Reflux in Children

What is Reflux (GERD)?

Reflux, also known as Gastroesophageal Reflux Disease (GERD), occurs when stomach contents flow back into the oesophagus, leading to spitting up, vomiting, and feeding difficulties. While mild reflux is common in infants and usually resolves as they grow, persistent or severe reflux may require medical attention.

Causes of Reflux in Children

Reflux occurs due to weak or immature lower oesophageal sphincter muscles, which normally prevent stomach acid from flowing back up. It can be triggered by:

• Immature Digestive System – Common in infants under one year.
• Overfeeding or Fast Feeding – Excessive milk intake can overwhelm digestion.
• Lying Down Too Soon After Feeding – Increases the chance of regurgitation.
• Food Sensitivities – Dairy or acidic foods may worsen symptoms.
• Medical Conditions (Rare Cases) – Some children may have underlying issues like hiatal hernia or delayed gastric emptying.

Identifying the cause helps prevent symptoms and ensure proper treatment.

Signs and Symptoms

Mild reflux is normal in babies, but persistent or severe symptoms may indicate GERD. Watch for:

• Frequent spitting up or vomiting – Especially after meals.
• Irritability or excessive crying – Discomfort due to acid irritation.
• Feeding difficulties – Arching back, refusing to eat, or choking during feeds.
• Poor weight gain – Due to frequent vomiting or discomfort with feeding.
• Chronic cough or wheezing – Acid reflux may cause respiratory symptoms.

If symptoms persist or interfere with feeding and growth, consult a paediatric specialist.

Diagnosing Reflux

A proper evaluation ensures reflux is managed appropriately. At NMC Royal Hospital, Dubai, we use:

• Detailed Feeding & Symptom History – Identifying patterns and triggers.
• Physical Examination – Assessing weight gain and overall health.
• pH Monitoring (If Needed) – Checking for acid levels in the oesophagus.
• Upper GI Study (Rare Cases) – Imaging to rule out structural abnormalities.

Early diagnosis ensures timely intervention and symptom relief.

Managing Reflux

Most reflux cases improve with simple lifestyle changes, but some may require medical treatment. We offer:

• Feeding Adjustments – Smaller, frequent feeds, burping during and after meals.
• Positioning Advice – Keeping infants upright for 20-30 minutes after feeds.
• Dietary Changes (If Needed) – Managing food sensitivities (e.g., dairy-free formula).
• Medication (For Severe Cases) – Prescribed acid-reducing medications if reflux is causing discomfort or complications.

With proper management, most children outgrow reflux by 12-18 months.

Why Choose Dr Mahesh Katre in Dubai?

Choosing the right paediatric specialist ensures your child’s reflux is properly managed. Here’s why families trust me:

• UK-Trained Expertise – Certified paediatric gastroenterology specialist with extensive experience in reflux management, bringing this expertise to Dubai.
• Comprehensive Evaluation – Using detailed feeding assessments, pH monitoring, and imaging when needed.
• Personalised Treatment Plans – Focusing on gentle, effective feeding strategies before medication.
• Advanced Diagnostic & Treatment Options – Dietary modifications, acid-reducing therapy, and reflux monitoring at NMC Royal Hospital, Dubai.
• Trusted by Families in the UAE – Providing expert, family-centred paediatric care for digestive health.

Frequently Asked Questions (FAQs)

1. When should I worry about my baby’s reflux?

If reflux causes weight loss, persistent vomiting, choking, or breathing problems, seek medical advice.

2. Does reflux require medication?

Most cases improve with feeding adjustments, but severe reflux may need medication to reduce acid irritation.

3. Will my child outgrow reflux?

Yes, most babies outgrow reflux by 12-18 months as their digestive system matures.

📍 Have more questions? Book an appointment with Dr Mahesh Katre at NMC Royal Hospital, Dubai today.