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Why does my baby spit up after breastfeeding but not bottle feeding?

Understanding Spit-Up in Babies
Spitting up is a common occurrence among infants, particularly those who are breastfed. Many parents notice that their babies tend to spit up more after breastfeeding than after bottle feeding, leading to questions about the underlying reasons for this difference.
The Mechanics of Feeding
One of the primary reasons for increased spit-up after breastfeeding relates to the mechanics of how babies feed. When breastfeeding, babies often latch onto the breast and suck in both milk and air. This can lead to a buildup of air in their stomachs, which may cause them to spit up as they burp or when the pressure from the air pushes the milk back up. In contrast, bottle feeding can sometimes allow for a more controlled flow of milk, which may reduce the amount of air swallowed, leading to less spit-up.
Milk Flow and Baby’s Position
Another factor is the flow of milk. Breastfeeding can involve varying flow rates depending on the mother’s let-down reflex and the baby’s sucking strength. If the milk flows too quickly, it can overwhelm the baby, causing them to gulp and swallow air, which increases the likelihood of spitting up. On the other hand, bottle feeding often provides a more consistent flow, which can help babies manage their intake better and reduce the chances of spitting up.
Additionally, the positioning during breastfeeding can also play a significant role. If a baby is not positioned correctly, it may lead to more air intake and discomfort, resulting in spit-up. Ensuring that the baby is well-supported and in a comfortable position can help mitigate this issue.
Immature Digestive Systems
It’s important to remember that infants have immature digestive systems. Their esophageal sphincters, which help keep food in the stomach, are still developing. This immaturity can lead to more frequent spit-up episodes, especially after breastfeeding, where the combination of air and milk can create a perfect storm for reflux.
Calming the Environment
Creating a calm feeding environment can also help reduce spit-up. Distractions, noise, and bright lights can lead to a more anxious feeding experience, which may contribute to increased spit-up. A serene atmosphere allows the baby to feed more calmly, potentially reducing the amount of air swallowed.
Conclusion
In summary, while spitting up after breastfeeding can be concerning for parents, it is often a normal part of infant development. Factors such as air intake, milk flow, positioning, and the baby’s immature digestive system all contribute to this phenomenon. Understanding these elements can help parents manage and reduce spit-up occurrences, ensuring a more comfortable feeding experience for both baby and caregiver.

Why is my baby throwing up breast milk after breastfeeding?

Sometimes, it might be when they eat too much, or when they burp or drool. Many infants will spit up a little after some — or even all — feedings or during burping. That’s perfectly normal. As long as your baby is growing and gaining weight and doesn’t seem uncomfortable with the spitting up, it’s OK.

Why does my baby spit up when breastfed but not bottle fed?

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.

What foods make reflux worse in breastfed babies?

Citrus fruit, tomatoes, caffeine containing drinks (tea, coffee, coke) and chocolate may also need to be avoided by the breast-feeding mother of a reflux baby. Remember that all babies are different and different babies react to different foods – the list above is a guideline only.

What foods should I avoid while breastfeeding a baby gassy?

If you notice that each time you eat something your baby becomes fussy, try avoiding the food for a while and see what happens. Many mothers have reported foods such as kale, spinach, beans, onions, garlic, peppers or spicy foods cause infant gas, while many babies tolerate these foods just fine.

Can overfeeding breastfed baby spit up?

Keep the total feeding time to less than 20 minutes. Reason: Overfeeding or completely filling the stomach always makes spitting up worse. Breastfed Babies. If you have a good milk supply, try nursing on 1 side per feeding.

Why does my baby spit up right after nursing?

The valve at the bottom of the stomach may be too tight. So the stomach gets too full, milk travels backward, and it comes out. Your baby may drink too much milk too fast, and take in a lot of air in the process. These air bubbles fill up the stomach and milk comes out.

Why does my baby throw up breast milk not formula?

Reflux and breastfeeding. When your baby brings up milk, or is sick during or after feeding, this is known as reflux. Reflux is quite common and babies usually grow out of it by the age of 1.

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.

How do I know if my baby has reflux or just spitting up?

This usually causes discomfort and crying in your baby, whereas spitting up doesn’t bother them. GER can involve spitting up and/or occasional vomiting. But if your baby is mostly vomiting rather than spitting up, that could be a sign of GERD or another condition.

How to tell if baby is lactose intolerant breastfed?

Symptoms may include:

  1. pain and swelling in the tummy.
  2. failure to settle at feeding times, coming on and off the breast.
  3. failure to gain weight.
  4. diarrhoea.
  5. bulky, frothy and watery faeces.
  6. red bottom with skin worn away in places.
  7. passing wind and crying when passing faeces.
  8. irritability.
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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