Spit up curdled milk. Preventing Baby Spit-Up: Expert Tips for Reducing Curdled Milk Reflux
How does curdled milk spit-up differ from normal spit-up in babies. What causes babies to spit up curdled milk. Is curdled milk spit-up harmful to infants. When should parents be concerned about baby spit-up. Which feeding positions can help reduce spit-up in babies.
Understanding Baby Spit-Up: Normal vs. Curdled Milk
Baby spit-up is a common occurrence that often concerns new parents. To alleviate worries, it’s crucial to understand the different types of spit-up and their causes. Normal spit-up typically has a smooth texture and resembles the milk the baby has consumed, whether breast milk or formula. This type of spit-up usually occurs during or immediately after feeding.
Curdled spit-up, on the other hand, has a chunkier appearance and is generally observed some time after feeding. The curdled look is a result of stomach acids acting on the milk while it’s in the baby’s stomach. This process is entirely normal and doesn’t indicate any health issues.
Can the color of spit-up indicate a problem?
The color of spit-up can provide valuable information about a baby’s health. For infants who only consume milk, spit-up is typically whitish. As babies start solid foods, the color may change depending on their diet. However, certain colors may warrant medical attention:
- Red spit-up could indicate the presence of blood
- Green or yellow spit-up might suggest bile or phlegm
- Brown or black spit-up could be a sign of digested blood
If you notice any of these unusual colors, it’s advisable to consult a pediatrician promptly.
Common Causes of Baby Spit-Up
Understanding the reasons behind baby spit-up can help parents manage the situation more effectively. Several factors contribute to this common phenomenon:
Immature Digestive Systems
The primary cause of spit-up in infants is their underdeveloped digestive system. The lower esophageal sphincter, a muscle between the stomach and esophagus, is responsible for keeping food in the stomach. In babies, this muscle is still developing, allowing some stomach contents to come back up easily.
Acid Reflux in Infants
Gastroesophageal reflux (GER) is common in young babies. It occurs when the lower esophageal sphincter doesn’t close completely, causing stomach acid to flow back into the esophagus. This can lead to frequent spit-up episodes.
Food Allergies and Sensitivities
Some infants may experience spit-up due to allergies or sensitivities to certain components in formula or the mother’s diet (for breastfed babies). In such cases, spit-up is often accompanied by other symptoms like diarrhea or skin rashes.
Overfeeding
Babies have small stomachs, and overfeeding can lead to increased spit-up. It’s important to follow feeding guidelines and watch for signs that your baby is full.
Differentiating Between Spit-Up and Vomiting
While spit-up is generally harmless, vomiting can be a sign of illness. It’s crucial for parents to distinguish between the two:
- Spit-up usually occurs close to the baby’s body, while vomit projects further
- Spit-up is a gentle process, whereas vomiting involves more force and can be distressing for the baby
- Vomiting may be accompanied by other symptoms of illness, such as fever or lethargy
If you’re unsure whether your baby is spitting up or vomiting, or if vomiting persists, consult a healthcare provider.
When to Seek Medical Attention for Baby Spit-Up
While most cases of spit-up are normal and harmless, certain situations may require medical evaluation. Parents should be vigilant and seek professional advice if they notice:
- Forceful or projectile spit-up
- Spit-up that is red, brown, green, or yellow in color
- Spit-up that resembles coffee grounds
- Sudden onset of spit-up after 6 months of age
- Refusal to feed or difficulty feeding
- Insufficient weight gain or weight loss
- Blood in the stool
- Increased irritability or excessive crying
- Persistent cough or difficulty breathing
- Decreased urine output (fewer wet diapers)
These signs could indicate underlying health issues that require prompt medical attention. Always trust your parental instincts and consult a pediatrician if you’re concerned about your baby’s well-being.
