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Infant Reflux and Breastfeeding: How to Feed a Baby With Reflux Comfortably

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Infant Reflux

Bringing your new baby home sparks joy, yet it can be tough, too. Lack of sleep and new meal modes make it hard. A big worry for many is when the baby spits up or shows signs of reflux. A little spit-up is normal, but if there’s a lot of pain, moms may wonder how to ease their baby’s feeding. Learning about baby reflux and how it ties to breastfeeding helps parents soothe their baby and ease feed times. Plus, just as helpful tools like a feeding bottle washer make things clean and simple, having good plans can ease feeding with reflux.

What Is Infant Reflux and How Common Is It?

Baby reflux means food from the belly moves back up to the throat, and it might come out as spit-up after eating. This happens because a baby’s inside parts are still growing, such as the muscle that keeps food down. Many babies deal with this, and in fact, studies show that nearly half of all babies under three months spit up at least once daily. The good news is, most babies get better from it by 12 to 18 months as their bodies grow.

Signs Your Breastfed Baby Might Have Reflux

Now and then, babies may spit up, which is normal. But those with reflux might also show signs like:

  • Lots of spit-up or throwing up post-meals.
  • Being cranky or upset, mostly when eating.
  • Bending their back during or after feeding.
  • Gagging, coughing, or hiccupping.
  • Not putting on weight or growing slowly if it’s bad.

We need to know that light reflux, not messing with a baby’s weight or ease, is often called “happy spitting.” Yet, if your baby looks in pain or isn’t doing well, they might need changes or doctor help.

Why Reflux Happens in Young Babies

The main cause of acid reflux in babies is that their food pipes are not yet fully grown. The muscle that stops food from going back up is not strong enough to hold milk down all the time.

Other things may play a part too:

  1. Giving too much food or feeding too fast.
  2. Taking in air while feeding.
  3. Not taking well to some foods the mom eats (but this is rare).
  4. How the baby sits or lies during or after feeds.

The big problem is growth, and time can be the best help. But for now, there are some ways to ease the signs and help both the baby and mom feel good.

Breastfeeding Positions reflux

Breastfeeding Positions That Can Help With Reflux

The way you feed your baby can cut down on reflux. Keeping the baby up a bit when feeding helps since gravity keeps milk down. Here are a few ways you can try:

  • Laid-back breastfeeding: Mom reclines slightly with baby lying tummy-down across her chest, which slows milk flow and uses gravity to help digestion.
  • Upright cradle hold: Holding the baby more vertically in the cradle position allows milk to go down smoothly.
  • Football hold: Tucking the baby under the arm, while keeping them elevated, can also help babies with reflux.

Trying out different ways can show what is best for your baby.

Feeding Tips to Reduce Spit-Up and Discomfort

Making a few tiny shifts in how you feed can also cut down on spit-up:

  1. Give less food, but more often, instead of long feed times.
  2. Let the baby stop and gulp down each bit to keep air out.
  3. Keep the baby cool and still before and during feeds — crying makes them suck in more air.
  4. Don’t shake, jump, or lay the baby down flat just after feeding.

These little acts can help keep feeding easy for both baby and mom.

How Milk Supply and Letdown Might Affect Reflux

For some moms who feed from the breast, too much milk or a fast milk flow can cause reflux. When milk comes too fast, babies might gulp, take in air, and feel too much, which can make them spit up or get fussy. If you think this is true, try:

  • Let out some milk before feeding to make the first flow slower.
  • Feed while leaning back so gravity can slow the milk down.
  • Give milk from just one side each time to cut down on too much milk.

Handling the amount of milk doesn’t cut back on the nutrition—it just makes feeding better for babies.

Burping and Post-Feeding Routines That Support Digestion

After feeding, it’s key to burp babies who have reflux. Air in the belly adds to the pressure, so letting it out helps ease pain. Good ways to burp are:

  • Hold the baby up close to your chest and softly pat the back
  • Sit the baby on your lap, keep the head and chest up, and rub the back
  • Try to burp when halfway done with the feed, not just after

After feeding, hold the baby up for 20 to 30 minutes to cut down on spit-up. Many parents hold their little ones in carriers to keep them up and use their hands for other things.

When to Talk to a Pediatrician About Persistent Symptoms

Most of the time, acid reflux is not bad and gets better as kids grow. But it can mean a bigger issue called GERD (stomach acid reflux disease) in some cases. You should talk to a child doctor if your little one:

  • Does not put on weight or loses weight.
  • Cries a lot after or while they feed.
  • Does not want to eat or seems hurt when eating.
  • Throw up spit that is green, yellow, or has blood.
  • Finds it hard to breathe, chokes, or coughs a lot.

