Regurgitation: rarely - the norm, often - pathology
Children up to the year sometimes regurgitate food adopted.In some cases, this happens rarely - only in cases when the child is too greedy and captures suckles milk along with a lot of air.But sometimes regurgitation becomes permanent, the child behind in weight and psychological development.In such cases, carry out the necessary examination, and possibly treatment.
avilable and the gastrointestinal tract in infant
Unlike adults, who have the stomach has a curved elongated, a newborn child's stomach like a balloon.This sphincter (circular muscle that clenching and unclenching, the food passes into the stomach, it is blocking her way), located at the end of the esophagus in newborns is not fully perform its function, and sometimes misses the food from the stomach back into the esophagus.Frequent spitting up it can cause inflammation of the walls of the esophagus acidic stomach contents.
addition, sucking breast sucking motion the child does not always coincide with the peristaltic (promotes food down the esophagus) movements of the esophagus, causing a sharp contraction of the muscles of the stomach and throwing food.
What is regurgitation and why it arises
Regurgitation - a cast of small amounts of partially or suck nestvorozhennogo curds and air from the stomach into the esophagus, and then in the baby's mouth that occurs during or immediately after feeding.In healthy children, it is rare and is usually associated with a greedy sucking and swallowing large amounts of air (aerophagia) or overfeeding.The amount of milk in the regurgitation in healthy children and small - about a teaspoon.With proper feeding of these events usually take place in 3-4 months, but sometimes hold up to a year without causing the child discomfort, and anxiety in the mother.
But in some cases vomiting occur constantly, the child loses milk behind in weight and psychological development.In most cases, this is due to perinatal (during the second half of pregnancy and in the first week after birth) lesions of the central nervous system (CNS).In addition, premature or born with intrauterine growth retardation of children violated the coordination of sucking, swallowing and breathing movements, which normalizes about two months.
intestines of a newborn baby as an immature, there is no sufficient amount of beneficial bacteria that help digest food.Moms know that a child in the first months of life there is always a problem with the tummy, he swells, becomes tense, anxious child and screams.The reason - the appearance of a large amount of gas in the intestines, resulting in the decomposition of milk (flatulence).Flatulence can also be the cause of regurgitation in the first months of life.
Finally, frequent vomiting can cause structural features (and even anomalies) of the esophagus and stomach in the child: severe weakness of the lower esophageal sphincter, narrowing of the esophagus and stomach, and so on.
Identification of frequent regurgitation
Frequent spitting up a lot of milk, which lead to delays in the child's weight and psychological development must be carefully analyzed, examined the child, the cause of regurgitation detected.The child is required to advise the child neurologist (to avoid perinatal CNS lesions) and a pediatric surgeon (to exclude malformations of the digestive system).If you suspect the presence of some pathology child over the additional inspection (for example, X-rays of the digestive system).If necessary, the treatment.
First of all, after each feeding baby Breastfeeding - a personal choice him to keep "columns" as long as it does not sound otrygnet air only after the childIt can be put to bed.If the child vomits Why the child vomits frequently - what are the norm? often and in large quantities, it needs to be fed with a slightly raised head and upper body.The child is not tightly swaddled - it compresses the abdomen and helps regurgitation, and it is better to sleep on his side.
feed the baby prone to regurgitation, frequently requires but little milk.It should be remembered that the total volume of milk recommended by a pediatrician child should receive during the day, otherwise it will fall behind in weight and development.If this does not help and the baby continues to regurgitate, the pediatrician may assign a special feeding formula milk Dairy mixture - selection of the useful power , containing a large amount of casein protein (it prevents regurgitation as quickly clot in the stomach).These milks are labeled AR.Sometimes regurgitation suspends reception thickening milk - starch or gums.They also appoint a pediatrician.There are special blends, which contain thickeners (e.g. Nutrilon antireflyuks).If the baby suckles, such mixture in an amount prescribed by the doctor, he gets before feeding.
If the child still continues to spit up, he prescribed drugs that improve the contractile function of the intestine (eg Motilium) and relieves stomach cramps (Riabal).When perinatal CNS treatment prescribed pediatric neurologist.
If during the survey reveal pronounced congenital anomaly structure of the digestive system, it often helps only surgery.
Prevention regurgitation - a normal pregnancy and birth.