Effective Strategies to Reduce Baby Spit-Up
While spit-up is a normal part of infancy, there are several strategies parents can employ to minimize its occurrence and manage its effects:
Optimal Feeding Positions
The way you position your baby during feeding can significantly impact spit-up frequency. Consider these tips:
- Hold your baby in a semi-upright position during feeding
- Avoid lying your baby down flat during or immediately after feeding
- For bottle-fed babies, ensure the bottle is tilted so that the nipple and neck are always filled with milk to reduce air intake
Proper Burping Techniques
Effective burping can help release trapped air and reduce spit-up. Try these methods:
- Burp your baby every 2-3 ounces if bottle-feeding, or when switching breasts if breastfeeding
- Hold your baby upright against your chest with their chin resting on your shoulder
- Gently pat or rub their back in a circular motion
- Continue burping for a few minutes after feeding
Feeding Schedule Adjustments
Modifying your baby’s feeding routine can help reduce spit-up:
- Offer smaller, more frequent feedings rather than large meals
- Allow at least 2-3 hours between feedings to ensure proper digestion
- Avoid overfeeding by watching for signs that your baby is full
Dietary Considerations for Breastfeeding Mothers
For breastfeeding mothers, certain dietary changes may help reduce baby spit-up:
Identifying and Eliminating Trigger Foods
Some foods in a mother’s diet can affect breast milk and potentially increase spit-up in babies. Common trigger foods include:
- Dairy products
- Caffeine
- Spicy foods
- Citrus fruits
- Chocolate
Consider keeping a food diary to identify potential correlations between your diet and your baby’s spit-up episodes. If you suspect a particular food is causing issues, try eliminating it from your diet for a few weeks and observe any changes in your baby’s spit-up frequency.
Maintaining Proper Hydration
Staying well-hydrated is crucial for breastfeeding mothers. Adequate fluid intake can help maintain milk supply and potentially reduce the concentration of certain compounds in breast milk that may contribute to spit-up.
Choosing the Right Formula for Spit-Up Prone Babies
For formula-fed babies experiencing frequent spit-up, selecting the appropriate formula can make a significant difference:
Anti-Reflux Formulas
Some formulas are specifically designed to reduce spit-up. These anti-reflux formulas typically contain added rice starch or other thickening agents that help the milk stay in the baby’s stomach. However, always consult your pediatrician before switching formulas.
Hypoallergenic Options
If your baby shows signs of milk protein allergy or sensitivity, your doctor may recommend a hypoallergenic formula. These formulas contain proteins that are broken down into smaller particles, making them easier to digest and less likely to cause allergic reactions.
Creating a Spit-Up Friendly Environment
While you can’t always prevent spit-up, you can prepare your surroundings to make clean-up easier and protect your baby’s comfort:
Clothing and Bedding Choices
- Dress your baby in easy-to-change clothes
- Use bibs during and after feedings
- Layer your baby’s crib or bassinet with waterproof pads for quick sheet changes
Post-Feeding Practices
After feeding, keep your baby upright for at least 30 minutes. This can help reduce the likelihood of spit-up. You can achieve this by:
- Holding your baby against your chest
- Using a baby carrier or sling
- Placing your baby in a semi-upright bouncer or swing (under supervision)
Remember, while these strategies can help reduce spit-up, some babies may continue to spit up regularly despite your best efforts. As long as your baby is gaining weight appropriately and seems content, occasional spit-up is typically not a cause for concern.
Understanding the Developmental Stages of Spit-Up
As babies grow and develop, their tendency to spit up often changes. Understanding these stages can help parents navigate this aspect of infancy with more confidence:
Newborn to 3 Months
This period often sees the highest frequency of spit-up episodes. Newborns’ digestive systems are still maturing, and their lower esophageal sphincter is particularly weak. During this stage, focus on proper feeding techniques and positioning to minimize spit-up.
3 to 6 Months
Many babies show a decrease in spit-up frequency during this period as their digestive systems mature. However, some infants may experience an increase as they become more active and start rolling over.
6 to 12 Months
By this age, most babies have significantly reduced spit-up episodes. The introduction of solid foods and increased physical activity contribute to better digestion and less frequent spit-up.
It’s important to note that every baby develops at their own pace, and these stages are general guidelines. Some infants may continue to spit up regularly until their first birthday or beyond, while others may rarely spit up at all.
The Role of Growth Spurts in Baby Spit-Up
Growth spurts can temporarily affect a baby’s feeding patterns and digestion, potentially leading to changes in spit-up frequency. During growth spurts, which typically occur at 2-3 weeks, 6 weeks, 3 months, and 6 months, babies may:
- Feed more frequently or for longer periods
- Seem fussier than usual
- Experience changes in sleep patterns
These changes can sometimes lead to increased spit-up episodes. However, this is usually temporary and resolves as the growth spurt ends. During these periods, continue to feed your baby on demand and be prepared for potential increases in spit-up.
Addressing Common Myths About Baby Spit-Up
There are several misconceptions about baby spit-up that can cause unnecessary worry for parents. Let’s address some of these myths:
Myth: Frequent Spit-Up Means Poor Nutrition
Reality: While spit-up may seem like a lot, babies usually only bring up a small portion of their feeding. As long as your baby is gaining weight appropriately and producing enough wet diapers, they are likely getting adequate nutrition.