Doctors might say to change how you feed them, give medicine, or, not often, do more tests.

Practical Tools That Can Help Parents

Handling reflux is not just about how a baby sits or when they burp. It’s also about keeping the feeding tools clean and safe. Many moms and dads choose to use a bottle washer to clean each day, more so if they use both direct feeding and pumped milk. To make sure bottles, nipples, and pump parts are well washed and free of germs can reduce germs and help a baby’s soft tummy.

Using the right feeding methods with clean tools leads to better health habits overall.

Conclusion

Baby spit-up is a thing many moms who feed with milk know well. It can be tough to deal with the mess or the baby crying often, but understanding what it is and making small tweaks can help a lot. From holding the baby right while feeding and taking it slow, to burping them more and keeping them upright, moms can make their little one feel better while still having good feed times. If the problems stay or get worse, a chat with a baby doctor ensures the baby gets the care they need. Over time, trying new things and using tools like a strong bottle washer, handling baby spit-up gets simpler. As the baby grows, and their belly gets used to food, most spit-up issues end — this leads to happier feed times and peaceful times for both mom and baby.

Dipo Olowookere is a journalist based in Nigeria that has passion for reporting business news stories. At his leisure time, he watches football and supports 3SC of Ibadan. Mr Olowookere can be reached via [email protected]

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Health

Oyo Seals Ar-Rahmon Khabul Herbal Over Health Concerns

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OYRLEA

By Modupe Gbadeyanka

An Ibadan-based herbal company, Ar-Rahmon Khabul Herbal Nigeria Limited, has been sealed by the Oyo State Rule of Law Enforcement Authority (OYRLEA).

The state government, in a statement signed on Friday by the Commissioner for Information, Mr Dotun Oyelade, revealed that the herbal firm was shut down due to environmental violations and public health concerns.

The leader of OYRLEA, Mrs Aderonke Aderemi, explained that the action was taken after multiple petitions from residents alleging persistent offensive odour and health challenges linked to the company’s operations.

She noted that the state government swung into action “to protect public health, preserve environmental standards, and enforce regulatory compliance across the state.”

It was gathered that investigations identified tobacco leaf as a major component in its production process, generating a strong, putrid odour deemed hazardous to residents and capable of posing serious health risks to the surrounding community.

“Joint inspections by officials revealed that the company operates a herbal production facility within a densely populated residential area, in clear violation of environmental and public health standards,” the statement said, adding that further findings from the inspection include the emission of harmful and toxic gaseous substances into the atmosphere, the discharge of wastewater into a nearby community water body, the installation of a chimney deemed too short and directly facing residential buildings, and the accumulation of solid waste within the premises despite claims of engaging a waste contractor, among others.

Prior to the enforcement action, the agency had issued an abatement notice directing the company to cease operations and relocate within 21 days in accordance with the Oyo State Environmental, Sanitation and Waste Control Regulations.

OYRLEA, along with the agencies that carried out the enforcement, reiterates that air pollution, hazardous waste discharge, and improper waste management are violations of environmental laws.

Mrs Aderemi reaffirmed OYRLEA’s commitment to sustained monitoring and enforcement to ensure a safe and healthy environment for all residents.

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NAFDAC Receives Seized Pharmaceutical Products from Rivers Customs

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Rivers customs NAFDAC

By Bon Peters

The Port Harcourt Area I Command of the Nigeria Customs Service (NCS) has handed over pharmaceutical products intercepted at the Omagwa International Airport recently to the National Agency for Food and Drug Administration and Control (NAFDAC).

The spokesman for the command, Mr Barilule Aanee, an Assistant Superintendent of Customs 1, said in a statement that the items were given to NAFDAC on February 12, 2026, at the NAHCO Shed of the airport, where the seizure occurred.

The Customs Area Controller of the command, Comptroller Salamatu Atuluku, disclosed that the interception was made during routine examination and intelligence-driven scrutiny at the NAHCO Shed by officers of the Command in collaboration with relevant agencies.

She disclosed that six packages of pharmaceutical products, including Menotrophin 150 IU injections, Progesterone, and Isifrane, as well as three packages of medicaments containing Tramadol Ratiopharm injections, were discovered in two separate consignments.

The products, according to the statement, were neither properly declared nor accompanied by the mandatory NAFDAC certification required for lawful importation into Nigeria.

The Customs Area 1 chief further revealed that one shipment, originating under the name Zecho Oil and Gas Nigeria Limited for Elite Health Pharmacy Ltd, with Airway Bill No. 020 34858250, weighing 135 kilograms and amounting to 4,300 units, transported by Lufthansa Cargo Airline, was among the seized products.

More so, another consignment on Allied Airway Bill No. 574 34543283 from Amsterdam was falsely declared as spare parts.

