Spitting up or reflux in infants
Sometimes babies spit up milk out of their mouth or nose. They may bring up small amounts of milk along with air when they are burped. Spitting up, also called reflux or ‘posseting’, is very common in newborns. When complications of reflux occur, such as pain or lack of weight gain, this is called gastro-oesophageal reflux disease (GORD).
Usually spitting up occurs because a muscle at the top of the stomach, called the sphincter, is loose. It can also be caused by air bubbles in the stomach or by eating too much food too quickly.
Spitting up does not discomfort the baby and your baby may seem not notice. Spitting up is not the same as vomiting. Vomiting is forceful, is usually more than a tablespoon or two, and upsets the baby. Vomiting can be a sign of illness. Spitting up often peaks by four months of age and by seven months many babies no longer do it, although for some it takes longer. Here are some things you can do to minimise your baby’s spitting up.
Make each feed calm and relaxed.
Hold your baby in an upright position, not lying down, while you feed them.
Feed your baby smaller amounts at a time.
Feed your baby without delay. If the baby has cried for a long time before a feed, they may have swallowed air. Spitting up is more likely if the baby has air in the stomach at the beginning of a feeding.
Check the size of the opening in the teat if you are bottle feeding. The bottle should leak several drops of milk per second. A hole that is too big will let the baby swallow formula too quickly and baby is likely to spit up the excess. A hole that is too small forces the baby to suck very hard and swallow air.
Burp your baby several times during each feeding. It works best to support the infant’s head and burp them sitting on your lap. Burping your baby over your shoulder may put too much pressure on their stomach.
Keep baby upright for 30 minutes after feeding. An infant seat or car seat works well.
Make sure nappies are not too tight and do not put pressure on the baby’s stomach.
If your baby is otherwise healthy and happy, and the spill is milk, nothing needs to be done. Talk to your baby’s healthcare provider if you have any concerns. Also tell your doctor if the baby is not gaining weight, if there is a change in bowel movements or urination, or if your baby shows signs of discomfort or pain.
Sometimes babies spit up milk out of their mouth or nose. They may bring up small amounts of milk along with air when they are burped. Spitting up, also called reflux or ‘posseting’, is very common in newborns. When complications of reflux occur, such as pain or lack of weight gain, this is called gastro-oesophageal reflux disease (GORD).
Usually spitting up occurs because a muscle at the top of the stomach, called the sphincter, is loose. It can also be caused by air bubbles in the stomach or by eating too much food too quickly.
Spitting up does not discomfort the baby and your baby may seem not notice. Spitting up is not the same as vomiting. Vomiting is forceful, is usually more than a tablespoon or two, and upsets the baby. Vomiting can be a sign of illness. Spitting up often peaks by four months of age and by seven months many babies no longer do it, although for some it takes longer. Here are some things you can do to minimise your baby’s spitting up.
Make each feed calm and relaxed.
Hold your baby in an upright position, not lying down, while you feed them.
Feed your baby smaller amounts at a time.
Feed your baby without delay. If the baby has cried for a long time before a feed, they may have swallowed air. Spitting up is more likely if the baby has air in the stomach at the beginning of a feeding.
Check the size of the opening in the teat if you are bottle feeding. The bottle should leak several drops of milk per second. A hole that is too big will let the baby swallow formula too quickly and baby is likely to spit up the excess. A hole that is too small forces the baby to suck very hard and swallow air.
Burp your baby several times during each feeding. It works best to support the infant’s head and burp them sitting on your lap. Burping your baby over your shoulder may put too much pressure on their stomach.
Keep baby upright for 30 minutes after feeding. An infant seat or car seat works well.
Make sure nappies are not too tight and do not put pressure on the baby’s stomach.
If your baby is otherwise healthy and happy, and the spill is milk, nothing needs to be done. Talk to your baby’s healthcare provider if you have any concerns. Also tell your doctor if the baby is not gaining weight, if there is a change in bowel movements or urination, or if your baby shows signs of discomfort or pain.
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Arushi Arora
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28 Dec 2017