Pedemy · For parents

Infant reflux and feeding observation diary

Record feeds, spit-up, comfort and wet diapers to discuss with your baby’s clinician. This organizer cannot diagnose reflux disease, calculate feeding needs or confirm that home care is safe.

Use these notes with your child’s clinician. This tool does not diagnose illness, prescribe treatment or confirm that home care is safe.

Get emergency medical help

Get emergency assessment now for green vomit, blood or coffee-ground material in vomit, or vomiting with a swollen belly or severe pain. Call local emergency services for severe breathing difficulty, blue or grey lips, collapse, or a baby who is difficult to wake.

Get urgent medical advice

Seek urgent medical advice for forceful or projectile vomiting, especially in a young infant; poor feeding, repeated feeding refusal, swallowing difficulty, fewer wet diapers, a very dry mouth, unusual sleepiness, blood in stool, poor weight gain or worsening symptoms. A baby younger than 3 months with a temperature of 38°C (100.4°F) or higher needs urgent assessment. Do not label these signs as ordinary reflux.

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Care reminders

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About this tool

Record feeds, spit-up, comfort and wet diapers to discuss with your baby’s clinician. This organizer cannot diagnose reflux disease, calculate feeding needs or confirm that home care is safe.

Use these notes with your child’s clinician. This tool does not diagnose illness, prescribe treatment or confirm that home care is safe.

Common questions

Is all spit-up reflux disease?

Reflux is stomach contents coming back into the food pipe, sometimes reaching the mouth as spit-up. It is common in infants; reflux disease means reflux causes troublesome symptoms or complications and needs clinical assessment.

Does crying or back arching prove acid pain?

Crying, back arching or waking alone does not prove acid pain or reflux disease. Persistent distress, feeding difficulty or poor growth needs assessment for reflux and other possible causes.

Should my baby sleep inclined or on their side?

For every sleep, place your baby on their back on a firm, flat, level sleep surface in a clear crib or bassinet, even with reflux disease. Do not raise the mattress or use wedges, pillows, positioners or inclined sleepers.

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