Monday, January 21, 2013

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The Benefits of Breastfeeding

Breastfed babies have been shown to have fewer and less severe reflux episodes than their artificially fed counterparts. Human milk is more easily digested than formula and is emptied from the stomach twice as quickly. This is importan,t since any delay in stomach emptying can aggravate reflux. The less time the milk spends in the stomach, the fewer opportunities for it to back up into the esophagus. Human milk may also be less irritating to the esophagus than artificial formulas.⁶

Another advantage of nursing the baby is the closeness between mother and baby. When your baby is in pain or unhappy, it is easy to become overwhelmed and stressed. Nursing is nature’s perfect way to comfort your baby, and the hormones produced when you breastfeed help promote relaxation, which goes a long way in helping you deal with a very fussy baby. Nursing keeps you in touch with your baby's cues, and while you can't always eliminate discomfort or unhappiness, the comforting that nursing provides, with the closeness and body contact that it involves, is unequaled. One common challenge that often arises when dealing with reflux is that baby may be hesitant to eat, knowing that pain may result afterwards. This can be terribly frustrating for both you and your hungry baby, and it can result in low weight gain.

Here are some techniques to encourage your baby to nurse:

Minimize distractions and keep feedings as peaceful and calm as possible. Nurse in a quiet, dark room and play soothing music.
Try nursing when baby is sleepy. Babies with reflux tend to wake more often, so take advantage of this opportunity to work in extra feedings. Keep baby close to you during the night.
Give baby lots of skin-to-skin contact and cuddling. Try nursing him or her in a warm bath.
Practice with different positions, and try nursing while standing and walking around. Baby slings are great for this, and they help keep the baby upright while your hands are free.

If your baby is generally happy and growing normally, any reflux is most likely GER, not GERD. You may want to try the following tips to minimize spitting up:

Handle baby gently and burp often.
Try to keep baby in an upright position during and after feedings. Nurse frequently. Smaller, more frequent feedings are easier to digest.
If you have a large supply of breast milk, and your baby chokes or gags when the milk lets down, then spits up afterward, try offering only one breast per feeding. You may also try taking your baby off the breast when the milk first lets down, catching the forceful spray in a towel, then putting him back on the breast after the initial flow of milk has subsided.
If your baby wants to nurse constantly, and seems to spit up after every feeding, try offering a pacifier. It may keep baby from overfilling his or her stomach and spitting up the excess. However, if your baby is not gaining weight properly and getting him or her to nurse is a struggle, your baby should spend all his sucking time at the breast.
After feedings, try holding baby upright for a half hour or let baby lie upright on your chest. You could also use a front carrier or baby sling or place baby in a crib or infant seat at a gentle angle. A 45-degree incline would be ideal, since any more than that might actually put too much pressure on his or her stomach and make things worse.
Try to identify foods or vitamins in the mother's or baby's diet that might be causing a reaction. Avoid foods that exacerbate reflux. Common culprits such as dairy, which are passed on to infant through breastfeeding, can cause allergies or sensitivities. Tomatoes, citrus, high-fat foods, carbonated beverages and processed foods are some other common acidic offenders. If you are not breastfeeding, speak with your doctor about experimenting with different formulas. Keeping a daily journal or log can also help determine reactions your child may be having.
In the past, it was often recommended that mothers add cereal to thicken their baby's feedings. The theory was that thicker food would have a harder time coming back up the esophagus. This method has not been shown to be effective and can interfere with breastfeeding. It can also cause more irritation to the baby's esophagus if it is aspirated, and it is not commonly used today. “Too early introduction of solid foods interferes with breastfeeding by replacing human milk in the baby's diet and decreasing the mother's milk supply. It may also endanger the baby by making it possible for solids to be regurgitated, which are irritating to the body's tissues and can be aspirated into the baby's lungs. Solids also have the potential to trigger allergies in an already sensitive baby." The Breastfeeding Answer Book, Mohrbacher, N., and Stock, J., 2003, La Leche League International
There is also a homeopathic medicine called Colic Calm that is very promising in controlling reflux and the accompanying discomfort. Many natural health care practitioners are recommending it to parents with babies suffering from GER. By all means, speak with your pediatrician and try this natural homeopathic remedy before resorting to prescription pharmaceuticals.