Myth: All Spit-Up Indicates Acid Reflux
Reality: While some babies do experience acid reflux, not all spit-up is a result of this condition. Normal spit-up is a common occurrence in healthy babies and doesn’t necessarily indicate a medical problem.
Myth: Babies Who Spit Up Need Medication
Reality: Most cases of baby spit-up don’t require medication. Lifestyle and feeding adjustments are usually sufficient to manage normal spit-up. Always consult your pediatrician before considering any medications for your baby.
Myth: Switching to Solid Foods Earlier Will Stop Spit-Up
Reality: Introducing solid foods before your baby is developmentally ready (usually around 6 months) won’t necessarily reduce spit-up and may lead to other digestive issues. Follow your pediatrician’s guidance on when to introduce solids.
Understanding these myths can help parents approach baby spit-up with a more informed and relaxed perspective, focusing on proven strategies for management and knowing when to seek medical advice.
How to Prevent Baby Spitting Up Curdled Milk
How to Prevent Baby Spitting Up Curdled Milk? Is it harmful? Find the answers to these in this definitive guide on spitting up for new parents
What causes spitting up in babies?
Types of spitting up
Should I worry about my baby spitting up?
How to Prevent Baby Spitting Up Curdled Milk
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Breastfeeding can be a challenge for many new parents, and it can take quite a bit of effort to make it work. Now just as you’ve got the hang of it and are beginning to enjoy it, you find that your baby is spitting up the milk your body worked so hard to make!
Yes, spitting up can be messy, but it can also be distressful for new parents who aren’t sure if this is normal or if their baby is missing out on valuable calories and nutrients. If the spit-up has a curdled appearance, parents become even more alarmed
If you’re worried about this too, don’t worry – spitting up is quite common among babies, especially in the first few months, and generally subsides by the baby’s first birthday.
What causes spitting up in babies?
1. Immature digestive systems – The human body possesses a muscle between the stomach and the esophagus, called the lower esophageal sphincter, which is responsible for keeping food down in the stomach. This muscle is still underdeveloped in babies, which results in some of the stomach contents coming up. This effect is more pronounced since babies’ stomachs are small and can only hold a little at a time.
2. Acid reflux – Acid reflux is common in young babies, and occurs when the lower esophageal sphincter doesn’t close completely, causing some of the stomach acid to come up and lead to spitting up.
3. Food allergies – Some babies can have an allergic reaction to something in the formula they are consuming or even in the mom’s diet. However, in such cases, the spitting up is often accompanied by symptoms like diarrhea.
4. Pyloric stenosis – The pylorus is at the bottom of the stomach through which food passes into the intestines. If the pylorus muscles are enlarged, it can lead to spitting up. This is a serious condition that requires surgery, but it is an extremely rare condition, occurring only in 3 out of 1,000 babies.
Types of spitting up
Normal spit-up – This spit-up has a smooth texture and looks almost identical to the milk the baby has had, whether it is breast milk or formula. This kind of spit-up is generally seen during or immediately following feeding.
Curdled spit-up – This spit-up has a chunkier, curdled appearance and is usually seen a while after the baby’s feeding. The curdled appearance is due to the action of the stomach acids on the breast milk or formula while it is in the baby’s stomach.
Colored spit-up – For young babies who consume only milk, the spit-up is likely to be whitish in color. For older babies who’ve started solids, the color of the spit-up will change depending on what foods they eat. However, red could indicate the presence of blood, while green or yellow could indicate the presence of bile or phlegm.
Vomit – Vomiting is actually completely different from spit-up and is generally a sign of the baby being unwell. For instance, spit-up usually occurs close to the baby’s body, while vomit travels farther. Spitting up is gentler, while vomiting requires more force and can be painful for the baby.
Should I worry about my baby spitting up?
Seeing the baby spit up can worry most new parents, but it is generally harmless. In fact, your baby may appear to be more comfortable after spitting up and getting that release. Spitting up can also free up space in the baby’s tummy, making room for more milk.
One thing to remember is that the spit-up milk usually appears more than it actually is. It may seem like your baby has spit up everything she ate, but that is very unlikely. The mess on your clothes is no indication of how much your baby has actually spit up!
In a nutshell, spitting up is not harmful and should not affect your baby’s growth and well-being. As long as your baby seems fine otherwise, there is nothing to worry about. However, if you notice any of the following signs or symptoms, it is better to consult a doctor:
- Forceful spitting up
- Spit up that is red, brown, green, or yellow
- Spit up that looks like coffee grounds
- Suddenly starts spitting up after 6 months of age
- Refusal to feed
- Insufficient weight gain
- Blood in the stool
- Increased irritability or crying
- Cough or difficulty breathing
- Fewer wet diapers
If you notice any of these signs, it could be a sign of an illness, so it’s best to see the doctor right away. As for regular spit-up, you can reduce its occurrence by following a few simple tips.
