• REFLUX ROADMAP: Symptoms Tracker

    Your baby is communicating with every part of their body… let’s figure out what they are saying, and don’t worry - if your baby has colic, silent reflux, CMPA or anything else that you haven’t been given an understanding for, we aim to be able to decipher all your baby’s behaviours and symptoms for you.

  • Start Here: Understanding Your Baby’s Symptoms

    Every symptom your baby shows is a clue.
    And when we look at them together, they reveal the bigger picture of what’s really going on.

    You don’t need a diagnosis to use this tracker. Whether your baby has reflux, colic, allergies, or just seems unsettled, this tool helps uncover the root cause of their discomfort so you can begin to take clear, confident action.

    When you're done, you’ll receive a personalised breakdown that explains what your baby’s symptoms are really telling you… and what to do next.

    🕊️ This isn’t about ticking boxes. It’s about understanding your baby like never before.

    ⚠️ Save your progress as you go. You’ll receive a secure link by email so you can pause and return anytime without losing your place.

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  • How old is your baby now?
  • What age was your baby when you first noticed reflux symptoms?*
  • Has your baby started on solids yet?
  • How has/did your baby responded to the introduction of solids?
  • Does your baby currently struggle with weight gain challenges?*
  • If you have had an official diagnosis from a doctor please share that below*
  • What milk does your baby currently drink?*
  • How does your baby drink their milk?*
  • How much crying does your baby do on an average day*

  • Please save your form as you go along, in the event that something doesn't work correctly, you will have an email link to jump back in at this point with everything until each save point, well, saved! 

    If you cannot get back to the screen after you save, try turning your phone through 90 degrees.

  • What was pregnancy and birth like? Please select the statements that are most true*
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  • What was your baby’s birth experience like?*
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  • Feeding

    Feeding challenges are often the first signs that something isn’t right
    These are the moments parents feel in their gut... when something just feels off, even if no one else sees it.

    This section helps identify whether reflux is interfering with how your baby feeds or digests their milk. You might already be doing everything in your power to help—and still feel like it isn’t enough. These questions are here to help you find answers that make sense.

  • These statements describe behaviours observed while baby is drinking
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  • These statements describe behaviours observed while baby after a feed*
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  • What is your baby’s sleep like? While sleep is not directly addressed in solving reflux, the behaviours during sleep inform what is causing the discomfort and so help us identify what is going on.*
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  • Digestive Symptoms

    Gas, poos, wind, it all matters.
    These might seem like everyday baby behaviours, but they hold the clues most people miss.

    This section helps uncover how your baby’s digestion is really working and whether their symptoms are pointing to a deeper root cause. Nothing is “too small” to pay attention to here.

  • What is your baby’s digestive comfort like?*
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  • Does your baby experience any of the following respiratory symptoms and behaviours?*
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  • Does your baby experience any skin irritations?*
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  • Body Language and Behaviour

    Reflux shows up in more than just digestion.
    Tension. Posture. Sleep struggles. Even the way your baby holds their body can tell us what they’re feeling on the inside.

    This section helps map your baby’s physical experience, how discomfort may be living in their body and what patterns might be forming beneath the surface.

  • What other physical observations can we make about your baby and their behaviour or what other diagnoses have you been given for them?*
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  • When your baby is crying, look at what their tongue and mouth do and select what is going on for them. Refer to the pdf attached for guidance on what is “yes” or “no”
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  • Does your baby use a pacifier / dummy?*
  • When using a pacifier / dummy, or when they have tried to use one, please select which of the following behaviours you observed*
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  • Has your baby been assessed for oral ties / tongue tie?*
  • Was a tongue tie identified?*
  • Was their tongue tie released?*
  • Were you given after care exercises / oral play to do with them pre release?*
  • Were you given after care exercises / oral play to do with them post release?*
  • Did any of the exercises involve swiping across the wound under the tongue or stretching their tongue either side of the wound?*
  • Did you perform the exercises at least 5 times per day for at least 2 weeks?*
  • Why was baby’s tie not released?*
  • Is your baby currently on any medications for their reflux?*
  • What medications are they currently taking? Please tick all that apply
  • Your Experience With Reflux Medication: How much do you agree with the following statements?
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  • Has your baby ever had any antibiotics for any reason?*
  • Has your baby started on solids yet?*
  • Please indicate if you agree or disagree with the following statements in relation to when your baby has been having solids.*
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  • Parental Experience

    Your experience matters just as much as your baby’s.
    How you’re feeling, what you’ve tried, and what’s weighing on you, it all adds depth to the picture we’re building.

    Please don’t hold back here. Your story helps connect the dots and can shine light on what’s really going on beneath the surface.

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  • This final part 

    One of the most important aspects of the work I do is understanding that reflux doesn’t just affect babies, it impacts parents too. And I know this, not just professionally, but personally.

    I’ve lived through reflux with my own children. I remember what it felt like to be constantly worried, overwhelmed, and emotionally drained. My own experience included three years of postnatal depression, and I haven’t forgotten how heavy those days were.

    That’s why I now include emotional support and nervous system regulation as part of my approach. If you’d like to share how this has been affecting you: emotionally, mentally, or in your day-to-day life, you can do so below. There’s no pressure. Share only what feels helpful or safe for you to express.

    Your individual responses will never be shared..

  • Parent Confidence & Awareness Statements. These questions will help us understand how confident you feel in navigating your baby’s reflux journey and where you might need more support or clarity.
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  • Emotional Impact Statements. Reflux doesn’t just affect babies, it impacts parents deeply too. These questions explore the emotional toll it may be having on you.
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  • Bonding & Emotional Well-being Statements. When reflux dominates the early days of parenting, it can affect how you feel about yourself and your connection with your baby. These questions are here to help us understand your experience.
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  • Readiness to Take Action Statements. These questions explore how ready you feel to take your next step, and what might still be holding you back.
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