Experiment with these suggestions, because what works for one baby may not work for another. Work closely and communicate with your baby's health care providers, since treatment can require trying different options until you find what works for your particular baby.

If these measures don't work, the next step is to speak to your doctor about diagnostic evaluation and treatment options. Prescription medicines reduce stomach acid, thereby suppressing the symptoms of esophageal inflammation and pain associated with reflux. Commonly used medications include Zantac (a brand of the H₂ blocker - ranitidine) or Prevacid (a brand of the proton pump inhibitor - lansoprazole). However, since acid-blocking drugs interfere with the body's natural digestive process, important nutrients such as iron, calcium and folic acid are not absorbed well. Given the formative stage of baby's development, this could be one of several undesirable side effects. Because stomach acid also forms part of the body's immune system by killing undesirable bacteria in the gut, these drugs make baby more susceptible to stomach infections. Surgery is a last resort, and it is reserved for severe cases with dangerous complications, and only after all other treatment has failed. A natural option like Colic Calm that does not expose baby to such side effects is preferable to drugs or surgery.

Be sure that you have lots of support and help for you and your family while you are dealing with all the extra stress. Ask for help! Let someone bring you meals or take your older kids for a while. A great support group for parents dealing with reflux is PAGER (Pediatric/Adolescent Gastroesophageal Reflux Association). PAGER is a national organization that provides information and support to families who have children with this condition. They have brochures, hold monthly meetings, and publish a monthly newsletter.

If your baby has reflux, try to keep a positive attitude, and remember that in almost all cases, spitting up and GER occurs in healthy babies who just need a little more time to grow. Before you know it, your fussy baby will be a teenager with a driver’s license, and then you'll really have something to worry about!

What is “Secondary GER”?

In secondary GER, something else is occurring to cause episodes. One possibility is pyloric stenosis, in which there is a blockage of the pyloric sphincter. Other examples might be food allergies, metabolic disorders, infection, NG tubes, etc.

What is Laryngopharyngeal Reflux?

When stomach acid makes its way all the way up through the upper esophageal sphincter (UES) and to the back of the throat, it can cause problems such as sore throat, hoarseness, chronic cough, etc. The throat and back of the nasal passages are especially delicate and sensitive.

what is “Silent GER or GERD”?

When no outward or typical symptoms occur, it could indicate that the refluxed material is not coming back all the way up the esophagus and into the mouth, but rather part way. Some children may swallow the refluxate back down, instead of spitting up or vomiting. This can be much more difficult to diagnose, since the typical symptoms cannot be seen. It can also be more damaging to the esophagus, as the acid not only comes up, but also goes back down. Whether or not the condition needs to be treated depends on the complications it may create.

Gripe Water by - om water nikshepa baby herbal water

Our unique homeopathic gripe water calms the irritation of baby caused by colic, infant gas, stomach pain, hiccups, teething and even reflux. It also helps baby’s digestive system adjust to new foods and relieves stomach upset caused by infant teething.*

Our all-natural, side-effect-free gripe water contains NO alcohol, sugar, sodium bicarbonate (baking soda), simethicone, herbal oils or extracts, artificial flavors or colors. In addition, there is NO wheat, gluten, soy, starch or dairy in our formula.

What treatment is available for baby’s gas problems?

Burping the baby thoroughly will reduce the amount of air in the stomach, so that it does not pass on to the intestinal tract. Unfortunately, burping is not 100% effective at eliminating gas, since it has absolutely no effect on the gas created in the intestines during normal digestion. There are various physical therapies to relieve gas, such as baby massage, which may prove somewhat effective in helping baby to release gas. Simply applying light pressure on the tummy can soothe and help. You can also try carrying baby in the “football hold” – face down on your forearm with baby’s legs straddling your elbow and baby’s chin resting in your hand. The gentle pressure placed on the little tummy can help soothe and release baby’s gas.

If this does not work, there are several treatments available for infant gas. As always, you should consult your pediatrician first before giving baby any medications, remedies or supplements.

Why does infant gas cause pain and discomfort?

