This article discusses common signs of acid reflux in infants, including spitting, feeding difficulties, cough, and sleep disturbances. Recognizing these symptoms early can help parents seek appropriate medical care. Acid reflux is common in young children due to an immature LES, especially around four months, and symptoms typically improve by 12-18 months. If your baby shows persistent or severe signs, consult a healthcare professional for proper diagnosis and treatment options.

Recognizing Symptoms of Acid Reflux in Infants

Common Signs of Acid Reflux in Babies

Acid reflux occurs when stomach acids travel back into the esophagus, causing discomfort and a burning sensation often referred to as heartburn. If an infant experiences frequent episodes twice a week, it may be a sign of gastroesophageal reflux disease (GERD).

Infants are particularly susceptible due to an immature lower esophageal sphincter (LES), the muscle that connects the stomach and esophagus.

Approximately half of infants may experience acid reflux caused by a developing LES, especially around four months of age. Symptoms tend to decrease between 12 and 18 months. Key indicators include:

Spitting up or vomiting

Occasional spitting is typical, but persistent or forceful vomiting, especially if accompanied by blood or greenish fluids, should prompt concern.

Feeding challenges

Refusal to eat or discomfort during feeds may suggest reflux, as stomach contents irritate the esophagus.

Hiccups and wet burps

Frequent hiccups or liquid regurgitation during burping can be signs, though less common.

Slow weight gain or poor growth

Vomit-induced weight loss or failure to thrive can be linked to reflux.

Unusual body stretching

Persistent arching may indicate reflux pain, but can also have other causes.

Chronic cough or respiratory infections

Prolonged cough or pneumonia might result from inhaled stomach contents or airway inflammation caused by reflux.

Sleep issues

Difficulty sleeping through the night may be related to throat irritation from reflux—feeding earlier before bedtime might help.

Important: This content is for informational purposes only and should not replace professional medical advice. Parents are encouraged to seek healthcare guidance for proper diagnosis and management of their child's health concerns.