How long does child health consultation take to work for reflux in babies?

The clinician may ask about feeds, spit-up, crying, sleep, wet nappies and growth, then observe the baby's general condition. Many babies bring up small amounts of milk without serious illness, but forceful vomiting, poor feeding or poor growth changes the assessment. Advice may involve feeding technique, holding the baby upright after feeds, or arranging review; do not thicken feeds or change formula without professional guidance.

Keep a short record of feed amounts, timing, spit-up, crying, wet nappies and stools. Offer feeds exactly as advised and keep the baby upright while supervised after feeding. Always place the baby on their back for sleep on a firm, clear sleep surface. Never prop a bottle or put the baby to sleep on their side or front to manage reflux.

Seek urgent help for green or bloody vomit, repeated forceful vomiting, breathing difficulty, blue or grey colouring, marked sleepiness, a swollen abdomen, or signs of dehydration such as very few wet nappies, a dry mouth or no tears. Arrange prompt medical review if feeds are repeatedly refused, the baby is not gaining as expected, or symptoms are becoming more distressing.

Ask whether the pattern sounds like uncomplicated reflux, how to adjust feeds safely, which signs suggest allergy or another cause, whether growth needs checking, and when the baby should be reviewed.