Children up to the year sometimes regurgitate food adopted. In some cases, this happens rarely - only in cases when the child is too greedy and captures suckles milk along with a lot of air. But sometimes regurgitation becomes permanent, the child lags behind in weight and psychological development. In such cases, carry out the necessary examination, and possibly treatment.

Features of the structure and the work of the gastrointestinal tract of the infant

Unlike adults, who have the stomach has a curved elongated, a newborn child's stomach like a balloon. This sphincter (circular muscle that clenching and unclenching, the food passes into the stomach, it is blocking her way), located at the end of the esophagus in newborns is not fully perform its function, and sometimes misses the food from the stomach back into the esophagus. Frequent spitting up it can cause inflammation of the walls of the esophagus acidic stomach contents.

Also, when breastfeeding baby sucking movements do not always coincide with the peristaltic (promotes food down the esophagus) movements of the esophagus, causing a sharp contraction of the muscles of the stomach and throwing food.

What is regurgitation and why it occurs

Regurgitation - a cast of small amounts of partially or suck nestvorozhennogo curds and air from the stomach into the esophagus, and then in the baby's mouth that occurs during or immediately after feeding. In healthy children, it is rare and is usually associated with a greedy sucking and swallowing large amounts of air (aerophagia) or overfeeding. The amount of milk in the regurgitation in healthy children and small - about a teaspoon. With proper feeding of these events usually take place in 3-4 months, but sometimes hold up to a year without causing the child discomfort, and anxiety in the mother.

But in some cases vomiting occur constantly, the child loses milk behind in weight and psychological development. In most cases, this is due to perinatal (during the second half of pregnancy and in the first week after birth) lesions of the central nervous system (CNS). In addition, premature or born with intrauterine growth retardation of children violated the coordination of sucking, swallowing and breathing movements, which normalizes about two months.

The intestines of a newborn baby as an immature, there is no sufficient amount of beneficial bacteria that help digest food. Moms know that a child in the first months of life, there are always problems with tummy: he swells, becomes tense, anxious child and screams. The reason - the appearance of a large amount of gas in the intestines, resulting in the decomposition of milk (flatulence). Flatulence can also be the cause of regurgitation in the first months of life.

Finally, frequent vomiting can cause structural features (and even anomalies) of the esophagus and stomach in the child: severe weakness of the lower esophageal sphincter, narrowing of the esophagus and stomach, and so on.

Identifying the causes of the frequent regurgitation

Frequent spitting up a lot of milk, which lead to delays in the child's weight and psychological development must be carefully analyzed, examined the child, the cause of regurgitation detected. The child is required to advise the child neurologist (to avoid perinatal CNS lesions) and a pediatric surgeon (to exclude malformations of the digestive system). If you suspect the presence of some pathology child over the additional inspection (for example, X-rays of the digestive system). If necessary, the treatment.

Treatment regurgitation

First, after each feeding baby Breastfeeding - a personal choice   it must keep the "column" as long as it does not sound otrygnet air, only then you can put the baby in a crib. If the child vomits frequently and in large quantities, it needs to be fed with a slightly raised head and upper body. The child is not tightly swaddled - it compresses the abdomen and helps regurgitation, and it is better to sleep on his side.

Feed the baby prone to spitting up is required more often, but a small amount of milk. It should be remembered that the total volume of milk recommended by a pediatrician child should receive during the day, otherwise it will fall behind in weight and development. If this does not help, and the child continues to spit up, the pediatrician may assign a special feeding with formula milk Dairy mixture - selection of useful power Containing large amounts of protein casein (it prevents regurgitation as quickly clot in the stomach). These milks are labeled AR. Sometimes regurgitation suspends reception thickening milk - starch or gums. They also appoint a pediatrician. There are special blends, which contain thickeners (e.g. Nutrilon antireflyuks). If the baby suckles, such mixture in an amount prescribed by the doctor, he gets before feeding.

