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Is it normal for babies to spit up a lot of breastmilk?

Understanding Baby Spit-Up: A Common Concern for New Parents
For many new parents, the sight of their baby spitting up can be alarming. However, it’s important to understand that spitting up is a normal occurrence in infants, particularly those who are breastfed. In fact, studies show that this phenomenon is quite common and typically does not indicate any underlying health issues.
What Causes Spitting Up?
Babies often spit up due to a variety of reasons. One primary cause is simply that their digestive systems are still developing. Infants have immature sphincter muscles at the top of their stomachs, which can lead to the backflow of milk after feeding. This can happen for several reasons, including overfeeding, swallowing air while feeding, or even just the natural process of burping.
Many babies will spit up a little after some or even all feedings. This can occur during burping or even when they are simply drooling. It’s also worth noting that some babies may spit up more than others, and this variability is completely normal.
When Should Parents Be Concerned?
While spitting up is generally harmless, there are instances when it may warrant a closer look. If a baby is consistently spitting up large amounts, appears to be in pain, or is not gaining weight as expected, it may be time to consult a pediatrician. In rare cases, excessive spitting up can be a sign of gastroesophageal reflux disease (GERD), which may require medical attention.
Managing Spit-Up
For parents concerned about their baby’s spitting up, there are several strategies that can help minimize the occurrence. These include ensuring that the baby is not overfed, allowing for adequate burping during and after feedings, and keeping the baby upright for a period after eating.
Ultimately, while the sight of spit-up can be distressing, it is a common part of infancy. Most babies will outgrow this phase as their digestive systems mature, typically by the time they reach their first birthday. Understanding this can help ease the worries of new parents and allow them to focus on enjoying their time with their little ones.

When should I take my baby to the ER for spitting up?

Call Your Doctor If:

  1. Vomits clear fluids for more than 8 hours.
  2. Vomiting lasts more than 24 hours.
  3. Blood or bile (green color) in the vomit.
  4. Stomach ache present when not vomiting.
  5. Dehydration suspected (no urine in over 8 hours, dark urine, very dry mouth, and no tears)
  6. You think your child needs to be seen.

Should you feed baby again if they spit up a lot?

Since overfeeding can lead to tummy woes in newborns, if your baby spits up towards the end of a feeding, you don’t need to feed her again to make up for what she lost. She may be fussy and cry when she spits up, but it’s probably not because she’s hungry, so resist the urge to feed.

Why is my baby spitting up so much breast milk?

Some babies can become distracted when feeding at the breast, pulling off to look around. This can cause babies to swallow air and spit up more often. Breastmilk oversupply or forceful let-down (milk ejection reflex) can cause reflux-like symptoms in babies.

How do I know if my baby is overfeeding breast milk?

Signs of Overfeeding a Breastfed Baby
Frequent Spitting Up: Spitting up more than usual can indicate your baby is overfed. While spitting up is common, excessive spitting can be a clear sign of overfeeding. Gassiness and Fussiness: An overfed baby might be more gassy and fussy than usual.

What are GERD symptoms in babies?

Symptoms & Causes of GER & GERD in Infants

  • arching of the back and abnormal movements of the neck and chin.
  • choking, gagging, or problems swallowing.
  • irritability, particularly when it occurs with regurgitation.
  • loss of appetite or refusing to eat.
  • complications, such as poor weight gain, cough link, or wheezing.
  • vomiting.

How to tell if baby is overfed?

When fed too much, a baby may also swallow air. This can produce gas, increase discomfort in the belly, and lead to crying. An overfed baby also may spit up more than usual and have loose stools. Although crying from discomfort is not colic , it can make crying more frequent and more intense in an already colicky baby.

Should I refeed my baby after spit up?

Vomiting and spit-up are common in healthy babies. In most cases, you can milk feed shortly after your baby vomits. This helps to prevent your baby from getting dehydrated.

How much is too much baby spit up?

Babies spit up a lot. It’s nothing to be concerned about unless your baby is losing weight. Normally it’s just a mouthful at a time. “We like to call them ‘happy spitters.

Does excessive spit up mean overfeeding?

Some of the more common reasons for excessive spit-up are overfeeding and swallowing too much air during feeding. The following tips may help reduce spit-up and make your baby more comfortable: Feed your baby before they get very hungry.

When should you be concerned about baby spit up?

Usually, it’s just 1 or 2 tablespoons at a time. If your baby spits up more than this—or if their spitting up is the effect of respiratory events like choking, coughing, or wheezing—ask your pediatrician if there is a reason to be concerned.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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