1. Choose the right feeding position
Babies who feed in lying positions tend to spit up more than babies who feed in other positions. While feeding your baby, keep the baby’s head at a higher level than the feet. Ensure that the baby stays in this position throughout the feeding and doesn’t dip down. This helps the milk to flow down easily and reduces the likelihood of it coming up.
2. Ensure a good latch
A good latch is essential for multiple reasons – reducing pain, improving suction, and also reducing the intake of air. Swallowing air while sucking can increase the likelihood of spitting up as well as acid reflux. A good latch means that the baby’s mouth is open wide around the areola and not just the nipple. The baby’s chin touches the breast and the lips appear turned out.
3. Avoid overfeeding
Feeding too much or too fast can both result in spitting up. Rather than feeding a lot few times a day, increase the number of feedings and feed a little less at each feeding. This ensures that the baby’s little tummy doesn’t get stuffed beyond capacity. Keep an eye out for the signs of fullness, like slowed sucking, relaxed hands, or getting distracted.
4. Control the flow of milk
Along with ensuring that the baby isn’t overfed, you also need to control the flow of milk into the baby’s mouth. This can be an issue for mothers who have an oversupply of breast milk or a powerful let-down, which can cause a sudden rush of milk that the baby can’t handle. Express some milk before starting the feeding, so your baby gets a more controlled flow of milk. If you’re bottle feeding, choose a nipple with a smaller hole.
5. Avoid distractions while feeding
As your baby starts becoming more aware of the world around her, she may start stalling during feeding and getting distracted. This can lead to a loosening of the latch and swallowing more air, increasing the likelihood of spitting up. Try to feed in a quiet environment without distractions around, and try to keep the baby focused on the feeding. If she is too distracted, she may be full, so you can remove her from the breast.
6. Remember to burp your baby
Burping the baby is one of the best ways to reduce spitting up, although if you’ve overfed the baby, burping could lead to more spit up! Burp frequently during feeding as well as after, by holding the baby up and patting on the back to release any trapped air. If bottle feeding, burp after every 30 ml of milk.
7. Keep your baby upright after feeding
Even after burping your baby, it helps to hold him in an upright position for the next 20-30 minutes so the milk has a chance to settle down in his tummy. Avoid any active play like bouncing or swinging since this can lead to spitting up or even vomiting. Instead, simply sit down with the baby or walk around holding him.
8. Put baby to sleep on her back
Experts recommend putting babies to sleep on their backs to reduce the risk of SIDS, or sudden infant death syndrome. This is also helpful for another reason – it reduces pressure on the tummy and reduces the chances of spitting up.
9. Raise the head of your baby’s mattress
Keeping the head in a raised position is a great way to reduce the chances of spitting up or acid reflux. However, it is not recommended to use pillows for babies, so an easy way to achieve this is to roll up some blankets and place it under the baby’s crib mattress. This keeps the head elevated without hurting the baby’s posture.
10. Reduce pressure on baby’s tummy
While placing the baby on her back is a good way to reduce pressure on her tummy, it also helps to dress her in comfortable clothes. Avoid anything that is tight at the waist, like pants with tight elastic bands. This also applies to diapers – fasten the seals in a comfortably loose manner, leaving some room for the baby’s tummy.
11. Look at your own diet
If you are breastfeeding your baby, your diet may have an impact on the baby’s spitting up. Some babies react adversely to certain foods in their mothers’ diets, like tomatoes, citrus fruits, spices, and carbonated drinks. You can try avoiding these foods and see if it’s reducing your baby’s spitting up.
12. Change your baby formula
If you are bottle feeding, it may help to look at your baby’s formula. Switching to a formula with low-lactose content or a hypoallergenic formula may help reduce spitting up. Always consult your pediatrician before changing your baby’s formula.
If you’ve tried all these methods but your baby is still spitting up, there may be another problem. Please watch out for any of the symptoms mentioned earlier, and if you notice any of them, consult your doctor right away.
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7 Reasons Why Babies Spit Up Curdled Milk And When To Worry
Excessive spit-ups may indicate digestive issues in infants.
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As a new parent, you may worry if your baby spits up curdled milk. However, milk gets curdled when mixed with stomach acid, which is normal during digestion. Occasionally, babies may spit up curdled or undigested milk as they have an immature digestive system.
