Acid Reflux Flare Up

What are the signs and when to expect them and what do you do for an acid reflux flare up? 

You've gotten your child's reflux under control and you've finally seen those long  awaited smiles because they're now feeling better! Then out of the blue and unexpectedly you see symptoms creeping back or you've woken up to a full on screaming session just like when you discovered your baby had reflux. It looks like reflux but how can that be? You thought you found the answer to treatment.


What To Look For

There are couple of things to look for that will indicate if your baby is having a acid reflux flare up.

You can always turn to the infant acid reflux questionnaire. Print it out and use it as a reflux diary.  Please do not submit it multiple times. This printable version is for you.

Compare the symptoms now to the symptoms you entered when you first filled out the questionnaire. If you are seeing three or more symptoms that are causing pain or effecting quality of life, there is likely to be a flare up.

When To Expect An Acid Reflux Flare Up

There are several events that can contribute to an infant reflux flare up.

  1. You were using an H2 Blocker and it was working great but now it doesn't seem to be helping. H2 blockers will build tolerance after 4-6 weeks. Increasing the dose will not help. This is usually when your qualified medical practitioner will move to a proton pump inhibitor for treatment.
  2. Colds or infections of the respiratory tract: The congestion and inflammation can cause reflux to flare. Note: If child develops bacterial respiratory tract infection then appropriate antibiotic treatment is necessary or the symptoms of “worsened reflux” may not improve!!
  3. Teething: The inflammation of the gums along with the excessive secretions are often associated with a worsening of the symptoms of acid reflux.
  4. Vaccines: There is an association with vaccines and increased reflux symptoms.

What To Do

Contact our medical care team the minute you see signs of a flare.

Your team may decide to up any PPI medications up to 20% for 2 weeks until that flare up passes. This is a typical protocol but is up to you to discuss treatment option with your qualified medical care practitioner. Any change in medical care should be over seen and advised by your medical care team.

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