She emphasised that regardless of the importer or volume involved, “no pharmaceutical product is permitted entry into Nigeria without proper declaration and regulatory clearance from NAFDAC.”

Comptroller Atuluku commended the diligence of the Customs Intelligence Unit and all officers involved, stressing that sustained interagency cooperation remained vital to strengthening enforcement and preserving the integrity of the nation’s supply chain.

While receiving the items, the Deputy Director of the NAFDAC Port Inspection Directorate, Pharm. Adepoju Bayo Raufu, thanked the customs for its vigilance and prompt handover of the intercepted items.

He assured that the agency would subject the items to appropriate regulatory procedures in line with its mandate to safeguard public health.

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Accurate Multi-Panel Drug Test Cups For Professionals

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drug test cups

In safety-sensitive workplaces, clinical settings, and staffing operations, reliable on-site drug screening is a practical first line of defense. Accurate multi-panel drug test cups for professionals combine speed with portability, allowing organizations to screen for multiple substances quickly while preserving chain-of-custody and sample integrity. This guide explains how these cups work, how to choose the right product for a professional setting, and how to manage administration, interpretation, and compliance to reduce legal risk and costly false positives.

What Multi-Panel Drug Test Cups Are And Who Should Use Them

Multi-panel drug test cups are self-contained immunoassay devices that screen a urine sample for multiple drug classes simultaneously, typically including amphetamines, cocaine metabolites, opioids, cannabinoids (THC), benzodiazepines, and others depending on the panel. They are designed for point-of-care use: a donor provides a urine specimen directly into the cup, and the integrated test strips produce rapid visual results within minutes.

Who should use them? Professionals that benefit most include:

  • Occupational health and human resources teams conducting pre-employment, post-incident, or random testing programs.
  • Substance use clinicians and treatment centers performing routine monitoring.
  • Staffing firms and temp agencies that need quick screening before placement.
  • Corrections and probation officers performing supervision checks.
  • Employers in transportation, construction, healthcare, and manufacturing where safety is critical.

For organizations prioritizing both speed and defensibility, multi-panel cups offer a pragmatic balance: they provide immediate screening to inform next steps while still allowing for confirmatory laboratory testing when required.

How Multi-Panel Test Cups Work: Technology And Accuracy Factors

At their core, most multi-panel cups use lateral flow immunoassay technology. Antibodies embedded on test strips bind to drug metabolites in the specimen: a visible line forms (or disappears) according to the assay design, indicating a negative or presumptive positive.

Key accuracy factors to understand:

  • Antibody specificity and cross-reactivity: High-quality assays use antibodies selected to minimize cross-reactivity with over-the-counter medications or endogenous compounds. Lower-grade tests may yield false positives when donors take legal medications that share similar metabolites.
  • Cutoff concentrations: Each assay has a cutoff (measured in ng/mL) that determines whether a result is reported as positive. Most professional cups follow SAMHSA or DOT cutoffs for workplace testing: knowing these thresholds reduces misinterpretation.
  • Temperature and matrix checks: Modern cups often integrate temperature strips and creatinine/oxidant checks to detect dilution or tampering. These integrity features improve the reliability of on-site results.
  • Operator influence: Proper collection, timing, and result reading windows directly affect accuracy. Even the best cup can produce incorrect readings if the test is read too early or too late.

Real-world accuracy is often expressed in sensitivity (ability to detect positives) and specificity (ability to rule out negatives). Professional cups from reputable manufacturers typically report >95% agreement with laboratory immunoassays at the stated cutoffs, though confirmatory GC-MS or LC-MS/MS remains the gold standard for legal or employment consequences.

Choosing The Right Cup For Professional Settings

Selecting the appropriate multi-panel drug test cup requires more than picking a high panel count. It’s about matching features to use case, workflow, and legal requirements.

Key Selection Criteria

  • Regulatory alignment: Choose cups that adhere to SAMHSA/DOT cutoffs if testing falls under federal guidelines.
  • Built-in integrity checks: Temperature, adulteration, and creatinine tests help detect tampering or dilution at collection.
  • Ease of use: Simple, unambiguous results and clear timing windows reduce operator error and training burden.
  • Documentation options: Cups that help clear labeling, lot tracking, and photo documentation streamline chain-of-custody.
  • Shelf life and storage needs: Longer shelf life and uncomplicated storage conditions simplify inventory management.

Panel Selection: Which Drugs To Include

Common professional panels are 5-, 8-, or 12-panel cups. Decisions should be risk-based:

  • 5-panel: Standard workplace screens (AMP, COC, OPI, THC, BZO).
  • 8–12 panel: Add methamphetamine, oxycodone, fentanyl, barbiturates, PCP, and others where clinical or workplace exposure warrants it.

