WHEN TO SEEK MEDICAL ADVICE

Parents should always seek medical advice if they are worried in any way about their infant, or themselves.
In relation to gastro-oesophageal reflux, the parents should especially seek medical advice if:


VOMITING IS:

  • Of large volume;
  • Frequent, including posseting and regurgitation;
  • Increasing in amount;
  • Forceful;
  • Contains coffee ground like material;
  • Contains blood (red, black or coffee ground) or bile (green).
  • DURING FEEDING, THE BABY:

  • Pulls off the bottle or breast;
  • Is difficult to reattach to the breast or bottle;
  • Arches its back;
  • Draws its legs up;
  • Screams.

    IF THE BABY IN GENERAL:

  • Is irritable or cries excessively;
  • Appears to be in pain or is very “windy” or “colicky”;
  • Doesn’t sleep well, and is easily disturbed;
  • Seems “snuffly” or gags often;
  • Has feeding problems- either comfort feeding OR refusal to feed;
  • Is failing to thrive.

  • IF THE BABY HAS CHEST PROBLEMS:

  • Repeated coughing;
  • Wheezing;
  • Repeated chest infections;
  • Apnoeas (periods of cessation of breathing);
  • Cyanosis (baby is blue).

    IF THE PARENTS (MOTHER ESPECIALLY) ARE/IS:

  • Distressed;
  • Overtired and exhausted;
  • Confused about how to manage the baby;
  • Lacking support;
  • Socially isolated because of the child’s behaviour;
  • Depressed, feeling down, or negative;
  • Not eating;
  • Not sleeping;
  • Not coping;
  • Excessively weepy;
  • Worried that they may harm the child.
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