allergies produce colic-like symptoms, and thus they are easily
misdiagnosed. Proper feeding positioning for the baby can also be
helpful. Holding a baby at a 30-degree angle while feeding (which is the
most natural angle for breastfed or bottle-fed infants) will result in fewer
reflux episodes than when a baby is held horizontally.
Beyond medication there are a number of diagnostic tests available to
confirm the diagnosis of GERD, and the presenting symptoms will often
direct the doctor in determining which test will be most appropriate. If
parents are not comfortable with or are not understanding the pros and
cons of the method of treatment or tests that their baby’s doctor is
prescribing, they should request a second opinion. Dealing with any form
of reflux is emotionally stressful for parents. They must have confidence
and understanding so that they can wisely cooperate with their healthcare
provider and together bring a measure of relief and comfort to their baby.
Colic, reflux, and the Babywise routine
Parents who have an infant with either colic or reflux (GER or GERD)
may think that the Babywise routine will not “work” for them. On the
contrary, the routine offered in Babywise will be most beneficial. The
routine will help you recognize progress, and in addition, it offers some
order in an otherwise chaotic situation. Although parents may need to
make necessary adaptations to the PDF routine for their unique situation,
they are still providing what is best for their baby and managing his
particular needs. The goal of the Babywise routine is to have a strategy
designed to meet the baby’s needs for outward structure in tandem with
nurturing his development. This remains true for the baby with colic or
reflux; it may just take a little different form of structure in order to
address some unique challenges. We will share some points for you to
review and consider as we address issues relating to the Babywise routine,
feedings, naps, nighttime sleep, and your baby’s crying.
It is important to stress again that although colic and reflux have
overlapping symptoms, they are not the same thing. Where reflux can be
controlled by medication, colic is controlled by the maturation process