Why does infant gas cause pain and discomfort?use nikshepa baby herbal water

Normally, gas is not a problem and causes no pain or discomfort because it is quickly and easily pushed through the digestive system. However, babies are born with a very immature gut. Most experts agree that for the first thirteen weeks of life outside the womb, the newborn digestive system is literally just learning to function. Muscles that support digestion have not developed the proper rhythm (peristalsis) for moving food efficiently thought the digestive tract. Furthermore, newborns lack the benevolent bacterial flora (probiotics) that develop over time to aid digestion and complement the work performed by enzymes secreted in the digestive tract.

Gas has buoyancy and gas pockets can become trapped in the upper and lower intestines. The gas acts like a cork, impeding or halting the flow of gastric juices, and built-up pressure causes painful bloating and swelling of the abdomen. Baby’s immature digestive system is unable to cope effectively. When gas pockets form in the stomach, it can cause the stomach to distend, and it is also the main cause of hiccups.

Some medical researchers assert that infant gas and colic are unrelated; but we don't agree with this theory. In our experience of helping hundreds of thousands with infant colic, gas and reflux, these are usually manifestations of one simple thing. A baby's immature digestive system, and persistently reoccurring trapped gas can most definitely be a source of colic.

Why does infant gas cause pain and discomfort?

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Where does gas come from in infants and newborns?

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Gas in a newborn or infant can be due to several factors, not just one simple thing, since there are different ways that gas can get into babies’ digestive systems. Gas is produced in the digestive tract from the moment baby has his or her first drink of breast milk or formula. Newborn gas is a natural by-product of digesting lactose, proteins and other nutrients.

Some pediatricians and lactation specialists assert that traces of gas-producing foods, such as cruciferous vegetables and legumes, can be passed from mother to baby. Other experts also warn against excessive acidity in the maternal diet. Citrus fruits and juices, strawberries and tomatoes are high in acidity and may irritate the infant. Dairy products in mother’s diet can also lead to “intolerances” in baby. The problem is usually linked to the milk protein found in milk, cheese, butter, yogurt, ice cream, etc. Soy and peanut intolerance in babies often accompany dairy intolerance. When breast-feeding, a mother can test how these common culprits may be affecting her child by religiously eliminating all dairy, soy and peanut products from her own diet for two weeks. Reintroduction of soy first, then a cooked milk product (such as hard cheese or yogurt) should be done very slowly to monitor baby’s tolerances.
Air bubbles can also be taken in through baby’s mouth. Most commonly, it is a result of the suction created during nursing. For this reason, it is important to burp every 3 to 5 minutes during feedings or between breasts. If your baby is bottle-fed, make certain that the bottle’s nipple is the right size. If the nipple is too big, it will cause your baby to eat too fast. If it’s too small, it will cause your baby to gulp air.
Another possible reason for infant gassiness is hyper-lactation syndrome. When a mother has a very abundant milk supply, she may produce a larger amount of foremilk. Foremilk is higher in water content, higher in lactose and usually delivered with greater force during letdown. In excess, foremilk can make baby’s stomach cramp, creating more fussiness. A baby that gulps the quickly flowing milk also tends to take in more air, thereby getting gassier. Because the baby may not be getting enough of the rich hind milk, he or she tends to want to eat more often, which perpetuates the problem. The baby that suffers from hyper-lactation syndrome is characterized by higher than normal weight gain, increased gassiness, and fussiness.
Over-stimulation can also lead to increased gassiness. Just as many adults experience intestinal disturbances in stressful situations, so are babies affected by their environments. Sensitive infants that are bombarded with noise, lights, touch and multiple experiences will usually “shut down” in an attempt to reduce stimulation. This shut-down response does not completely insulate baby from the effects of the stimulation. Babies that are easily overloaded often experience more severe gas, fussiness, and difficulty sleeping later in the day or night. In general, the more activity (errands, visitors, television, phones, etc.) in baby’s day, the higher the chances of gassiness and fussiness in baby’s evening and night.
The introduction of solid foods in older babies creates changes that may take baby some time getting used to, since different enzymes and probiotics must build up to digest and absorb nutrients. Furthermore, foods that are commonly known to produce gas, such as cruciferous vegetables, certain fruits and beans have the same effect in babies as they do in adults.
A certain amount of crying is normal in all infants, since it is their only means of verbal communication. Babies’ crying may indicate that they are hungry, lonely, warm, cold, uncomfortable or in need of a diaper change. Many babies go through periods of crying for no apparent reason, as they simply get used to the new world. Crying in general causes babies to gulp air into their digestive systems. These air bubbles can get trapped in their stomach and/or passed on to the intestine. Gas pain can also be a direct result of air swallowed during crying.use nikshepa baby herabal water

