Soothe Acid Reflux in Breastfed Babies – 10 Proven Ways

So, what is acid reflux in babies? It’s kind of like heartburn in adults. The medical term is Gastroesophageal Reflux, or GER. It happens when the muscle between the stomach and the esophagus isn’t fully developed yet. That weak muscle lets stomach acids flow back up, which can cause pain and frequent spit-up.

Many parents hear “colic” and think that’s all it is—but acid reflux in babies is different. The good news is, we can actually help ease it now. It’s usually most intense between 1 and 4 months, and most babies outgrow it by the time they’re 6 to 12 months old.

What Causes Acid Reflux in Babies

• Oversupply of milk or a fast letdown. In those cases, expressing a bit of milk before breastfeeding can help your baby avoid swallowing extra air.
• Sometimes, the muscle that keeps food down just isn’t mature enough yet—especially in premature babies. That’s a big reason why reflux is more common early on.
• Food allergies can also trigger acid reflux in babies. Certain infant formulas or even herbal medicines may bring on symptoms, too.
• If your baby swallows too much air while feeding—maybe because they’re fussy or overstimulated—that can lead to reflux. Feeding in a calm, quiet space can make a big difference. It also helps to feed your baby before they get overly hungry.
• During growth spurts, babies often feed more quickly and more often. That faster pace can sometimes lead to reflux symptoms.
• In some cases, reflux can run in families. Genetics may play a role.
• Starting solids too early, before your baby is ready, can also cause reflux.

Symptoms of Acid Reflux in Babies

Babies with acid reflux can show a mix of signs, and some are easy to miss.

• One of the most common is frequent spitting up.
• You might also notice more burping or hiccups than usual.
• Reflux can affect sleep, too. Babies may wake often or seem uncomfortable lying down.
• Poor weight gain is another possible sign, especially if spit-up happens right after feeding.
• Fussiness is a big clue—especially if it happens during or after feedings.
• Some babies want to nurse constantly for comfort, while others pull away. Both can be signs of acid reflux in babies.
• You might notice bad breath.
• You might see your baby arching their neck and back like they’re in pain.
• Difficulty swallowing or seeming uncomfortable while eating can also be related.
• In some cases, reflux can lead to repeated chest or ear infections.

If you’re noticing any of these symptoms often, it’s worth checking in with your pediatrician.

Should You Continue to Breastfeed?

Breast milk digests more easily than formula, which means it spends less time in the stomach. That reduces the chance of it coming back up. Breastfeeding also helps the gut move food along more smoothly, which can ease discomfort.

Another bonus? Breastfed babies are usually fed in a more upright position. That simple change helps keep stomach acid where it belongs.

10 Best Ways to Soothe and Support Your Little One

Here are some simple, gentle ways to help manage acid reflux in babies and even prevent it from flaring up:

#1. Feeding Upright and Still After Feedings

Start with positioning. Try to keep your baby upright during feedings. You can even walk around while nursing or use a laid-back breastfeeding position. This naturally puts your baby at an angle, which helps keep milk and acid down. Let your baby lie on your chest or sit next to you while nursing—skin-to-skin time is calming, too.

After feedings, hold your baby upright for at least 15 to 20 minutes. This gives air bubbles time to rise and lets the tummy settle. Try to keep your baby still during this time and avoid anything that presses on their belly. If you hear wheezing or notice coughing after spit-up, it could be a sign of reflux-related breathing irritation. Change diapers before feeding so there’s less jostling after a meal.

#2. Paced Feeding

If you’re bottle-feeding, try using a slow-flow nipple and practice paced bottle-feeding. This method mimics the natural rhythm of breastfeeding, giving your baby more control over how much and how quickly they drink. Holding the bottle horizontally, rather than tipping it straight down, slows the milk flow and encourages your baby to pause and swallow. This helps prevent gulping, which reduces the amount of air swallowed and lowers the risk of spit-up. It also prevents overfeeding, since babies have time to recognize when they’re full. Paced feeding not only supports better digestion and less reflux, but it also makes the transition between breast and bottle smoother for many babies.

#3. Burp Often

Burping your baby often and effectively during feedings can help, too. Less air in the tummy means less pressure—and less chance of milk coming back up.

#4. Feed More Often – Shorter Sessions

It’s also better to breastfeed more often, but for shorter sessions—about 10 minutes at a time. A full stomach can add to the discomfort. A deep, proper latch reduces how much air your baby swallows. Try feeding when your baby is calm to make it easier on both of you

#5. Using a Reflux Pillow

During tummy time, babies with acid reflux often feel better lying on their tummies at a slight incline—about 30 degrees. Using a wedge pillow that raises the upper body can help. Some insurance plans even cover the cost. Just remember: tummy sleeping is only safe under medical supervision. Always follow your pediatrician’s advice. AAP Safe Sleep Guidelines.

#6. Carrier or Sling

A baby carrier or sling can also help. It keeps your baby upright, close to you, and more content.

A hip seat carrier helps manage acid reflux in babies by keeping them upright during and after feedings, reducing spit-up and discomfort. It supports their body without adding pressure to the tummy and makes it easier for parents to hold them longer. The upright position and gentle movement can also soothe fussiness and aid digestion.

#7. Avoid Pressure

Try to stick to loose clothing to avoid pressure on the belly. Try to avoid long car seat trips, too. That scrunched position can make reflux worse.

#8. Baby Massage

Don’t overlook the power of touch—a gentle baby massage can help soothe your baby. It also supports their digestive system by stimulating the vagus nerve, which plays a key role in digestion.

#9. The Colic Hold for Acid Reflux in Babies

The “colic hold” can be a real lifesaver for babies with acid reflux. There are two simple ways to do it. You can rest your baby’s back along your forearm or lean their back against your chest. Both positions work, so try each one and see what your baby prefers.

Once your baby is in the hold, gently sway or rock. That motion can calm their nervous system and help settle their tummy.

This hold is part of Dr. Harvey Karp’s “cuddle cure,” which combines swaddling, white noise (like a gentle “shhh”), movement, sucking, and the colic hold. Together, these steps help soothe babies who are uncomfortable, whether from colic, gas, or acid reflux. Dr. Harvey Karp’s website – Happiest Baby.

#10. Reflexology Pressure Points for Reflux

Reflexology pressure point massage may offer gentle relief for babies with acid reflux by helping their tiny bodies relax and supporting better digestion. By applying light pressure to specific points on the feet or hands, reflexology is thought to calm the nervous system and stimulate the digestive tract. For infants with reflux, this soothing touch can ease tension, improve circulation, and encourage the natural movement of food through the stomach and intestines. While it isn’t a cure, many parents find that incorporating reflexology into a calming routine helps reduce fussiness and discomfort after feedings. Always use very gentle pressure and check with your pediatrician before starting any new technique.

Even small changes can bring your baby big relief. You’ve got options—and support. If your baby isn’t gaining weight, refuses feeds, or seems to be in pain often, it may be GERD (more severe reflux) and needs a doctor’s input.

References and Resources

• Breastfeeding Positions – Kelly mom – latch resources
• La leche League – Breastfeeding support
  
  

Q&A