undiagnosed,     it  becomes     worse   and     in  extreme     cases,  the     infant  may
develop a   feeding aversion    because he  associates  feeding with    pain.   The
condition   can advance to  the point   where   it  severely    impacts the health  of
a    newborn     including   significant     weight  loss    or  esophagitis     creating    a
condition    known   as  failure-to-thrive.”     When    reflux  requires    more
advanced    medical attention   beyond  observation,    the baby    is  said    to  have
GERD.
Amazingly,  many    babies  with    reflux  are happy   and thriving,   despite
their   excessive   spitting    up. These   little  ones    are sometimes   called  “happy
spitters”    or  “happy  chuckers,”  and     require     little  medical     intervention.
That    is  because they    are growing well,   not abnormally  fussy   and not in
pain.    They    usually     outgrow     their   reflux  without     any     additional
complications.  A   smaller percentage, however,    like    Asher,  Micah,  Ross
and Caleb   live    with    reflux  irritation  every   day.    They    may or  may not have
signs   of  vomiting    but suffer  with    a   type    of  severe  infantile   heartburn   that
requires    medical attention.  These   are the GERD    babies.
Other   outward symptoms    that    the baby    may exhibit include excessive
or   spontaneous     crying,     frequently  from    a   sound   sleep,  and     colic-like
symptoms,   including   signs   of  pain    and irritability.   Bouts   of  reflux  can
occur   throughout  the day or  night,  during  a   feeding,    immediately after   a
feeding,    and even    up  to  90  minutes later.  One of  the most    important
indicators  is  the infant’s    inability   to  be  consoled.   He  is  crying  because he
is  in  pain.
Usually,    when    a   physician   suspect’s   reflux  or  GERD    based   on  the
clinical     presentation,   a   medication  that    blocks  acid    production  in  the
stomach is  prescribed. Improvement is  often   observable  within  48  hours,
with    substantial improvement occurring   within  14  days.   If  an  infant  is
medicated   but no  improvement takes   place,  parents should  contact their
healthcare  provider    immediately.    It  is  not uncommon    for one medication
to  work    wonderfully and for another to  be  completely  ineffective.    Parents
need    to  work    with    their   pediatrician    or  family  physician   to  find    what    will
help    their   baby.
In  addition    to  medication, there   are,    as  previously  noted,  aggravating
food     source  considerations  for     breastfeeding   moms    to  review.     Food
                    
                      nora
                      (Nora)
                      
                    
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