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The Cause and Treatment of Infant, Newborn and Baby Gas Problems

by T.A. Lawrence, B.Sc., CIRM, CPMP

All babies have gas; some babies simply have more than others. Furthermore, some babies have an easier time passing gas, which may stem from a learned or innate ability. While a certain amount of gassiness is completely normal, it may be causing your baby discomfort, if you notice tell-talesymptoms, such as abdominal bloating, hard distended belly, frequent burping, spit-ups, hiccups, flatulence and excessive fussiness or restlessness

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If you are sure your infant is suffering from colic, there are concrete steps you can take to relieve the symptoms of your colicky baby. Therapies include changing baby's environment and diet to direct internal treatment. As always, consult your pediatrician about the range of alternative treatments available. There are safe, natural and effective alternatives to pharmaceuticals and artificial chemicals. has been used for more than 200 years to safely treat a variety of nervous and digestive disorders including colic.

Remember that babies are just getting accustomed to this world and, as they grow older, their colic will eventually subside. Their digestive systems will learn how to function well. In the first three months of life, babies are not well-equipped to calm themselves. Self-calming is a skill that develops slowly over time and at different rates in children.

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What Treatment Options are Available to Relieve Baby Colic?

Colic, and the months of distress and sleeplessness that it brings to both infants and parents, can leave you feeling frantic, frustrated, worried, exhausted, confused, guilty and inadequate. Foremost, it is essential to build and maintain a loving bond with your infant. If your baby experiences colic that does not appear to dissipate, you will probably be looking for a safe, natural and effective colic remedy to ease your baby's suffering. There are several treatments available for baby colic. as As always, you should consult your pediatrician first before giving baby any medications, remedies or supplements.

nikshepa baby herbal water remedies can be an excellent choice for treating infant colic symptoms.nikshepa baby herbal water is safe and completely allergen-free and side-effect-free. There is only one such liquid formula on the market. nikshepa baby herbal water Gripe Water is available at leading pharmacies, online and in select health food stores and health practitioners' offices.nikshepa baby herbal water has a success rate of over 90% in treating baby colic. Many parents and caretakers have been relieved to find an all-natural remedy. The unique homeopathic formula works within minutes, so it is only given on an "as needed" basis. Thousands of satisfied customers have also reported that it works wonders for bloating, pressure, stomach cramps, hiccups, teething and even acid reflux. It is also extremely effective on gas created during introduction of new foods into babies' delicate digestive tracts.

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What Causes Infants to become Colicky?

While there are many theories about colic, there is no single consistent cause that experts all agree upon. The interactive chart on the right illustrates eight possible causes.

A lot of evidence suggests that colic may be caused in different ways in different babies. There appear to be several contributing factors that, when occurring in combination, are likely to result in colic pain and discomfort:

Newborns have an immature digestive system that has never processed food. The gastrointestinal system is literally just learning to function. Muscles that support digestion have not developed the proper rhythm for moving food efficiently thought the digestive tract. Additionally, newborns lack the benevolent bacterial flora (probiotics) that develop over time to aid digestion. This explains why almost all infants outgrow colic within the first six months.
Certain foods eaten by lactating mothers contain volatile chemicals and allergens that in a small percentage of infants result in colic discomfort and digestive upset. Through lactation, trace elements of cruciferous vegetables and other gas-producing foods may be passed via breast milk to baby and cause gas and bloating.
Infants often swallow air while feeding or during strenuous crying, which increases gas and bloating, further adding to their discomfort.

Since infants' nervous systems are so immature, it is possible for them to get overloaded with unfamiliar sights and sounds. Infants that are easily overloaded often experience more severe colic, fussiness, and difficulty sleeping later in the day or at night. In general, the more activity (errands, visitors, television, phones, etc.) in baby's day, the higher the chances of baby becoming colicky and fussy.

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What are the Symptoms of Colic?

