Kaitlyn has reflux. I have done BW with her since birth. While other mothers were sleeping all night holding there reflux babies sitting in a lazy boy, I was wondering how to get her to sleep longer than 8:30-5:30 (she was sleeping in her crib).
I think there are great benefits to doing BW with a reflux baby. I think it helps their acid regulate.
Crying can aggravate reflux, so there is a possibility of having problems with Cry It Out (CIO)--but I never experienced any.
You also have the likelihood that the baby can wake more often due to the heartburn. It will pass. But it is something to be aware of if you are having problems with early waking from naps or waking in the night. Having your baby CIO while they are in pain isn't really going to accomplish anything, especially when you take into account the crying aggravating the reflux.
Something that can help is to burp your baby frequently and efficiently during feeding and throughout waketime. Give burping another go right before nap or bedtime.
Despite these possible challenges, you can successfully do BW even if your baby has reflux.
Here are some standard tips for reflux:
- Avoid caffeine. I went off chocolate altogether when Kaitlyn was about a month old, and that made a huge difference. I don't drink caffeine in any way, but people I have talked to who drank coffee and cut that out saw a HUGE difference. Every so often I would be at a reunion or party and forgot my chocolate strike (honestly, I forgot, but my mind probably blocked it out on purpose! Yum, chocolate) and eat a piece of chocolate cake or something and I would see a change (for the worse) the next day in Kaitlyn.
- I have heard to avoid citrus, including tomatoes, so that includes all sauces and soups made of tomatoes. Citrus didn't seem to affect Kaitlyn, though.
- Think back to when you were pregnant and got heartburn (if you did). Think of the types of food that gave you heartburn. Spicy, etc. That will do it to your baby.
- I personally think the reflux is better to have more frequent meals in the day that are smaller rather than a few large meals. So I kept Kaitlyn on the 3 hour schedule (sometimes we do 3.5 sometimes 2.5) until she was almost 7 months old.
- I do think a schedule is good for the reflux. There are definitely more factors to consider while doing BW though. Like if they are having pain during a nap and that is what wakes them, or is it one of the many other possible things that affect all babies? You have to weed that out.
- Some moms find that their baby with reflux will reach the "milestones" later. The milestones I am referring to are sleeping through the night, sleeping 10-12 hours at night, or moving to a 4 hour schedule. Other moms see no difference. Just be aware that it is a possibility.
- You can put your baby to sleep on an incline. I had Kaitlyn in a bassinet that we inclined the mattress by putting foam we purchased at a fabric store under it. My husband simply cut it at an angle. In the crib, I bought a mattress incliner from Babies R Us. She would slide down it and I am sure it caused her to wake more often, but at least she wasn't having her esophogus burned! I stopped the incline somewhere around 15 weeks. Many people go longer.
- Nurse your baby if it is a possibility at all. I know it is hard for many women, especially when you factor in the foods you have to cut out of your diet. It is so worth it for your baby. Breast milk changes with the baby. The calories in an ounce of milk increase as the baby gets older. Formula doesn't do that, so you would have to give the baby more formula to get more calories, but that can aggravate their tummies. Breast milk is also easier on the digestive system. Here is an example from my life to illustrate this point. When Kaitlyn is 6.5 months old, I didn't even use a burp rag to burp her at home. She still spit up every so often, but rarely. At church every week I give her a bottle with formula. This is so I can stay and listen to talks, lessons, etc. and also so she can maintain her familiarity with bottles and so she will be okay with eating formula if need be. Now here is the interesting part. Every week at church after her bottle, my baby went from not needing a burp rag to needing a BLANKET to cover my lap or else I would be soaking wet before long. So I went from no burp rag, to blanket just from a bottle/formula. You read that formula is not as gentle on the stomach so reflux babies will spit up more if they eat it. I have found this to be true.
- Some advice I got from a fellow Babywise mom who had a daughter with reflux was to not let the reflux become an excuse for you. Yes, you want to be sure you are attending to baby's needs, but don't be too quick to attribute all problems to the reflux. If you do, you may be ignoring the real problems.
- Check out Babycenter.com and look up reflux and nursing--you will find all sorts of information. You will also find a bunch of people who at 6 months are still up every two hours at night and who hold their child for all naps and sleep in recliners with the baby at night. They are frazzled, I feel bad for them. They have accepted that it is just really hard with reflux. But it doesn't have to be that way. You will feel much better about any difficulties you experience with your reflux after checking this out.
- John and Amanda said...
I had to comment on this one! My baby had (and still does at 6 months) severe reflux issues as well as extreme fussiness/colic issues. We saw the doctor at 5 weeks old and started Zantac and it helped take the burn away, but not the constant spitting (I'm talking 1 - 2 ounces at a time). For me, I slept my baby swaddled and in his car seat. I know it sounds silly, but it worked for us! We also used Gripe Water a lot although I don't know how much it really worked because he still spit a lot. It wasn't until he was 4 months old that he became a "happy spitter." My advice to BW Moms with Reflux Babies: Babywise was a little more difficult to follow with a fussy/colicky/reflux baby, but it can be done. Things may look different in your routine with a reflux baby, but if you stick with it he/she will get there eventually!
