{"id":4622,"date":"2023-06-08T19:12:22","date_gmt":"2023-06-08T12:12:22","guid":{"rendered":"https:\/\/loudhdtv.com\/can-reflux-in-babies-be-treated-with-diet\/"},"modified":"2023-06-08T19:12:22","modified_gmt":"2023-06-08T12:12:22","slug":"can-reflux-in-babies-be-treated-with-diet","status":"publish","type":"post","link":"https:\/\/loudhdtv.com\/?p=4622","title":{"rendered":"Can Reflux in Babies Be Treated with Diet?\u00a0"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3711241968723425\"\r\n     crossorigin=\"anonymous\"><\/script><br \/>\n<\/p>\n<div>\n<p><span data-contrast=\"none\">Can we treat the cause of infant reflux with maternal milk elimination?<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">There has <\/span><a href=\"https:\/\/zslpublications.onlinelibrary.wiley.com\/doi\/abs\/10.1111\/j.1748-1090.1991.tb02389.x\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">been<\/span><\/a><span data-contrast=\"auto\"> a longstanding problem among zookeepers: The gorillas were throwing up all of the time. \u201cThe practice of regurgitation has never been reported in wild Gorillas but it has unfortunately been accepted as normal by many keepers of captive animals.\u201d What were they feeding them? Gorillas are big, strong animals, so they made sure to feed them a lot of protein\u2014cottage cheese, meat, eggs, and milk\u2014until a zoo in Germany got the radical idea of feeding them their natural diet of \u201cleaves and vegetables.\u201d And, the \u201cchange\u2026following the alterations to the diet was astonishing.\u201d Before the change, a silverback had been regurgitating and vomiting during most of the day. But, by the third day of eating what they were <em>supposed<\/em> to eat, he and the rest of the troop were miraculously cured. Even just <\/span><a href=\"https:\/\/www.conservationevidence.com\/individual-study\/5894\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">removing<\/span><\/a><span data-contrast=\"auto\"> milk from the diets of the captive gorillas led to significant improvements. Cow\u2019s milk was \u201chistorically considered an essential item in the captive gorilla diet,\u201d but researchers showed that eliminating it may reduce such \u201cundesirable behaviors\u2026and may be a step toward better approximating the natural diet for captive gorillas.\u201d The zookeepers were giving them animal milk after weaning\u2014that is, giving animal milk to adults. Milk is for babies. What\u2019s more, they were giving milk from a bovine to a primate. What were these zookeepers thinking?<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">I\u2019m reminded of a landmark study I discuss in my video <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/treating-reflux-in-babies-with-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Treating Reflux in Babies with Diet<\/span><\/b><\/a><span data-contrast=\"auto\">. Eighty-one children presenting with gastroesophageal reflux disease (GERD) were <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21927657\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">given<\/span><\/a><span data-contrast=\"auto\"> drugs, and two-thirds got better, but 27 kids did not. So, the researchers eliminated cow\u2019s milk from their diets. Within one month, all 27 were cured.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cSymptoms of acid regurgitation, heartburn or both <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26414355\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">occur<\/span><\/a><span data-contrast=\"auto\"> at least once a week in 10\u201320% of adults belonging to the western world\u201d and up to about 25 percent of all infants. It\u2019s normal for babies to <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12415039\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">spit<\/span><\/a><span data-contrast=\"auto\"> up occasionally\u2014that\u2019s not what we\u2019re talking about. It can actually get quite serious. Up to a quarter of \u201cinfants <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26414355\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">present<\/span><\/a><span data-contrast=\"auto\"> with regurgitation severe enough for parents to seek medical help,\u201d and it may just be that they\u2019re sensitive to cow\u2019s milk. The symptoms of cow\u2019s milk protein allergy \u201coverlap with many symptoms of GERD, or may coexist or complicate GERD,\u201d or reflux. Even if there\u2019s no formal dairy allergy per se, there appears to be some kind of cow\u2019s milk \u201chypersensitivity\u201d among many infants and children with severe reflux.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">There <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24184302\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">are<\/span><\/a><span data-contrast=\"auto\"> all sorts of invasive tests, such as sticking pH probes down the baby\u2019s throat, but probably the most practical test in routine pediatric practice is just a trial of a cow\u2019s milk protein elimination diet for two to four weeks in infants with reflux.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The gold standard is what\u2019s <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22558615\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">called<\/span><\/a><span data-contrast=\"auto\"> an elimination and rechallenge protocol, where there is a \u201cfull resolution of symptoms via strict elimination followed by recurrence [of symptoms] on reintroduction of cow\u2019s milk protein.