Mostly luck IMO. Well, we know its an immaturity problem, but why do some get it and others not? No one knows for sure. There are theories out there: mothers diet sensitizes the baby to certain things - its true that often reflux babies are sensitive to wheat, dairy, tomato, acid etc.<br><br>
A session of cranial osteopathy soon after birth can have great results, but it doesnt "cure" every baby.
i believe it's because the sphincter between the stomach and esophagus isn't fully developed yet in some babies.<br><br>
i know in adults GERD is mostly caused by "habits" such as cigarette smoking, chocolate, tea, caffeine-- these things (and others) all relax the lower esophageal sphincter causing the reflux.
In most cases, GERD is caused by an incompetent lower-esophageal sphincter. (LES) It's a ring of muscle tissue which separates the stomach from the esophagus. It's job is to open and close to keep acidic/caustic stomach contents "down." Like any other muscle, it can become weak. Infants have weak muscle tone in general, as do older people....so it's more common in those popualtions. There are also certain "triggers" that can tell the LES to open at the wrong times. (Caffeine, nicotine, certain medicines, various foods.)<br><br>
Sometimes it's more complicated and the brain is sending the wrong signals, causing it to open and close all the time.<br><br>
There is a drug called Cisapride which actually effects the LES. It's no longer available in the US, but can be ordered by a gastroenterologist. Infants with failure to thrive issues can get it.
Food allergies are one of the biggest causes for this. Allergy to various proteins in mama's milk from her diet, and yes - definitely allergies to food given too early, can both cause this sort of thing.
Premature babies are most certainly more prone to getting it than full term babies.<br><br>
Feeding apple and cereal early will not cause it, but will probably exacberate it. I know my two severe GERD babies were allergic to apple (one of the worst things for GERD) and very sensitive to baby rice.
I asked because before I went on my maternity leave from work we had a patient on our floor that had to have a pH probe and this child was 3 months old. The mother said that she was feeding her solids already and that bothered me a lot. I was thinking that that might have been a factor.