Frequent spit-up is a concern for many parents. This feeding issue, otherwise known as gastroesophageal reflux (GER), is actually quite common—in fact, about ⅔ of otherwise healthy infants experience frequent spit-up1.
Guidelines for GERD were developed by the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition that can help you recognize clients who may benefit from these guidelines for GERD or referral to a specialist, as well as those parents who should simply be reassured that their baby’s GER is physiologic and not harmful1.
While GER is fairly common in infants, gastroesophageal reflux disease, or GERD, is not. The AAP defines GER as the passage of stomach contents into the esophagus, which leads to regurgitation/spit-up in otherwise healthy infants1. GERD is considered reflux with complications, and may include the following complications1:
Parents who notice any of the above in their infant should see their pediatrician.
The AAP recommends lifestyle changes as first-line management of frequent spit-up in infants rather than medication1. GERD medication reduces stomach acid, which plays an important role in a baby’s health. These medications should be reserved for infants with GERD and used only under the supervision of a doctor.
Instead of medication, parents should try these feeding management changes1:
It is also recommended that parents try positioning and environment changes1:
Enfamil A.R. is a thickened, milk-based infant formula specifically designed to manage frequent spit-up. It is clinically proven to reduce frequency and volume of spit-up by 50%2,*—and it works in 1 week.
Enfamil A.R. provides balanced nutrition for infants, while adding rice cereal to formula can increase caloric density2:
Enfamil A.R. is the #1 spit-up formula brand recommended by pediatricians and is chosen most by parents3,†. In addition to clinically proven reduction in spit-up, Enfamil A.R. has complete nutrition for a baby’s first year, and has a prebiotic blend that supports digestive health and DHA to foster learning ability4,‡.
* Based on a clinical study of Enfamil A.R. with infants who spit up frequently (five or more spit-ups per day), comparing frequency and volume of spit-up after feeding Enfamil A.R. to the same infants at the beginning of the study.
† Of pediatricians who recommend a specific brand; formula for spit-up is defined as rice-thickened formula.
‡ Shown in Enfamil® Infant with DHA and ARA.
References: 1. Lightdale JR et al. Pediatrics. 2013;131:e1684-e1695. doi: 10.1542/peds.2013-0421. 2. Vanderhoof JA et al. Clin Pediatr (Phila). 2003;42:483-495. 3. Data on file, Mead Johnson Nutrition. 4. Colombo J et al. Am J Clin Nutr. 2013;98:403-412.