Infant GI Issues: Gas, Reflux, Pain

As a parent, it can be heart-wrenching to see your little one in discomfort. Many babies go through phases of gastrointestinal (GI) issues, such as gas, reflux, and abdominal pain, which can be challenging for both baby and caregivers. These issues often lead to fussiness, disrupted sleep, and a sense of helplessness for parents who just want to see their baby comfortable and happy. By understanding these common concerns and recognizing the signs, you can find effective ways to soothe your baby and ease their discomfort.

Understanding Gas in Infants

Gas can be a common issue for infants for several reasons.1 Babies often swallow air while feeding, especially if they are crying, feeding too quickly, or having trouble latching. Additionally, an infant’s digestive system is still developing, making them more prone to gas as their body adjusts to processing milk.1

Symptoms of Gas1

  • Frequent fussiness or crying, especially after feeding
  • Arching the back or clenching fists
  • Bloating or a hard belly
  • Passing gas more frequently than usual

Tips for Managing Gas

  • Burp Your Baby: Burp your baby during and after feedings to help release trapped air.
  • Gentle Tummy Massage: A gentle tummy massage can help move gas through the intestines.
  • Bicycle Legs: Move your baby’s legs in a bicycling motion to relieve gas pressure.
  • Positioning: Holding your baby upright during and after feedings may help reduce symptoms.
  • Tummy Time: Tummy Time not only helps to develop your baby’s core strength and head control, but it can also promote gas release. 
  • Over the Counter Remedies: Gas drops, Gripe Water, and probiotics may help. Discuss these options with your healthcare provider to see if they may benefit your baby.

Understanding Reflux in Infants

Reflux, or gastroesophageal reflux (GER), occurs when stomach contents flow back into the esophagus, often resulting in spitting up or discomfort after feedings.2,3,4 This condition is quite common among infants, as their lower esophageal sphincter—the muscle that keeps stomach contents from coming back up—is still developing. While many infants experience some degree of reflux, it typically resolves on its own as they grow and their digestive systems mature, often becoming less frequent by the time they reach their first birthday.2,3,4

Signs of Reflux2,3,4

  • Frequent spitting up
  • Irritability during or after feedings
  • Arching of the back during feedings
  • Poor weight gain (in severe cases)

Tips for Managing Reflux2,3,4

  • Feed Smaller Amounts: Offer smaller, more frequent feedings to reduce pressure on the stomach.
  • Upright Positioning: Try to keep your baby upright for about a half hour after feedings to help keep food down.
  • Avoid Tight Clothing: Dress your baby in loose-fitting clothes to avoid putting pressure on their tummy.
  • Elimination Diet: Some breastfeeding mothers find that eliminating common allergens such as dairy products from their diet improves their baby’s reflux symptoms.
  • Medication: In more severe cases, your healthcare provider can discuss options.

Understanding Abdominal Pain

Abdominal pain in infants can be caused by various factors, including gas, reflux, constipation, and food intolerances.1 Each of these issues can lead to significant discomfort, so it’s crucial to recognize the signs and identify potential triggers to help your little one feel better.1

Signs of Abdominal Pain1

  • Excessive crying, especially during or after feedings
  • Pulling knees to the chest
  • Difficulty sleeping or feeding
  • Changes in stool patterns

Tips for Managing Abdominal Pain1

  • Comforting Techniques: Try swaddling, rocking, or offering the breast or a pacifier to soothe your baby.
  • Maintain a Feeding Diary: Track feeding times and foods you are eating to try and identify possible triggers.
  • Consult a Pediatrician: If you suspect food intolerances, consult your doctor for possible testing or dietary adjustments.5

When to Seek Help

While many gastrointestinal issues are common in infants, there are times when you should consult a pediatrician:

  • If your baby is not gaining weight or is losing weight
  • If your baby has persistent vomiting or diarrhea
  • If you notice blood in your baby’s stool
  • If your baby is unusually lethargic or unresponsive

A Lactation Consultant can provide invaluable support with any feeding concerns. Don’t hesitate to reach out if you have questions or need support.

What If I Have Questions?

If you are interested in learning more, these Aeroflow classes expand on some of the topics discussed above:

  • Lactation Q & A
  • Moms Circle

To register for these classes, log into your portal or click here.

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For a directory of Aeroflow’s other Care Guides offering information on pregnancy, baby care, and more, browse our comprehensive list of titles:

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