Ayurvedic Treatment for Reflux in Babies

Infant reflux occurs when food backs up from a baby’s stomach, causing the baby to spit up. Also called gastroesophageal reflux (GER), the condition is mostly harmless and becomes less common as the baby grows up. It is very rare for infant reflux to continue once the baby turns 18 months old. Reflux can happen in a healthy infant multiple times a day. As long as the baby is healthy, content, gaining adequate weight and milestones are normal, reflux is not a cause for concern.

Signs and symptoms of Reflux in Babies

  • Bringing up milk or being sick during or shortly after feeding
  • Coughing or hiccupping when feeding
  • Being unsettled during feeding
  • Swallowing or gulping after burping or feeding
  • Crying and not settling
  • Back-arching
  • Having screaming episodes, and being difficult to settle
  • Drawing legs up
  • Not gaining weight
  • Discomfort on lying flat

Causes of Reflux in Babies

  • First 6 months of life, infants spend much of their time lying down and do not have a fully developed oesophagus and lower oesophageal sphincter. They also eat larger liquid meals, relative to their body size, than older children or adults. So the chance of their stomach contents coming back up into the oesophagus is higher. It starts to reduce as the baby starts sitting erect, eating more solid foods as part of growing up.
  • Premature birth
  • conditions that affect the lungs, such as cystic fibrosis 
  • conditions that affect the nervous system, such as cerebral palsy
  • hiatal hernia
  • previous surgery to correct esophageal atresia 

Pathophysiology of Reflux in Babies

            The primary mechanism of reflux in neonates especially in preterm infants is transient lower oesophageal sphincter relaxation (TLESR). TLESR is a reflex caused by a decrease in lower oesophageal sphincter (LES) pressure to levels at or below intragastric pressure. It is not related to swallowing. Preterm infants have many TLESR each day, most of which are associated with GER. GER is normal in infants, exacerbated by a pure liquid diet and age-specific body position. GER is seen more immediately after a feeding, likely because of gastric distension. Body position also influences it. The prone position also decreases episodes of GER than supine position, likely because of more optimal positioning of the LES relative to the distended stomach.  Mechanisms to protect the oesophagus and airway from GER is intact even in the preterm babies with reflex forward peristalsis of the oesophagus after distention from refluxate in the lower oesophagus. It happens with the closure of the upper oesophageal sphincter to prevent reflux from reaching the pharynx. And if refluxed food gets into the upper oesophagus, the upper oesophageal sphincter will reflexively open to allow the material into the pharynx, which results in the frequent emesis observed in infants.

Diagnosis of Reflux in Babies

  • Upper gastrointestinal (GI) endoscopy
  • Oesophageal pH monitoring
  • upper GI series

Treatments of Reflux in Babies

Lifestyle changes like

  • avoid exposing the infant to passive smoking
  • burp the infant more often.
  • change the infant’s diet.
  • hold the infant upright for 20 or 30 minutes after he or she eats, if practical
  • An infant should always be placed on his or her back for sleep

Medicines like proton pump inhibitors (PPIs) or H2 blockers are used in some cases.

Prognosis of Reflux in Babies

Mostly self-limiting, and self-relieving

Complications of Reflux in Babies

Esophagitis

Poor weight gain

Cough

Laryngitis

Pneumonia

Wheezing

Ayurvedic Concept of Reflux in Babies

        Sisuchardi

Ayurvedic Nidana of Reflux in Babies

        Unwholesome diet of the mother

            Bad quality of breast milk

Ayurvedic Purvaaroopa of Reflux in Babies

        Not mentioned

Ayurvedic Samprapti of Reflux in Babies

        Not mentioned

Ayurvedic Lakshana of Reflux in Babies

        Frequent belching without any reason

            Excessively sleepy baby

            Excess yawning

Ayurvedic Divisions of Reflux in Babies

            Not mentioned

Ayurvedic Prognosis of Reflux in Babies

            Saadhya

Ayurvedic Chikithsa of Reflux in Babies

            While describing Ayurvedic treatment of babies, Acharya explains that, for any disease developed in a baby who is only breastfed, medicines and treatments are recommended only for the mother unless an emergency condition.

            Chardi in babies are very common and usually is self-limiting. It gets better with time as the baby starts crawling and walking. Taking solid foods also helps the baby to get rid of frequent vomiting.

            So, treatment is needed only when the nourishment is compromised and the child is weak & sick.

Samana

Aamappaachana and agnideepana with medications to the mother

Sodhana

Vamana and virechana for the mother only in needed cases

Commonly used Ayurvedic medicines for Reflux in Babies

        Rajanyadi choornam

            Dhanwantaram gulika

            Gorochanadi Gulika

            For Mother

            Panchakolasavam

            Abhayarishtam

            Soothikamrutham

Brands available

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies for Reflux in babies

Tap the baby’s back and let him release the air ingested while feeding through the mouth.

Diet(mother)

  • To be avoided

Heavy meals and difficult-to-digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, obstruct channels and obesity

Curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, fresh fruits & vegetables

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Behaviour:

Protect yourself from extreme hot & cold climates.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid a sedentary lifestyle. Be active.

Yoga for Reflux in Babies

Regular stretching and mild cardio exercises are advised for otherwise healthy mothers. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve the bioavailability of the medicine and food ingested and leads to positive health.

 Yoga can maintain harmony within the body and with the surrounding system.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Simple exercises for lungs and heart health

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles of Reflux in Babies

PMID: 31861951

A multicenter perspective cross-over study was conducted in formula-fed infants with persisting regurgitation, randomly assigned to receive two weeks of a magnesium-alginate-based formulation followed by two weeks of thickened formula, or vice-versa. Infants, exclusively breastfed, were followed up for two weeks while receiving magnesium alginate. Symptoms of gastroesophageal reflux (GER) were evaluated through the Infant Gastroesophageal Reflux Questionnaire-Revised (I-GERQ-R). The direct cost of treatments was also calculated. Seventy-two infants completed the study. The researchers found a significant reduction of I-GERQ-R scores over time in all groups with no difference between the sequences of administration in formula-fed infants and between exclusively breast-fed and formula-fed infants receiving magnesium alginate. The mean cost savings per infant was lesser in formula-fed infants treated with magnesium alginate compared to thickened formula. Conclusions were that the magnesium-alginate formulation reduces GER symptoms both in formula-fed and breast-fed infants. In formula-fed infants, clinical efficacy is similar to thickened formulas with a slightly lower cost of treatment.

*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. All the Ayurveda Supplements mentioned here are in the Indian Market with GMP Certification from India

Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-
rajesh@ayurvedaforall.com

Whatsapp – +91 9446918019, +91 8075810816

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