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Reflux wedge for children

Definition

A reflux wedge is a device that was recommended in the past for infants with reflux.

However, the use of these wedges is no longer recommended. Your provider may suggest simple changes to help the symptoms, such as:

  • Raise the head of the crib. However, your infant should still sleep on the back, unless your provider suggests otherwise.
  • Burp the baby after drinking 1 to 2 ounces (30 to 60 milliliters) of formula, or after feeding on each side if breastfeeding.
  • Add 1 tablespoon (2.5 grams) of rice cereal to 2 ounces (60 milliliters) of formula, milk, or expressed breast milk. If needed, change the nipple size or cut a small x in the nipple.
  • Hold the baby upright for 20 to 30 minutes after feeding.

When the infant begins to eat solid food, feeding thickened foods may help.

Medicines can be used to reduce acid or increase the movement of the intestines.

References

Khan S, Orenstein SR. Gastroesophageal reflux disease. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 323.

Troxler RB, Harding SM. Sleep and gastroesophageal reflux. In: Sheldon SH, Ferber R, Krygger MH, Gozal D, eds. Principles and Practice of Pediatric Sleep Medicine. 2nd ed. Elsevier Saunders; 2014:chap 11.


Review Date: 12/10/2016
Reviewed By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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