Excessive spitting up of curdled milk or any stomach contents is a cause of concern. You may consult a pediatrician in such cases since it could be due to underlying causes that may require medical or surgical care.
Keep reading this post to explore the possible causes and tips to manage the spitting up of curdled milk in babies.
Possible Causes Of Spitting Up Curdled Milk
Babies may spit up curdled milk occasionally without apparent causes. However, excessive spitting up of curdled milk can be due to any of the following reasons (1).
1. Acid reflux
Acid reflux can be a common cause of spitting up curdled milk in newborns and young babies. Immature gastroesophageal sphincteriXA ring-like muscle responsible for closing or contracting bodily passages and openings. may cause stomach contents to come up through the esophagus and reach the mouth.
Feeding in an upright position, feeding less and more often, and keeping the baby in an upright position for 20 minutes after feeding may help reduce the instances of spitting up refluxed curdled milk in some babies.
Some babies with severe acid reflux may require food thickeners for breast milk or formula. You may seek a pediatrician’s advice to choose the best method to manage acid reflux in your baby. Some may require medications to prevent acid reflux.
Experts say
The American Academy of Pediatrics recommends that parents whose babies have dysphagiaiXDifficulty in swallowing. or acid reflux may thicken the baby food with oatmeal instead of rice, as there are concerns about arsenic in rice (1).
Related: 11 Common Symptoms Of Acid Reflux In Babies And Its Treatment
2.
Food intolerance or allergy
Image: Shutterstock
Lactose intolerance or milk allergy could cause frequent regurgitation of curdled milk in some babies. A dietician may assist you with allergy investigations and whether you need to cut out certain food groups during breastfeeding.
If formula feeding, switching to specific formulas, such as low-lactose formula or hypoallergenic formula (hydrolysateiXBy-products of hydrolysis, a process where a chemical reacts with water to form one or two more substances formula), may improve the baby’s condition.
Some babies may spit up curdled milk if they are drinking cow’s milk. Eliminating cow’s milk from the diet could resolve this problem. You must only introduce cow’s milk once the baby is older than 12 months.
Quick fact
Around five percent of babies have a condition called Cow Milk Protein Intolerance/Allergy, which makes it difficult for them to handle milk or soy formula (1).
3. Pyloric stenosis
PylorusiXA valve that connects the stomach to the duodenum is the outlet of the stomach. Pyloric stenosis is a condition where the pylorus is narrowed and obstructed. The condition interferes with the movement of food from the stomach to the intestines. It can cause the baby to regurgitate curdled milk from the stomach.
Babies may have projectile vomiting of curdled milk, no bowel movement or constipation, and weight loss due to pyloric stenosis. You may seek medical care for diagnosis and treatment.
Related: Pyloric Stenosis In Babies: Symptoms, Causes And Treatment
4. Overfeeding
Image: Shutterstock
Babies fed more than the required amount tend to spit up curdled or regular milk since their stomach is full. The gastroesophageal sphincters may open due to pressure and cause the backflow of stomach contents in overfed babies.
5. Immature gastrointestinal system
Immature or underdeveloped gastrointestinal structures and functions can be a reason for frequent spit-up in many babies. Newborn babies and premature babies are more likely to have an immature GI system.
6. Feeding position
Babies fed in lying down positions may quickly spit up when compared to babies who are mostly fed in an upright position. Milk tends to move down promptly in an upright position, and the position may also help keep the esophageal sphincters closed.
Breastfed babies may benefit from being fed in a laid-back breastfeeding position which can help pace the milk flow.
7. Swallowing air
Some newborns vomit as a result of swallowing air because of a fast milk flow or suboptimal latch to the breast or bottle teat while feeding. The gastroesophageal sphincters may open for burping, and babies may spit up milk or curdled milk along with burp.
Try to identify and avoid the possible causes of spitting up curdled or regurgitated milk. Seek medical care if the baby continues to spit up curdled milk despite interventions.
Quick tip
To prevent spit-ups from swallowing air, burp the baby during and after feeds. Changing their milk bottles also helps reduce their ability to suck air (1).
Related: At What Age Do You Stop Burping A Baby?
What Does Normal Baby Spit-up Look Like?
Image: Shutterstock
Spit-up can be whitish in breastfed and formula-fed infants. Older infants who are eating solid foods may have spit-up of other colors, depending on what they eat. Sometimes, babies may spit up saliva or stomach acid that may look like a clear fluid.
A red color and coffee-ground color may indicate bleeding in the stomach or upper gastrointestinal (GI) tract, and yellow or green color can be due to bile or phlegm. You may seek medical care if spit-up has these colors.
When To Call A Doctor?