Staffing and healthcare employers often opt for expanded panels that include fentanyl and synthetic opioids given their prevalence.

Sensitivity, Cutoffs, And False Positives

Higher sensitivity isn’t always better: it may detect clinically irrelevant low levels or passive exposure. Professional programs typically use established cutoffs to balance sensitivity and specificity. When a presumptive positive appears, organizations must have a policy for confirmatory testing rather than making employment decisions on a single cup result.

Adulteration Detection And Integrity Features

Buy cups with built-in tamper indicators: temperature strips (correct collection window), creatinine or pH checks, and oxidant detection. These features lower the likelihood of undetected sample manipulation and strengthen the defensibility of the screening process.

Best Practices For Collection And Administration

Accurate results start with consistent collection procedures and well-trained staff.

Chain Of Custody And Documentation

Maintain an unbroken chain of custody: donor identification, time-stamped collection, witness signatures, and secure transport for confirmatory samples. Use standardized forms and consider photo documentation or barcode systems that tie cups to donor records. This reduces disputes and protects both employer and donor.

Proper Sample Collection And Handling Steps

  • Verify donor identity and inspect the collection area for prohibited items.
  • Instruct the donor to provide an adequate volume into the cup: record temperature immediately.
  • Observe, where policy and law permit, to prevent substitution.
  • Seal and label samples promptly if they will be sent for confirmatory testing.
  • Adhere to manufacturers’ timing for reading results: most cups specify a 5–10 minute window.

Training Staff And Reducing Human Error

Regular staff training on procedure, result interpretation, and documentation reduces mistakes. Provide quick-reference guides, role-play common scenarios, and audit collections periodically to ensure compliance.

Interpreting Results And When To Confirm

On-site cups deliver presumptive results, actionable only within a clear policy framework.

Reading Immunoassay Results Correctly

Most cups use a two-line format: a control line indicating the test is valid, and a test line indicating a negative or positive depending on the device. A faint test line usually indicates a negative result at or above the cutoff: no test line indicates a presumptive positive. Staff should follow the manufacturer’s visual guide and timing strictly. Photographing results can help document ambiguous cases.

Confirmatory Testing: When And How To Send Samples

Any presumptive positive that could have employment consequences should be sent to a certified laboratory for confirmatory testing using gas chromatography–mass spectrometry (GC-MS) or liquid chromatography–tandem mass spectrometry (LC-MS/MS). It’s best practice to split or retain an aliquot during collection for immediate confirmatory shipment if required. Establish relationships with accredited labs and clarify reporting timeframes, cutoff standards, and evidence handling procedures.

Legal, Regulatory, And Privacy Considerations

Testing programs operate in a regulated and privacy-sensitive environment: mishandling can result in litigation or regulatory penalties.

Compliance With Workplace Testing Regulations

Understand federal, state, and industry-specific regulations that apply to the organization. Transportation and DOT-regulated employees face stricter protocols, specific cutoffs, and certified collector requirements. Non-DOT employers still should align policies with best practices to maintain defensibility.

Recordkeeping, Privacy, And Liability Best Practices

Limit access to test results to authorized personnel, store records securely, and retain documentation according to legal retention requirements. Clear written policies that explain testing rationale, disciplinary procedures, and the appeals process help mitigate liability. Include provisions for reasonable accommodations and medical review officers (MROs) who assess legitimate medical explanations for positive results.

Storage, Shelf Life, And Vendor Reliability

Purchasing decisions affect accuracy and supply-chain resilience.

Storage Conditions, Expiry, And Inventory Management

Store cups per manufacturer recommendations, usually at controlled room temperature away from direct sunlight. Track lot numbers and expiration dates in inventory systems and rotate stock using FIFO principles. Expired tests can degrade antibody performance and increase error rates.

Evaluating Suppliers And Quality Assurance Practices

Work with suppliers that provide lot-level COAs (Certificates of Analysis), recall notifications, and prompt customer support. Vet vendors for ISO or other quality certifications, clear warranty policies, and responsiveness to post-sale technical questions. For agencies that manage testing programs for clients, documented supplier reliability reduces operational risk and preserves client trust.

Conclusion

Accurate multi-panel drug test cups for professionals are a practical tool when used within a rigorously designed program: choose products that match regulatory requirements, incorporate integrity checks, and come from reliable vendors. Combine those choices with standardized collection procedures, trained staff, and clear confirmatory pathways to reduce false positives and legal exposure.

For agencies and businesses that support client organizations, whether staffing firms or occupational health providers, investing in the right cups and operational controls pays off in defensible screening results and smoother downstream workflows. When testing has real consequences, a presumptive result from a quality cup should be the beginning of a controlled process, not the final word.

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