Does reflux always need treatment (month old)

[Lanzy]

My baby is now month old and has had reflux, before she was being sick with formula feeds. She isn’t being sick now just unless overfeed or if I was to put her down within few minutes of feed so I always just keep her upright on me for 15-20 mins.

When baby was being sick and grunty, hiccups I went to GP and they had gave carobel or something similar to that name. I used once and just been using Kendamil formula which has made baby windy and poopy. Which hopefully good?
although she isn’t being sick when she is sleeping she’s very grunty and kicking all over place still and sometimes she does cry during feeds like her stomach is playing up! The same with mouth movements it’s like something is coming up and irritating throat!

I just wondered if treatment is always a must, as read reflux is common thing in babies. I’m caught between switch her to an anti reflux formula vs just add in the carobel to kendamil vs just leave it.
she is gaining weight! ahhh

Treatment in the form of medication is never a "must", and in 99.9% of cases is actually completely ineffective in resolving the root cause of the reflux. Either ask for a referral to a dietician if it seems likely that your baby has an allergy (most probably CMPA if there is), seek an oral function assessment from a qualified professional, and/or consultant a lactation consultant to assess baby's latch and/or discuss types of bottle, etc.

Reflux in babies is practically never a stomach acid issue like it is in adults.

I think the NHS advice is that if baby is gaining weight well and generally happy, it doesn't need to be treated. If there are no other signs of CMPA or tongue/latch problems, often it's due to the oesophagus just being immature and not stopping food/milk coming back up, so baby just outgrows it.

With the kicking at night, do she seem upset, or is she just kicking? Some babies just are quite active like that (both of mine absolutely refused a swaddle that impaired the kicking and flailing limbs).