You may contact the healthcare provider if your baby spits up excess curdled milk or spits up frequently. You may seek medical care for both curdled spit-up and normal spit-up.
Seek medical care if your baby has any of the following conditions with excess spit-up (4).
- No weight gain
- Forceful spit-up or vomiting
- Green or yellow fluid
- Blood in spit-up or coffee-ground appearance of the spit-up
- Refuses to eat or drink
- Blood in stool
- Breathing problems after spit-up
- Dehydration
- Continuous or frequent crying
Image: Shutterstock
Stopping or reducing breastfeeding or changing to formula feeding without consulting a pediatrician is not an ideal decision. Spitting up curdled milk can be due to various reasons. The doctor will diagnose the underlying cause and commence the necessary treatment for relief.
Tips To Reduce Spitting Up Curdled Milk
The following tips may help to reduce spitting up curdled milk in babies (2) (3).
- Feeding in an upright position or laid back breastfeeding position may help to minimize spit-up.
- Do not overfeed since babies tend to spit up more when the stomach is full.
- Do not let the baby lay on their stomach immediately after feeding.
- Manage milk flow or adjust feeding positions if you have an oversupply of milk.
- Avoid dressing the baby in tight clothes that may put pressure on their belly while feeding.
Image: IStock
- Feed in regular intervals; long gaps between feedings may increase stomach acid build-up.
- Give medications on time if prescribed.
- Modify the diet of infants who are on solid food as per recommendations.
- Breastfeeding mothers may modify their diet as per recommendations.
- Discuss the necessary surgery with your doctor if spitting up is due to certain conditions, such as pyloric stenosis.
Spitting up of curdled milk can be avoided in many babies. However, if your baby tends to spit up more than usual, you may seek medical care.
1. What is the difference between curdled spitting-up and vomiting?
Curdled spitting is when a baby spits a small amount of food. The content gently dribbles from the mouth and may follow a burp. Since the milk had time to mix with the stomach’s acid, it might appear curdled. On the other hand, vomiting looks more forced with discomfort on a baby’s face. While spitting up is normal, vomiting can be due to an illness (5).
2. When do babies stop spitting up milk?
Babies spit up due to their underdeveloped digestive systems. Spitting-up might stop once the baby’s digestive system matures, at the age of one year, around the same time they start to consume solid foods (6).
There could be no serious medical reason for a baby spitting up curdled milk in small amounts. However, if your baby repeatedly spits up excessive amounts of curdled milk, it could be due to underlying conditions such as pyloric stenosis, allergies, reflux, etc. Most babies outgrow this habit as they grow older and have a well-developed digestive system. Nevertheless, if this practice continues in your baby, it is important to identify the cause and resolve them. Contact a pediatrician for proper diagnosis and treatment of the underlying issue.
Key Pointers
- Babies may occasionally spit up curdled milk for no apparent reason.
- Contact your child’s doctor if your baby spits up in excess.
- Breastfeeding in an upright or a relaxed position may assist in reducing spit-up in babies.
References:
MomJunction’s articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.
1. Why Babies Spit Up; Healthy Children; The American Academy of Pediatrics
2. Spitting up in babies: What’s normal, what’s not; St. Clair Hospital
3. Why is my baby spitting up so much breast milk?; Texas Children’s Hospital
4. Spit-Up Concerns; Boys Town National Research Hospital
5. Why Babies Spit Up; HealthyChildren. org
6. Gastroesophageal Reflux in Infants and Children; American Family Physician
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Why does a newborn spit up so often, what is normal spitting up.
— Polina Aleksandrovna, for what reasons does a newborn often spit up on breast, mixed and artificial feeding?
– A newborn and a child up to a year old can normally spit up several times a day due to the anatomical and physiological characteristics of the gastrointestinal tract. In an adult, the angle of the esophagus is acute – it is difficult for food to be thrown into the esophagus. In a small child, this angle is more obtuse, and in a horizontal position, it is easier for the contents of the stomach to enter the esophagus and exit through the mouth. This is true for breast, mixed and artificial feeding, since it is not a matter of nutrition, but of the structure of the gastrointestinal tract.
Spitting up can provoke:
- severe anxiety in the child;
- active play – tossing, flipping, especially after a recent feeding;
- overeating while breastfeeding – stomach overflows and excess milk leaves it;
- infant formula – formula is denser than breast milk and stays longer in the stomach, so there is a higher risk of backflow into the esophagus.
See also
- “Why a newborn hiccups and how to help him”
Does the newborn spit up a lot?
