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Is it normal for newborns to throw up breast milk?

Understanding Newborn Vomiting: Is It Normal?
For new parents, the sight of their newborn throwing up breast milk can be alarming. However, it’s important to understand that this behavior is quite common and often not a cause for concern.
Spitting Up vs. Vomiting
First, it’s essential to differentiate between spitting up and vomiting. Spitting up, which is a normal occurrence in infants, typically involves a small amount of milk and saliva that dribbles from the mouth after feeding. This is often referred to as posseting and is generally harmless. Most newborns experience this to some degree, and it usually improves as they grow older.
In contrast, vomiting is characterized by a more forceful expulsion of stomach contents. While occasional vomiting can happen, especially if a baby has swallowed too much air or is overfed, it can sometimes indicate an underlying issue, particularly if accompanied by other symptoms like diarrhea.
Common Causes of Throwing Up
Several factors can contribute to a newborn throwing up breast milk:
1. Overfeeding: Newborns have small stomachs, and if they consume more milk than their stomach can hold, they may vomit as a result.

2. Air Swallowing: Babies often swallow air while feeding, especially if they are gulping down milk quickly. This can lead to discomfort and result in vomiting.
3. Gastroesophageal Reflux (GER): Many infants experience gastroesophageal reflux, where milk flows back up from the stomach into the esophagus. This is usually a temporary condition that resolves as the baby matures.
4. Tummy Bugs: If vomiting is persistent and accompanied by diarrhea, it could indicate a stomach virus or infection, which may require medical attention.
When to Seek Help
While occasional spitting up is normal, parents should monitor their baby’s overall health. If vomiting becomes frequent, is forceful, or is accompanied by other concerning symptoms such as lethargy, fever, or signs of dehydration, it’s crucial to consult a pediatrician.
In summary, while it can be distressing to see a newborn throw up breast milk, it is often a normal part of infancy. Understanding the difference between spitting up and vomiting, along with recognizing the common causes, can help parents navigate this phase with greater confidence.

How do I know if baby is overfed breastfeeding?

What symptoms indicate a child is suffering from over breastfeeding?

  1. Vomiting, burping milk, regurgitating milk from their mouth or nose, or coughing up milk.
  2. A tight abdomen and severely swollen stomach alongside crying after being breastfed.

Should I refeed my newborn after vomiting?

For Breastfed Infants, Reduce the Amount Per Feeding:
If your child vomits more than once, nurse for 5 minutes every 30 to 60 minutes. If your child continues to vomit, switch to pumped breastmilk: 1-2 teaspoons every 5 minutes. After 4 hours without vomiting, return to regular breastfeeding.

Why is my newborn throwing up breast milk?

Spitting up and dribbling milk with burps or after feedings is fairly common in newborns. This is because the sphincter muscle between the stomach and the esophagus (the tube from the mouth to stomach) is not as strong as it will eventually become as the baby matures.

When should I worry about newborn vomiting?

Babies may projectile vomit occasionally, but if it happens after every feed, see your doctor right away as it may be due to a blockage caused by thickening of the muscle at the outlet of the stomach.

How do I stop my baby from vomiting after feeding breast milk?

Remedies for spitty babies

  1. Avoid overfeeding.
  2. Burp your baby more frequently.
  3. Limit active play after meals and hold your baby upright.
  4. Consider the formula.
  5. If breastfeeding, consider your diet.
  6. Try a little oatmeal.

Should I breastfeed my baby again after vomiting?

If vomits more than once, nurse for 5 minutes every 30 to 60 minutes. After 4 hours without throwing up, return to regular nursing. If continues to vomit, switch to pumped breastmilk. (ORS is rarely needed in breastfed babies.

How do I know if my breastmilk is upsetting my baby’s stomach?

If symptoms occur such as fussiness, irritability, crying, gas, increased spitting up and/or drawing their legs up due to tummy pain, write down everything you ate that day. This lets you carefully look at your diet instead of getting rid of foods that may not be the cause of your baby’s distress.

Can a breastfed baby vomit from overfeeding?

Ensure your baby is not overfed: Regularly monitor the quantity of breast milk your baby consumes to prevent overfeeding, which can lead to vomiting. Try a slower paced feeding: Allow your baby to take breaks and burp during breastfeeding sessions.

Is it possible to overfeed a newborn while breastfeeding?

Do not worry about feeding your baby whenever either of you wants to. You cannot overfeed a breastfed baby, and your baby will not become spoiled or demanding if you feed them whenever they’re hungry or need comfort.

Should you refeed baby if they throw up?

Offer your baby a feeding after they’ve stopped throwing up. If your baby is hungry and takes to the bottle or breast after vomiting, go right ahead and feed them. Liquid feeding after vomiting can sometimes even help settle your baby’s nausea. Start with small amounts of milk and wait to see if they vomit again.

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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