediatric GI specialist

👩🏽‍⚕️ When to Call the Pediatrician

Call your provider if your baby:

Is not gaining weight Has forceful vomiting Has green/yellow vomit or blood in spit-up Is unusually irritable or hard to soothe Has a persistent cough or trouble breathing Refuses feeds consistently

💛 Remember, You’re Doing Amazing

GERD can be frustrating for both babies and parents. But you’re not alone—and you don’t have to figure this out without support.

At Compassionate Care Doula Services, I help families navigate the fourth trimester with personalized, nonjudgmental care—day and night.