– The younger the child, the more often he can normally spit up. Spitting up after each feeding in a newborn will not be a pathology if the volume of regurgitation is not more than 5 ml (for older babies, about 10 ml). According to the stain on the diaper, it seems to the mother that this is a lot, but in fact it is not so – if you draw 5 ml of water into a syringe and pour it onto the fabric, the stain will be quite large.
The most important thing is that the number of regurgitation should not increase, but decrease. If in the first month the child spit up 1-2 times a day and suddenly began to spit up 10-15 times, of course, this is very alarming.
— Why does a newborn spit up after feeding and when can he be fed again?
– Given the anatomical and physiological characteristics of infants, it is not necessary to look for a connection between regurgitation and feeding.
For example,
- the child has eaten for a long time, the milk has almost left his stomach, but if he was awkwardly taken and the position of the body changed, then he will vomit a small amount of milk remaining in the stomach. This will not be an indication to feed the baby;
- the child burped immediately after feeding – no need to supplement him, most likely, he overate a little. Wait for the next meal and feed;
- regurgitation is not voluminous – no need to adjust the feeding regimen for them. Abundant regurgitation is a subject of discussion with the doctor and the search for tactics based on the problem of the baby.
— Are pylorospasm and pyloric stenosis somehow related to regurgitation in infants?
— Food enters the stomach through the esophagus, then into the duodenum. Between the stomach and the duodenum there is a transition point where the sphincter muscle contracts so that the contents do not flow in the opposite direction.
Pyloric stenosis – permanent narrowing of the opening between the stomach and duodenum, in which the sphincter is excessively enlarged. The hole can be completely closed or very small, and the child will always spit up, because there is nowhere else for food from the stomach to go. The child develops dehydration, weight gain is poor.
Pylorospasm is a disorder of nervous regulation, when the muscle periodically spasms and closes the opening, and food cannot move from the stomach to the intestines. But at one moment the muscle relaxes, and part of the food passes to further sections. With spasm, regurgitation is inconsistent, manifestations are noticeable after two to three weeks.
– Fountain regurgitation – what else can cause it?
– Fountain regurgitation in infants can be associated with food intolerance, viral infection and intoxication, in which the body is cleared of food, because it is not able to digest it.
— What does spitting up curdled milk mean?
– Spitting up curdled milk indicates that the food has been in the stomach for some time and has been slightly fermented. If a newborn is spitting up curdled milk, it may be pylorospasm or pyloric stenosis, or the baby simply spit up the rest of the milk when changing body position.
— Why does a newborn spit up through the nose?
– The oral cavity and the nasal cavity are close, the organs are interconnected. Food partially flows out through the nose with profuse regurgitation or at a certain position of the body, when the milk that the child vomited up, according to the laws of physics, entered the nasal cavity. Due to frequent regurgitation through the nose, inflammatory diseases can develop. Such children are observed by a doctor, measures are taken so that such situations do not recur. If regurgitation through the nose happened once, this is not scary and does not mean that something is wrong with the child. You can just clean the nose with a baby aspirator and not worry.
– Polina Alexandrovna, how to deal with the fact that a newborn burps in a dream?
– If the child has a tendency to spit up, you can try to give him a higher body position in a special cocoon. The baby cocoon is designed to help babies with digestive issues and a tendency to gas, spit up. In the cocoon, the upper body of the child is slightly raised. Due to this, the influence of the anatomical and physiological characteristics of the child is neutralized, and the milk does not flow upward.
– Another warning sign is profuse regurgitation.
— The main criterion for regurgitation is the condition of the child. If the child is worried, gaining weight poorly, he does not have enough nutrition due to regurgitation, then you need to look for a solution to the problem at the pediatrician’s appointment.
Read also
- “How to improve the digestion of a newborn”
– In some babies, spitting up is a sign of neurological problems – is it really so?
— Yes, and pylorospasm is one of them. Children also have the so-called central vomiting, when the problem is not localized in the gastrointestinal tract, but in the brain, the center of which controls the gag reflex. And if there is a neurological problem that leads to disruption of the center, the child may spit up profusely.
— Is the diagnosis made by a pediatric neurologist?
— When a child starts spitting up, it is impossible to immediately say that this is a surgical, neurological or other problem, you need to understand the complex. First of all, the pediatrician must examine the baby and understand what is happening to him. Next comes the appointment of a surgeon, a neurologist and a gastroenterologist. Each specialist, for his part, prescribes an examination and, based on the results, concludes whether there is a pathology in his profile or not.
— Until what age do babies spit up?
– Normally, regurgitation ends by 12 months, in isolated cases they can last up to 18 months. It is important that regurgitation does not become more frequent, but becomes more rare. With the introduction of solid food, there is no basis for regurgitation.