It is not uncommon for babies to go through periods when they appear abnormally irritable, fussy or seemingly cry for no reason. However, if you suspect your baby is suffering from colic, compare your child's symptoms with list below. Our poll of thousands of parents illustrates the frequency of nine common signs of infants with colic. Overall, 84% reported at least 5 of the signs below.

Symptom / Sign	Frequency
1. Cries vigorously for long periods, despite efforts to console*	100%
2. Crying begins around the same time each day or night	77%
3. Symptoms begin after meal times	70%
4. Symptoms begin and end abruptly without warning	92%
5. Symptoms cease after a bowel movement or passing gas	62%
6. Baby spits up frequently**	46%
7. Shows signs of gas such as; abdominal bloating or a hard distended stomach	74%
8. During episodes; baby arches back, pulls knees to chest, clenches fists, flails arms and legs	90%
9. Baby experiences disrupted sleep patterns	83%

Notes:
* Inconsolable crying is part of the Wessel definition of colic. Thus, all colicky infants fit this criteria.
** The fact that relatively few reported excessive spit-up, which is quite common in babies anyway, suggests that reflux is not a factor in most cases of colic.

In most cases, colic is the worst pain a baby has experienced. It is usually manifested as an acute abdominal pain with intense spasmodic cramping, but since colicky babies cannot describe exactly what distresses them, it is hard for parents to know the precise cause of their distress.

Infantile colic is most common in the first few weeks to four months of an infant's life; rarely does it endure past six months of age. Pediatricians often use the "Rule of Three" to diagnose colic: "A baby that cries for three or more hours per day, at least three times per week, within a three month period".Wessel, et al., "Paroxysmal fussing in infancy." Pediatrics 1954; 14:5 421-435. About 25 percent of babies worldwide meet the official "Rule of Threes" criteria for medical diagnosis of colic.

To compare your child's symptoms to the observations of other parents or start a conversation, take our short colic symptom survey.

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Our breakthrough formula contains nine carefully selected, side-effect-free

NIKSHEPA BABY HERBAL WATERworks instantly! It need only be given once symptoms of infant discomfort become evident. There is no regular dosing required, and unlike other formulas, there is certainly no waiting around impatiently hoping for relief to set in.

It's no wonder our product comes so highly recommended by pediatricians, doulas, midwives and pharmacists. Parents and babies everywhere can finally breathe a sigh of relief. Our all- natural, allergen-free formula has proven time and time again the absolute best solution...even in the toughest cases (see what parents are saying). Indeed, our gentle formula provides the safest and most effective relief of colic and gas pain available anywhere...and babies just happen to love the taste!

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Although originally designed to treat infant colic and gas, many parents have also reported great success in alleviating acid reflux. Unlike prescription drugs that are commonly prescribed these days, NIKSHEPA BABY HERBAL WATER does not alter the balance of babies' delicate digestive systems. In fact, the homeopathic remedies in NIKSHEPA BABY HERBAL WATER stimulate the body's self-healing properties.

Colic Calm gripe water also helps baby's digestive system adjust to new foods, relieves hiccups and soothes stomach upset that often results from increased saliva production during teething.

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Mother knows best . . . Mother Nature, that is. All along, nature has held the best and safest remedy for baby's digestive pains. It took a mother's determination to discover it.

Baby's discomfort from colic, gas or reflux can be devastating for the entire family. Thanks to NIKSHEPA BABY HERBAL WATER there is finally a safe and natural remedy that ensures relief for everyone. Thank goodness there is no longer any need to suffer while "waiting it out".

Gas, colic and reflux stand no chance against the healing properties of NIKSHEPA BABY HERBAL WATER (see how Colic Calm alone treats the source of the problem, not just the symptoms). Used successfully by more than 500,000 relieved parents and babies everywhere.

Colic Calm is the ONLY gripe water that delivers:

FDA-Regulated Medicine, unlike common dietary supplements (why is this important?)
Guaranteed Effectiveness or Your Money Back
Safe and All-Natural
No Side Effects
Manufactured in the USA using only the highest quality natural ingredients
Completely free of alcohol, sugar, simethicone, sodium bicarbonate (baking soda), herbal oils and extracts, wheat, gluten, soy, dairy, and animal products (why don't we include these in our formula?)