How to recognize gastroesophageal reflux in infants

If you answer the questions, add up the relative points you give to each answer and if the total is more than 10 points, it is very likely that your baby has reflux and may need help from proper treatment.

1. Does your baby have frequent spitting up (regurgitations) of milk even long   after feeding?

From 2 to 5 times a day – 3 POINTS
More than 5 times a day – 5 POINTS

2. Does your baby seem to continually chew and swallow what comes up from his/her stomach?

From 2 to 5 times a day – 3 POINTS
More than 5 times a day – 5 POINTS

3. Does he/she have hiccups frequently during the day?

1 time every day – 3 POINTS
More than once a day – 5 POINTS

4. Does he/she burp frequently even long after feeding? 

From 2 to 5 times a day – 3 POINTS
More than 5 times a day – 5 POINTS

5. Does he/she also often throw up forcefully? 

Once a week – 3 POINTS
More than once a week – 5 POINTS

6. Does your baby prefer being kept always upright and cry angrily if put down flat on the crib?

All the time
5 POINTS

7. Is he/she constantly agitated and wakes up crying often during the night

Twice a week – 3 POINTS
More than twice a week – 5 POINTS

8. Did he/he start having desperate crying (colic) before going to bed at a few week of age?

Occasionally – 3 POINTS
Often – 5 POINTS

9. Does he/she have a troubled feeding, arching his/her back, crying frustrated, alternatively sucking and briskly stopping feeding?

Once a day – 3 POINTS
More than once a day – 5 POINTS

10. Does he/she often keep his/her neck tilted stiff to one side?

 Occasionally – 3 POINTS
Generally – 5 POINTS

11. Does he/she sleep restlessly and frequently wake up crying, unable to sleep peacefully?  

No – 0 POINTS
Yes – 5 POINTS

WHAT IS THE TOTAL?
If the resulting score is between 10 and 15, there is a wide possibility that your child may suffer from reflux.
If the total were more than 15, it means that gastroesophageal reflux is definitely present and that the child may have relief with appropriate therapy.

Important: to suspect reflux it is enough that at least one of the specific signs highlighted in bold are present in all circumstances.

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