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Dr Harveen Singh

Paediatric Gastroenterologist and Hepatologist, Sydney

Reflux in Children

Specialised evaluation and treatment for reflux in babies, children, and young adults.

Understanding the various causes and providing effective solutions for your child's digestive comfort.

Child with reflux

Understanding Reflux

Bringing up milk and/or food is common in babies and young children. Most of the time this will improve with time.

Common in Babies & Young Children

Bringing up milk and/or food is common in babies and young children. Most of the time this will improve with time.

Age-Appropriate Evaluation

There are many causes for these symptoms and investigations and management will depend on the age and symptoms of the child.

Compassionate Care

With a compassionate approach and personalised treatment plans, we aim to make every visit a positive experience, ensuring both you and your child feel supported and well-cared-for.

Babies & Young Children

Common occurrence

Improves with Time

Natural resolution

Symptoms by Age

Reflux symptoms can vary significantly between babies and older children, requiring different evaluation approaches.

Babies & Young Children

Common and often improves with time

Bringing up milk
Bringing up food
Spitting up after feeds
Usually improves with time

Older Children

May require medical evaluation

Heart burn
Difficulty swallowing
Regurgitation
Unpleasant fluid in mouth

Common Symptoms

Recognizing reflux symptoms helps determine when medical evaluation is needed.

Spitting Up

Bringing up milk or food after feeding, common in babies.

Heartburn

Burning sensation in the chest, more common in older children.

Difficulty Swallowing

Pain or discomfort when swallowing food or liquids.

Regurgitation

Food or liquid coming back up into the mouth or throat.

Unpleasant Taste

Sour or bitter taste in the mouth from stomach contents.

Feeding Issues

Refusal to eat, fussiness during or after feeding.

Evaluation Process

There are many causes for these symptoms and investigations and management will depend on the age and symptoms of the child.

Age-appropriate assessment
Symptom evaluation
Medical history review
Physical examination
Targeted investigations if needed
Doctor examining child

Treatment Approaches

Treatment strategies vary based on age, symptoms, and underlying causes of reflux.

Lifestyle Modifications

Feeding position changes, smaller frequent meals, and avoiding trigger foods.

Dietary Changes

Identifying and avoiding foods that trigger reflux symptoms.

Medical Treatment

Medications to reduce stomach acid or improve stomach emptying when needed.

When to Seek Medical Help

While reflux is common in babies and often improves with time, certain symptoms require medical evaluation.

Persistent vomiting
Poor weight gain
Blood in vomit or stools
Severe pain or discomfort
Difficulty breathing
Child with reflux symptoms

Compassionate Care Approach

With a compassionate approach and personalised treatment plans, we aim to make every visit a positive experience, ensuring both you and your child feel supported and well-cared-for.

Age-appropriate evaluation
Personalized treatment plans
Family education and support
Ongoing monitoring and care
Child receiving care

When to See a Specialist for Reflux

Some reflux in infants and children is normal, but certain signs indicate specialist evaluation is needed:

  • Persistent vomiting or regurgitation affecting growth or weight gain
  • Feeding refusal or extreme distress during feeds
  • Recurrent chest infections or chronic cough
  • Apnoea episodes in infants
  • Heartburn or chest pain in older children
  • Difficulty swallowing (dysphagia)
  • Symptoms not responding to dietary changes
  • Blood in vomit or black/tarry stools

What to Expect at Your First Appointment

  • Detailed feeding and symptom history
  • Physical examination and growth assessment
  • Review of current medications and feeds
  • Discussion of feeding technique and positioning
  • Individualised management plan — dietary, positional, and medical
  • Investigation planning: pH study, impedance study, or gastroscopy if indicated

Referral & Medicare: A GP or paediatrician referral is required for Medicare rebates. Please bring your referral letter and any previous test results.

Last reviewed by Dr Harveen Singh FRACP, Paediatric Gastroenterologist & Hepatologist — April 2026

Concerned About Your Child's Reflux?

Contact Dr Harveen Singh to discuss your child's symptoms and develop a personalised evaluation and treatment plan.