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Could my breast milk be causing reflux?

Understanding Reflux and Breast Milk
Reflux, also known as gastroesophageal reflux (GER), is a common condition in infants, characterized by the return of stomach contents back up into the esophagus. This can lead to discomfort, irritability, and feeding difficulties in babies. Many parents wonder if breast milk could be a contributing factor to their child’s reflux symptoms.
The Nature of Breast Milk
Breast milk is often praised for its numerous health benefits. It is tailored specifically for infants, providing essential nutrients, antibodies, and enzymes that support healthy growth and development. Unlike formula, which may contain added ingredients that some infants find hard to digest, breast milk is generally easier on a baby’s stomach.
However, some infants may still experience reflux, regardless of whether they are breastfed or formula-fed. The composition of breast milk can vary depending on maternal diet, health, and other factors.
Factors That May Contribute to Reflux
1. Foremilk and Hindmilk Imbalance: Breastfeeding involves the release of two types of milk. Foremilk is the initial milk that is higher in lactose, while hindmilk comes later and is richer in fat. If an infant consumes primarily foremilk, it may lead to excessive gas or discomfort, potentially exacerbating reflux.
2. Overactive Letdown: Some mothers experience a forceful letdown reflex, which can overwhelm a baby during feeding. If a baby struggles to keep up with the flow, they might swallow excess air, increasing the likelihood of reflux.
3. Dietary Influences: Although breast milk is beneficial, certain foods in a mother’s diet may influence the baby’s reactions. Dairy, caffeine, spicy foods, and other potential allergens can sometimes cause discomfort in sensitive infants.
4. Sensitivity to Components: While rare, some babies may have sensitivities or allergies to proteins found in breast milk, particularly if the mother consumes dairy or soy. This can lead to gastrointestinal discomfort, including reflux-like symptoms.
5. Infant Physiology: It’s important to recognize that many infants experience reflux as a normal part of their development. Their esophageal sphincters are still maturing, making them more prone to reflux regardless of their diet.
When to Seek Help
If a baby displays severe reflux symptoms—such as persistent vomiting, poor weight gain, or signs of pain during feeding—parents should consult a pediatrician. A healthcare professional can rule out underlying conditions and offer guidance on managing reflux, including feeding techniques, positioning, and dietary adjustments for the breastfeeding mother.
Conclusion
Breast milk is generally not the culprit behind reflux in infants. While certain factors related to breastfeeding can play a role, it is crucial to consider the broader context of an infant’s development and health. Consultation with healthcare professionals can provide tailored advice and support for managing reflux effectively.

How do I know if my baby is upsetting breast milk?

You’ll know if your breast milk is upsetting baby if they are unusually gassy or fussy after eating. As you and your baby get acclimated to breastfeeding, you’ll learn what not to eat while breastfeeding if your baby reacts to a certain food or drink.

How do you know if breast milk is not agreeing with baby?

If your baby shows negative symptoms after drinking breast milk. Consider how your baby responds to breast milk after drinking it. If symptoms occur such as fussiness, irritability, crying, gas, increased spitting up and/or drawing their legs up due to tummy pain, write down everything you ate that day.

Why is my breast milk causing reflux?

Some babies can become distracted when feeding at the breast, pulling off to look around. This can cause babies to swallow air and spit up more often. Breastmilk oversupply or forceful let-down (milk ejection reflex) can cause reflux-like symptoms in babies.

Why is my breast milk upsetting my baby?

Babies love the flavors of foods that come through in your milk. Sometimes, though, a baby may be sensitive, not allergic, to something you eat, such as dairy products like milk and cheese. Soy, eggs, wheat, corn, beef and nuts are also common causes of food sensitivity.

How do you stop acid reflux in breastfed babies?

Helping your baby with reflux

  1. get advice about your baby’s breastfeeding position.
  2. hold your baby upright during feeding and for as long as possible after feeding.
  3. burp (or wind) your baby regularly during feeds.
  4. make sure your baby sleeps flat on their back (they should not sleep on their side or front)

Is reflux worse in breastfed babies?

Formulas that claim to help with reflux lack these factors. They only differ from standard formula because they have thickener added. Reflux is about as common in formula-fed babies as in breastfed babies. However, reflux episodes in formula-fed babies tend to happen more often and last longer.

How did I cured my baby’s reflux naturally?

Feed your baby in an upright position.
Then, hold your baby in a sitting position for 30 minutes after feeding. Gravity can help stomach contents stay where they belong. Be careful not to jostle or jiggle your baby while the food is settling.

What foods cause acid reflux in breastfed babies?

Citrus fruit, tomatoes, caffeine containing drinks (tea, coffee, coke) and chocolate may also need to be avoided by the breast-feeding mother of a reflux baby. Remember that all babies are different and different babies react to different foods – the list above is a guideline only.

How do I know if my breastmilk is upsetting my baby’s stomach?

If symptoms occur such as fussiness, irritability, crying, gas, increased spitting up and/or drawing their legs up due to tummy pain, write down everything you ate that day. This lets you carefully look at your diet instead of getting rid of foods that may not be the cause of your baby’s distress.

What is the best breastfeeding hold for reflux?

The best breastfeeding positions for babies with reflux are the ones where they are upright. The most common and most recommended one is the koala position, but the laid-back position is also great.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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