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Silent Reflux in Infants: What Every Parent Needs to Know

Dr. Kirsten Foullong
November 5, 2024
Mother holding baby upright after feeding to help with silent reflux symptoms.

As a parent, you always want your baby to be happy and healthy, so when something seems off—like frequent fussiness, poor feeding, or unexplained crying—it can be concerning. One condition that may go unnoticed is silent reflux in infants, a common yet often misunderstood issue that affects many babies in their early months.

In this post, we’ll explain what silent reflux is, the symptoms to watch for, and how pediatric chiropractic care can offer a natural, gentle solution to help your baby find relief.

What Is Silent Reflux in Babies?

Silent reflux, also known as laryngopharyngeal reflux (LPR), occurs when stomach acid flows back into the esophagus and up into the throat without causing the typical symptoms of spit-up or vomiting. Because there’s no visible regurgitation, it can be harder to detect, making it "silent."

While it might seem harmless since there's no spit-up, silent reflux can still cause discomfort and irritate the sensitive lining of your baby’s throat and esophagus. This irritation often leads to a variety of symptoms of silent reflux in infants that can mimic other issues, making it difficult to diagnose.

Common Symptoms of Silent Reflux in Infants

Recognizing the signs of silent reflux is crucial for finding appropriate treatment. Here are some common symptoms that may indicate your baby is suffering from silent reflux:

  • Frequent coughing or gagging: Your baby may cough or gag even though there’s no visible spit-up.
  • Arching their back during or after feeding: This is often a sign that your baby is uncomfortable and may be trying to relieve the pain caused by acid irritation.
  • Difficulty feeding: Babies with silent reflux may pull away from the bottle or breast or cry during feedings due to the discomfort.
  • Frequent hiccups: Excessive hiccups can be a subtle sign of acid reflux.
  • Fussiness, especially after feedings: If your baby becomes irritable or upset after feeding, it could be due to the discomfort caused by silent reflux.
  • Poor weight gain or failure to thrive: Silent reflux can sometimes interfere with proper feeding and digestion, which can slow weight gain.

What Causes Silent Reflux in Infants?

Silent reflux is often caused by an underdeveloped lower esophageal sphincter (LES). This muscle is responsible for keeping stomach contents in the stomach and out of the esophagus. In infants, the LES is not always fully developed, allowing stomach acid to travel back up into the esophagus.

Other contributing factors can include:

  • Premature birth: Preemies are more likely to experience reflux because their digestive systems are even more immature.
  • Position during feeding: Lying flat while feeding can make reflux more likely. This is why many parents are encouraged to hold babies more upright during and after feedings.
  • Food intolerances: Sensitivities or intolerances to certain foods, especially dairy or soy, can worsen reflux symptoms.

How Pediatric Chiropractic Can Help Silent Reflux

If your baby is showing signs of silent reflux, you may be wondering what treatment options are available. While medication is often prescribed, many parents seek natural, drug-free solutions. This is where infant chiropractic care can be a game-changer.

At Pinnacle Chiropractic, we specialize in nervous system-based chiropractic care that supports your baby’s overall health and well-being. Here’s how gentle chiropractic adjustments can help babies suffering from silent reflux:

Restoring Nervous System Balance

Chiropractic care focuses on ensuring the nervous system is functioning optimally. Misalignments, particularly in the upper neck and spine, can interfere with the communication between the brain and digestive system. By gently adjusting these areas, we can help restore balance, which may improve the function of the esophageal sphincter and reduce reflux symptoms.

Improving Digestive Function

Through specific chiropractic adjustments, we can address areas of tension or misalignment in your baby’s spine that may be affecting their digestive system. When the spine is properly aligned, the body’s ability to digest food and manage reflux improves, often leading to relief from symptoms.

Gentle, Safe, and Effective Care

Many parents worry about whether chiropractic care is safe for their baby. At Pinnacle Chiropractic, we use gentle, non-invasive techniques designed specifically for infants. Our adjustments are so soft that they involve no more pressure than you’d use to check the ripeness of a tomato.

Our team is certified in pediatric chiropractic care and trained in techniques like the Webster Technique, which we use to support both infants and mothers during and after pregnancy.

Natural Tips to Manage Silent Reflux at Home

In addition to pediatric chiropractic care, there are several natural strategies that can help manage your baby’s reflux symptoms at home:

  1. Keep your baby upright after feedings: Holding your baby upright for 20-30 minutes after feeding can reduce reflux episodes.
  2. Smaller, more frequent feedings: This helps reduce the amount of stomach contents at one time, lowering the risk of reflux.
  3. Burp frequently during feedings: Releasing air from your baby’s stomach can reduce pressure and the likelihood of reflux.
  4. Monitor food sensitivities: If you’re breastfeeding, try eliminating common trigger foods, like dairy, to see if it improves your baby’s symptoms.

When to Seek Help

If your baby’s reflux symptoms persist or worsen despite trying these strategies, it’s important to seek professional help. Chronic reflux can sometimes lead to complications like weight loss, feeding aversions, or respiratory problems.

At Pinnacle Chiropractic, we are here to support you and your baby every step of the way. If you suspect your baby is suffering from silent reflux, we invite you to schedule a consultation with our team. Together, we can help your little one find relief and ensure they get the best start to a healthy life.

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I’ve now become a patient of theirs too, and I hope to start my other two children there as well
My 10 month old has been delayed on her gross motor skills. At her 6 month checkup, her pediatrician recommended she get evaluated for PT. In her case, I felt like she needed more that just PT to get caught up. I’ve heard so many people speak highly of chiropractic care for kids, I thought we’d give it a try. I can’t remember how I came across Pinnacle (might have been on Instagram because they have a lot of helpful posts). But anyway, I called and setup the first couple appointments for intake and scans. The entire staff is super friendly. Dr. Matt listened very well to what was going on with my daughter and we came up with 3 goals for her to hopefully meet with 9 weeks of adjustments (2x/week). The afternoon after her 2nd adjustment, she literally reached 2 of her goals. I almost couldn’t believe it. I realize it could have just been a coincidence but it’s just too close to happening right after the adjustments for me to assume that. She’s had about 10 adjustments total now, and she is catching up on other gross motor skills. Because she is a baby, her adjustments are quite gentle. There’s no cracking or popping involved. I’ve now become a patient of theirs too, and I hope to start my other two children there as well!
They have been there for my first pregnancy, my miscarriage, and thankfully another pregnancy.
Pinnacle has truly been such a blessing in mine and my daughter life. All their staff care so much about you as an individual and of course your health. They have been there for my first pregnancy, my miscarriage, and thankfully another pregnancy. They have such a wealth of knowledge to share and help you along your journey. Pinnacle cares for you like family and we are so grateful for that.
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