If the child still continues to spit up, he prescribed drugs that improve the contractile function of the intestine (eg Motilium) and relieves stomach cramps (Riabal). When perinatal CNS treatment prescribed pediatric neurologist.

If during the survey reveal pronounced congenital anomaly structure of the digestive system, it often helps only surgery.

Prevention regurgitation - a normal pregnancy and childbirth.

Galina Romanenko

Gastrointestinal tract - is a weak point of any newborn. The problems start with him immediately after birth and not always disappear with the end of the neonatal period, ie the first four weeks of life. Smecta could help her mother cope with these problems.

What is the gastrointestinal tract of newborn

The child is born with a sterile, including sterile and gastrointestinal tract. But immediately after the birth of the hordes of microbes begin to inhabit his skin and mucous membranes, which have connections to the external environment, including the gastrointestinal tract.

Gastrointestinal (GI) of a person normally should contain enough beneficial microorganisms (the normal flora), which helps digest food, produces some kinds of vitamins and restrains the growth of microflora, which can at any time (for example, weakening of the body) cause disease (the has conditionally pathogenic).

Unfortunately, the settlement of the child's gastrointestinal tract microflora is not always as it should, in the first days and weeks of life in his gut dysbiosis often developed - the prevalence of pathogenic microflora of useful. Such a state of some children hold up to three months or more.

A particularly acute problem for any violations of feeding a newborn baby, including the artificial feeding, as any infant formula Dairy mixture - selection of useful power   It is foreign to the body of the child. Breastfeeding breast milk is rapidly and completely absorbed by the body of the child, while in the intestines to create an environment favorable for the development of normal microflora. When artificial feeding on the contrary, due to incomplete digestion mixture creates an environment favorable for the development of pathogenic microflora.

Furthermore, mother's milk contains several biologically active substances, which help to deal with infection, whereas in infant formulas do not. Therefore, in the neonatal period in almost all the children are developing more or less pronounced phenomenon dysbiosis, but during breastfeeding, they pass quickly.

How does smectite

Smekty active substance is a substance naturally occurring dioctahedral smectite, which has a complicated three-layer discoid-crystalline structure and a high degree of viscosity. These properties allow the smectite to strengthen the protective barrier in the intestinal mucosa, which significantly increases the resistance of the digestive tract by any damaging factors. The protective barrier is formed due to the formation of multiple bonds with glycoproteins smekty parietal mucus that coats the mucosa.

This leads to the fact that the mucous membrane is more durable and secure. Irritation and inflammation of the mucous membrane of smectite Smecta - necessary in any medicine cabinet   gently envelops and soothes, protecting cells from her irritating bile acids, mineral salts, microorganisms and their toxins. Smectic absorbs these substances, as well as gases and incompletely digested carbohydrates and other metabolites Metabolism: The basis of life of all living things Resulting from the improper digestion, and removes them from the body. This action helps restore normal intestinal microflora and increases its resistance to various damaging factors.

Protective effect smekty manifested in the fact that it does not permit contact with mucous membranes of pathogenic bacteria and viruses. However, it is not out of the body the necessary minerals (the structure of this product allows it to be selective adsorption) and in the correct application is not out of the body of beneficial microflora.

Therefore, neonatologists (pediatricians who treat children in the first month of life) like to appoint smektu while adhering to certain rules so as not to harm the child, with long-term uncontrolled use of smectite may cause constipation in the neonate Constipation - Watch out for food That is already undesirable.

How to apply smektu in the neonatal period

In the neonatal period smektu allowed to give no more than a bag a day. But this number is not given immediately, but it is during the day. Before applying smektu diluted in 50 ml bottle with any liquid that is given to the child. Pour smektu gradually and constantly shake the bottle so as to form a homogeneous suspension. The mixture is then given to the child periodically during the day.

If your doctor has prescribed a child for some treatment between reception smekty and other medicines should be at least one to two hours. Long used smektu impossible.

Smecta - is a good way to stabilizing the intestines of a newborn baby, but the doctor must prescribe it.

Galina Romanenko