\u201d Two hundred or so infants <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8613639\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">diagnosed<\/span><\/a><span data-contrast=\"auto\"> with reflux were put on a cow\u2019s milk\u2013free diet, then were given the challenge tests. Eighty-five of the 204 infants with reflux were actually suffering from a cow\u2019s milk allergy or hypersensitivity.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">So what\u2019s happening? We <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24184302\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">think<\/span><\/a><span data-contrast=\"auto\"> our immune system understandably considers the bovine proteins as foreign and attacks, triggering an inflammatory response, which irritates the nerves lining the digestive tract. That then results in abnormalities in the rhythmic contractions of the stomach, triggering the regurgitation. We\u2019re not just talking about formula-fed infants either. Cow\u2019s milk protein allergy \u201ccan <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22558615\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">occur<\/span><\/a><span data-contrast=\"auto\"> in exclusively breastfed infants,\u201d too, \u201cas intact cow\u2019s milk proteins can be secreted in breast milk.\u201d If the mom <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19745761\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">drinks<\/span><\/a><span data-contrast=\"auto\"> milk or eats eggs, the proteins can get into her baby. Cow\u2019s milk protein and other foreign proteins can pass into human breastmilk. So, \u201cbreast-fed infants with regurgitation and vomiting may therefore benefit from a trial of withdrawal of cow\u2019s milk and eggs from the maternal diet.\u201d<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Indeed, that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24184302\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">is<\/span><\/a><span data-contrast=\"auto\"> now the consensus recommendation of both the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Anytime you see reflux, the first thing to try is a therapeutic trial of either a cow\u2019s milk protein\u2013free formula or, for infants who are breastfed, a strict maternal cow\u2019s milk protein elimination diet. Then we can potentially treat the cause without using unnecessary medications and certainly before <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12415039\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">considering<\/span><\/a><span data-contrast=\"auto\"> anti-reflux surgery.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Maternal diets can have a direct effect on breastfed babies. To learn more, check out <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/treating-infant-colic-by-changing-moms-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Treating Infant Colic by Changing Mom\u2019s Diet<\/span><\/b><\/a><span data-contrast=\"auto\"> and <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/infant-seizures-linked-to-mothers-spirulina-use\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Infant Seizures Linked to Mother\u2019s Spirulina Use<\/span><\/b><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">For mothers who are able, breast is still always best. See <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/the-best-baby-formula\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">The Best Baby Formula<\/span><\/b><\/a><span data-contrast=\"auto\"> and <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/formula-for-childhood-obesity\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Formula for Childhood Obesity<\/span><\/b><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">For older children with reflux, see my video <\/span><a href=\"https:\/\/nutritionfacts.org\/video\/how-to-treat-reflux-in-children-with-diet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">How to Treat Reflux in Children with Diet<\/span><\/b><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span class=\"et_social_bottom_trigger\"\/>  <\/div>\n<p><script>\n            !function(f,b,e,v,n,t,s)\n            {if(f.fbq)return;n=f.fbq=function(){n.callMethod?\n                n.callMethod.apply(n,arguments):n.queue.push(arguments)};\n            if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0';\n            n.queue=[];t=b.createElement(e);t.async=!0;\n            t.src=v;s=b.getElementsByTagName(e)[0];\n            s.parentNode.insertBefore(t,s)}(window, document,'script',\n                'https:\/\/connect.facebook.net\/en_US\/fbevents.js');\n            fbq('init', '1582627921973608');\n            fbq('track', 'PageView');\n        <\/script><br \/>\n<br \/><div data-type=\"_mgwidget\" data-widget-id=\"1675549\">\r\n<\/div>\r\n<script>(function(w,q){w[q]=w[q]||[];w[q].push([\"_mgc.load\"])})(window,\"_mgq\");\r\n<\/script>\r\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Can we treat the cause of infant reflux with maternal milk elimination?\u00a0 There has been a longstanding problem among zookeepers: The gorillas were throwing up all of the time. \u201cThe practice of regurgitation has never been reported in wild Gorillas but it has unfortunately been accepted as normal by many keepers of captive animals.\u201d What &hellip;<\/p>\n","protected":false},"author":3,"featured_media":4623,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-4622","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/4622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4622"}],"version-history":[{"count":0,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/4622\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/media\/4623"}],"wp:attachment":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}