Reflux & Chiropractic Care in Babies

Reflux is a common term we hear and a common concern among parents. But what actually is reflux? Let’s start at the beginning and discuss types of reflux in babies, the causes, common signs and how chiropractic care can help manage its impact on the body.


In short, reflux means the movement of liquid the wrong way through a valve. This means stomach contents are coming up the wrong way into the esophagus. In general reflux is normal for the body and is an important function for our bodies to be sick when needed.


There are two main types of reflux in babies:

• GERD (Gastroesophageal Reflux Disease): This is when reflux is severe and can lead to complications. This can be associated with
• Physiological Reflux or Gastroesophageal reflux (GER): This is common in infants and usually resolves as they grow. This is the type we generally see in clinic.

However, even though infant reflux is common it does not necessarily mean it should be happening. For most babies with GER or physiological reflux, there is no reason for concern and there is not pain associated.


Reflux almost always has a cause, and in many cases it is multifaceted. Some common causes are;

• Immature lower esophageal sphincter, a muscle that separates the esophagus and stomach, allowing the stomach contents to come back up
• Short esophagus in infants so the stomach contents have a shorter distance to travel up
• Improper or shallow latch, allowing for baby to swallow air when feeding
• Improper bottle position when feeding, allowing baby to swallow air
• Largely liquid diet being fed milk/formula as infants
• Positioning, as infants spend most of their day lying down rather than upright
• Tension in the baby’s body making it difficult to latch properly during feeding or difficult to digest properly

There are many signs of reflux in babies including;

• Frequent spit-up
• Fussiness during or after feeds
• Arching of the back
• Irritability
• Difficulty sleep
• Frequent hiccups

What are the current diagnostic guidelines?
Currently, there is no one single test that can diagnose reflux as it is often a combination of physical assessments and diagnostic testing. As discussed earlier there are two types of reflux, GERD and GER. The distinction between these two conditions can be difficult, especially in infants. However, the correct distinction and diagnosis is key to treating the condition.


What do chiropractors assess for in a baby with reflux?
After a thorough history of your little ones signs and symptoms, we will do a detailed physical exam. We assess the whole body for tension and pay special attention to the diaphragm, neck, back and abdomen, we assess spine for restricted joints and we assess tongue and jaw function to ensure proper latching happens during feeding.


Reflux in babies can be challenging, but with the right information and strategies, parents can help their little ones find relief. Remember, every baby is unique and having a team of health care professionals that work together to help you find the root cause is key for you and your baby.


Supporting babies and families is something I’m passionate about, let me know if you have any questions. See you at your next appointment at Dalhousie Health & Wellness.

• Dr. Stav 💖