Acid Reflux Signs and Symptoms In Infants

Below is a general list of acid reflux signs and symptoms in infants.

  • Gagging and choking – during feeds or after
  • Vomiting – large amounts of spit-up or projectile in nature
  • Frequent or wet hiccups – especially common in refluxers
  • Excess drool in the absence of teething
  • Foamy or bubbly lips on recurring occasions
  • Abdominal pain – indicated by arching back, either during or after feeds or both
  • Bad breath – often most apparent after waking from sleep
  • Poor sleep – inability to sleep soundly, frequent waking, and/or crying in sleep
  • Under eating – while most refluxers will under eat to avoid pain
  • Over eating – many will comfort eat to soothe themselves
  • Unexplainable, inconsolable crying – especially during or after feeding, burping or hiccupping
  • Feeding aversions or refusals – usually related to the association of pain with feeding
  • Swallowing or gulping – after a feeding or burping
  • Chronic cough – after a feeding or burps
  • Chronic congestion – not related to illness
  • Hoarse raspy voice – especially when not related to illness
  • Gurgling sounds – during or after feeding
  • Back arching – especially during and after feeding
  • Apnea – trouble catching a breath or stops breathing
  • Wheezing – especially when not accompanied by illness
  • Clawing at breast or bottle or pulling off the nipple
  • Sandifer’s Syndrome – twitching, grimacing, arching, stiffening, and seizure-like symptoms
  • Poor weight gain or Failure To Thrive (FTT)
  • Painful spitting up/vomiting or rumination (silent reflux)
  • Spit up coming out the nose
  • Chronic inconsolability (colicky behavior)
  • Discomfort with back-lying
  • Arching backward while screaming
  • Discomfort with back-lying
  • Sleeping problems
  • Excessive gas
  • Recurrent choking/gagging
  • Aspiration
  • Poor growth
  • Breathing issues