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Reflux in Children

Gastro-oesophageal reflux, or "reflux" occurs when fluid in the stomach spills back or regurgitates into the oesophagus (gullet) or mouth. The valve (sphincter) at the lower end of the oesophagus prevents reflux when it is closed. However, this sphincter does open to allow swallowed food or saliva to enter the stomach. It also opens briefly at other times, especially after meals. It is during these openings that gastro-oesophageal reflux commonly occurs. Most episodes of reflux are not recognised as fluid rarely enters the mouth.

INFANTS NORMALLY
have more episodes of reflux than adults, but the number decreases through their first and second years.

Infants normally have more episodes of reflux than adults, but the number decreases through their first and second years. Gastro-oesophageal reflux is more obvious in infants because they are more likely to regurgitate fluid into the mouth ("posseting"). This is especially common after feeds when the stomach is full.

It usually occurs less and less frequently as infants grow older. Frequent posseting rarely results in any harm, although it can result in smelly, soiled clothing and is a nuisance.

It should be regarded as a normal part of development and does not require medical treatment.

Facts About Reflux in Children
Second Edition 2003

Contents

• What is reflux?
• Reflux in infants
• Can reflux cause harm?
• What can be done to treat reflux?
• When should I seek medical help?
• Complicated reflux
• Special tests for reflux

Facts About Reflux in Children is now available to download or read online as an A4 size pdf file.
Reflux in Children (Adobe Acrobat PDF 940K)