Gentle Strategies to Help an Infant with Reflux
Infant reflux can be a frustrating and exhausting experience—for both babies and their caregivers. That telltale spit-up, the arched back, the cries during or after feeds—it’s heartbreaking to watch and can make feeding feel stressful. The good news? Reflux is common and usually improves with time, and there are plenty of gentle, supportive ways to ease your baby’s discomfort in the meantime.
Here are some strategies that can help manage infant reflux naturally and effectively:
1. Feed in an Upright Position
Keeping your baby’s body more vertical during and after feeds can make a big difference. Try holding your baby at a 45-degree angle (or more upright if they’re comfortable) while feeding. After the feed, continue holding them upright for 20–30 minutes to help gravity keep milk down.
2. Smaller, More Frequent Feeds
Overfilling your baby’s tummy can contribute to reflux. Instead of spacing out large feeds, try offering smaller amounts more often. This can reduce the pressure on their tiny stomachs and give them a chance to digest more comfortably.
3. Watch for Feeding Cues and Avoid Overfeeding
Feeding on cue—when your baby shows early signs of hunger like rooting or sucking on their hands—helps ensure they’re not too hungry or too full, both of which can increase reflux episodes. Try not to force a full feed if your baby is signaling they’re done.
4. Check for a Shallow Latch or Feeding Difficulties
Sometimes, reflux-like symptoms are linked to feeding mechanics. A shallow latch can cause your baby to swallow more air, increasing spit-up and gas. A tongue tie could also be a factor. A lactation consultant can assess latch and feeding dynamics, whether you’re breastfeeding, bottle-feeding, or doing both.
5. Burp Frequently
Burping during and after feeds can help release trapped air. Try burping your baby every few minutes during a feed, and experiment with different burping positions—over the shoulder, seated with back support, or tummy-down across your lap.
6. Reevaluate Bottle and Nipple Flow
For bottle-fed babies, the type of bottle and nipple flow can have a big impact. A flow that’s too fast can lead to gulping and more air intake, while a flow that’s too slow might cause frustration and more swallowing of air. Look for paced-feeding techniques and bottle options designed to reduce air intake. The Lansinoh bottles are a favorite of mine.
7. Use Tummy Time Mindfully
Tummy time is important for development, but it can be uncomfortable for babies with reflux, especially right after a feed. Try tummy time when your baby’s stomach is emptier—before a feed or a while after digesting—to avoid pressure on their belly.
8. Try Gentle Movement
Some babies with reflux are comforted by gentle rocking or babywearing. Upright baby carriers can keep your baby close and supported while helping reduce reflux symptoms. Make sure their airway is always clear and their chin isn’t resting on their chest.
9. Explore Bodywork Options
Tension in the body can impact digestion and feeding. Gentle therapies like infant craniosacral therapy or pediatric chiropractic care (with a qualified provider) may help babies who have persistent reflux symptoms related to body tension, birth trauma, or feeding dysfunction.
10. Know When to Seek Medical Guidance
Most infant reflux is mild and improves on its own. But if your baby is losing weight, refusing feeds, crying inconsolably, or has symptoms like projectile vomiting or blood in the stool, check in with your pediatrician. Sometimes medication or further evaluation is necessary.
You’re Not Alone
Reflux can test your patience and make you question your instincts, but you’re doing an incredible job. With the right tools, support, and a little time, most babies outgrow reflux and become happy, comfortable feeders. If you ever feel overwhelmed, reach out—you’re not alone on this journey.
Need extra support with feeding or reflux? I offer gentle, holistic lactation and infant wellness services to help you and your baby thrive.