What is reflux?

Reflux happens when some of the partly digested milk or food in the stomach comes back up the tube from the mouth to the stomach (oesophagus). It can sometimes reach the baby’s throat and mouth.

The stomach contains acid that helps to digest food. The acidity of the food coming back up to the throat can cause some discomfort and burning sensations. This can be painful for babies and they may become irritable during and after feeding.

Why does reflux happen?

Reflux happens when the band of muscle between the food pipe and the stomach opening is weak and cannot close properly. This band usually opens when food is about to enter the stomach and closes so that food stays in the stomach.

Babies born premature or sick are more likely to experience reflux, but it is very common and affects nearly half of all babies in some way.

What are the signs of reflux in babies?

Signs of reflux in babies can include the following:

  • Bringing milk back up during or after feeds.
  • Vomiting that often shows no clear pattern in terms of timing or amount.
  • Persistent hiccups and coughing.
  • Fussiness, crying and restlessness.
  • Refusing feeds or only taking small amounts of food.
  • Choking or gagging.

If untreated, more severe complications of reflux can include the following:

  • Frequent chest infections.
  • Poor weight gain.
  • Difficulties with feeding, including a reluctance to feed.