January 24, 2008 3:19 AM
hi, I'm a mother of a 5 1/2 reflux baby named Garrett and i have followed babywise since he was born. There are a few things I wanted to share that helped my child with this issue, without taking medicine. I found that with his reflux cutting things out of my diet helped dramatically. I eliminate caffeine (including chocolate to my dismay) dairy, citrus, and minimized gas forming foods (broccoli, onions, etc). I even tested the food items by eating them one time in the week and found that he would have episodes of reflux for a few days after (especially to chocolate). I noticed after a few days of eliminating these items that his symptoms dramatically improved. Another item that helped was purchasing a wedge pillow from arpillow.com The pillow makes a huge difference. I wanted to let other reflux mom's know about the pillow because i've seen it work for my lo. He slept through the night after purchasing this pillow. When he doesn't sleep on it, he arches more after a few days and has more acid pain. (I've experimented) Another comment I wanted to make is at the dreamfeed. I held him up for 30-45 mins after feeding him, before putting him to bed. Another difficulty I found was giving him TUMMY TIME. Because laying on his stomach caused him to spit up more! So I started giving him tummy time when he awoke early from a nap, right before feeding him. In the beginning it only lasted about 5-10 mins. Depending on his hunger level. Then later around 4 1/2 months he started to enjoy it, and at 5 months became a rolly polly. There are ways naturally to help comfort our LO through reflux. AND yes they do need routine!
nessa, thanks for all of your tips! It is good to have a variety of tips. I couldn't agree more about the caffeine.
- Jordan & Nikki said...
A week & a half ago, my near 4 month old was diagnosed with acid reflux. I'm not sure what took me so long to figure it out...regardless, the hardest thing is that the medication isn't yet fine-tuned & she is still highly bothered at least 2x/day. It kills me to see her so upset - and then the spit up comes & she is as happy as a lark. At our follow-up Dr. visit, we should be able to adjust the medication, but until then, with the early nap wakings (i.e. less than an hour into the nap, clearly due to the reflux), should I just start the cycle anew? I guess I just feel frustrated that attempts at a schedule can be pushed aside due to reflux at any time. Is that normal?
July 15, 2008 11:35 PM
Jordan & Nikki said...
Aside from needing validation of my frustrations, I do have specific questions. She sleeps from 6 pm - 6 am, with a dreamfeed around 10. She wakes as happy as a lark...I can't complain. During the day, she is able to fall asleep on her own, unless the reflux is acting up or she is overtired from it acting up. She does wake up in the middle of the night... she isn't hungry but I don't want to make her CIO to learn to go back to sleep, as it may aggravate the problem. She doesn't take a pacifier, so if I start to nurse her, she immediately goes to sleep. Any suggestions on how to wean her from that dependency? Or should I just appreciate that she is doing so well, considering the occasional pain?
July 16, 2008 12:21 AM
Nikki,I am glad you found it. I think if the NICU nurses hadn't pointed it out in Kaitlyn, I never would have noticed. I think I would start the cycle new, but give her about 20 minutes before feeding her if she will so you can be closer to the right interval. Eating too often can aggravate reflux. Though some need smaller amounts more often :).I do think you should be happy she does as well as she does, but I also think it is something you can work through. Once the meds are in place and working well, then I would give it about a week and then start to work on the night stuff. See this post for ideas on breaking it gently: Early Morning Feedings Before Waketime: http://babywisemom.blogspot.com/2008/01/early-morning-feedings-before-waketime.html I found that Kaitlyn was a little slower in reaching some of the big milestones because of the reflux, so if your daughter is the same way, keep that in mind (I mean STTN and 4 hour schedule).
July 17, 2008 9:12 PM
- mkk23 said...
Hi there,Thank you so much for this blog! It has made this process so much easier. :) I know that you have mentioned that Kaitlyn had reflux, how did you know or the nurses know that she had it? What are the signs of a reflux baby? My 6 week old spits up a lot but I don't know how much is too much. We start our day at 7am and right now, it is 2:30pm... he has spit up about 12 times already. He definitely has had gas problems since birth - meaning he has always had a difficult time letting the gas/burps out. It has improved in the last week. Any advice would be greatly appreciated.
August 12, 2008 2:36 PM
You are welcome! I am glad it has helped. Kaitlyn had silent reflux, meaning she didn't spit up. What happened was she would spit up, then swallow it back down. She did her best to hold it in; it would even often come out her nose because she was trying so hard to keep it down. There are a lot of signs of reflux. I would google it and see what you find. It is also known as GERD. Some babies just spit up a lot.
August 13, 2008 8:18 PM