— Going back to the beginning of the spit-up-baby-food conversation, it’s true that formula-fed babies may spit up a little more, but does formula help solve this problem?
– With the frequency of regurgitation, everything is individual. When regurgitation brings discomfort to the child, but there are no food obstructions, the doctor may prescribe an anti-reflux mixture. As part of such a mixture, there are various thickeners that make the lump of food in the stomach thicker and more viscous so that the product does not flow back and reflux does not occur. Anti-reflux formula is given in a specific way and does not replace 100% of a child’s food.
— Polina Aleksandrovna, to help mom — how to hold a newborn so that he burps after feeding?
— During feeding, the baby should lie with his head up. After that, it is advisable to hold it with a “column” (“soldier”) and wait for the characteristic sound of belching in an upright position – this is how air comes out, the stomach does not overstretch and the risk of regurgitation is reduced.
A child in the first year of life has anatomical and physiological features that predispose to regurgitation. Regurgitation is considered normal if it is not abundant and does not lead to a violation of the child’s condition. Abundant regurgitation, anxiety, fever, poor weight gain, signs of intoxication are formidable symptoms that require a mandatory visit to the doctor.
* Breast milk is the best food for babies. WHO recommends exclusive breastfeeding for the first 6 months of a child’s life and continued breastfeeding after complementary foods are introduced until the age of 2 years. Before introducing new products into the baby’s diet, you should consult with a specialist. The material is for informational purposes and cannot replace the advice of a healthcare professional. For feeding children from birth. The product is certified.
Frequent vomiting in babies: normal or not
Every caring parent is attentive to the health of their child, so as not to miss the first symptoms of serious diseases. If the child is the first, the reactions of his body, in particular regurgitation, cause concern. Most often it occurs for a physiological reason.
There is a sphincter between the stomach and the esophagus. In children from birth to a year, it is underdeveloped and is not able to keep food in the stomach. Any careless movement leads to the fact that the contents of the stomach pour out through the esophagus, that is, the child burps. To avoid this, pediatricians recommend carrying the child in the “column” position for half an hour after eating. Even in this position, regurgitation is possible, since pressure on the chest and stomach of the child cannot be completely eliminated. There is nothing to worry about, but in some cases regurgitation indicates the presence of serious diseases.
What is normal
If the child spits up only a small part of the food, is active, feels good, there is no reason for concern. In the presence of temperature, capriciousness, lethargy, regurgitation can be one of the symptoms of the disease. For babies up to six months, the norm is spitting up small portions of food up to 6-8 times a day. The curdled consistency of regurgitation is not a cause for concern. This is milk curdled under the influence of a special enzyme contained in the gastric juice, and prepared for further digestion.
The so-called “fountain” regurgitation should alert parents and force them to closely monitor the baby’s condition. It is necessary to drink it with warm boiled water, for some time vilify vertically. If such regurgitation was a one-time occurrence, the crumbs do not have a temperature, you should not worry. If the situation recurs, you should consult a doctor.
Causes of regurgitation
Newborns do not realize how much food they need and often overeat. Parents misinterpret the crying of the baby, and begin to feed him on demand. The baby may not be hungry, but simply demand the attention of the mother, her warmth. Excess food is not retained in the stomach, and the child burps.
When breastfeeding, the baby sometimes does not grasp the nipple correctly, and swallows air along with milk. It will come out with a little milk. Another common cause of regurgitation is excess gas. Food moves to the intestines more slowly than necessary, and part of it is ejected through the esophagus.
Serious problems that are manifested by frequent regurgitation include congenital defects of the gastrointestinal tract and central nervous system, intestinal obstruction.
Troubleshooting
Most causes of spitting up are easy to fix, but the situation can be more serious. Some children suffer from lactose intolerance, which is genetically determined. The sooner this is detected and the necessary treatment is started, the better the child will develop. Lactose intolerance can be suspected if the baby spits up breast milk, and this problem is not observed when feeding with mixtures. Timely diagnosis of genetic lactose intolerance allows you to avoid a large number of child health problems in the future.
If parents are concerned about the frequent regurgitation of the baby, it is worth taking an analysis in one of the modern laboratories and consulting a doctor with its results. The modern level of laboratory diagnostics makes it possible to accurately determine the cause of the problem, and knowing it, the doctor will select the optimal treatment.
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No. 180035 Genetic lactose intolerance
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Author-doctor:
Savchenko Svetlana Petrovna
Expert in the field of laboratory diagnostics, healthcare organization, diagnostics and treatment of therapeutic diseases.