Infant regurgitation involves the involuntary return of previously swallowed fluids or foods into the mouth in an infant. Criteria for its diagnosis were reported at the Rome II Conference.
Criteria:
(1) regurgitation >= 2 times per day for >= 3 weeks
(2) age 1-12 months
(3) otherwise healthy
Exclusions:
(1) retching
(2) hematemesis
(3) aspiration
(4) apnea
(5) failure to thrive
(6) abnormal posturing
(7) evidence of metabolic disease causing the regurgitation
(8) evidence of gastrointestinal disease causing the regurgitation
(9) evidence of central nervous disease causing the regurgitation
(10) refusal to eat
(11) milk and/or food allergies
Possible therapeutic interventions:
(1) identify emotional stressors and reduce
(2) prone positioning after meals
(3) thickening formula with cereal
(4) feedings with smaller volumes
(5) drugs to improve intestinal motility (cisapride)
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