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Why does my baby spit up more with breast milk than formula?

Understanding Baby Spit-Up: Breast Milk vs. Formula
For many new parents, the experience of a baby spitting up can be both common and concerning. Notably, some parents observe that their infants tend to spit up more when fed breast milk compared to formula. This phenomenon can be attributed to several factors related to digestion, feeding habits, and the nature of the milk itself.
The Nature of Breast Milk
Breast milk is uniquely designed for infants, containing the perfect balance of nutrients, antibodies, and enzymes that aid in digestion. However, it is also more easily digested than formula. This means that while breast milk is generally gentler on a baby’s stomach, it can lead to more frequent spit-up episodes, especially if the baby consumes it too quickly or in large quantities. When a baby feeds rapidly, they may swallow air along with the milk, which can contribute to spitting up.
Feeding Dynamics
Another critical factor is the feeding dynamics involved in breastfeeding. If a mother has an overactive letdown reflex, the forceful flow of milk can overwhelm the baby, causing them to gulp and potentially spit up more. Additionally, the position in which a baby is fed can influence how much they spit up. Feeding in a more upright position can help reduce the likelihood of spit-up, as gravity assists in keeping the milk down.
Formula Feeding Considerations
On the other hand, formula is often more difficult for babies to digest. Many formulas are based on cow’s milk, which some infants may have an intolerance to, leading to increased spit-up. The composition of formula, which includes various ingredients designed to mimic breast milk, can also affect how well a baby tolerates it. Some babies may experience more gas or discomfort with formula, which can lead to increased spit-up as well.
Digestive System Maturity
It’s essential to remember that a baby’s digestive system is still maturing during the first few months of life. Spitting up is a normal part of this developmental process, regardless of whether the baby is breastfed or formula-fed. As the digestive system matures, many infants will naturally spit up less frequently.
Conclusion
In summary, while it may seem that babies spit up more with breast milk than formula, this can be influenced by several factors, including feeding techniques, the nature of the milk, and the baby’s individual digestive maturity. For parents, understanding these dynamics can help alleviate concerns and foster a more relaxed feeding experience. If spitting up becomes excessive or is accompanied by other concerning symptoms, consulting a pediatrician is always a wise step.

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.

Can switching between breastmilk and formula upset the stomach?

Changing from breastmilk to formula side effects like gas, upset stomach, and even constipation is possible if you make the change quickly. Wait three to four weeks before supplementing or switching from breastfeeding to formula. Wean your baby off breast milk gradually to allow their bodies and yours to adjust.

Does breast milk cause more reflux than formula?

Babies who are breastfed have somewhat less reflux than those who are formula-fed. Avoid overfeeding – Try not to feed your baby more than they want. Allow your baby to stop feeding as soon as they seem satisfied or lose interest. If their stomach is too full, they are more likely to spit up.

What formula causes less spit up?

Enfamil A.R. formula is clinically proven to reduce spit-up by more than 50% while still providing the complete nutrition your baby needs.

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

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. In some cases it’s best to wait a little while before trying to feed your baby again.

What is sandifer syndrome?

Sandifer syndrome (SS) is a type of movement disorder that constitutes paroxysmal spasms of head, neck, and back arching but spares the limbs. SS is often associated with gastroesophageal reflux (GERD) in children.

Why does my baby spit up more with breastmilk?

​​​​​​​What causes babies to spit up breast milk
Spit-ups happen most frequently as your little one is getting the hang of feedings. As a baby begins breastfeeding, they commonly swallow air as they learn how to latch and establish an efficient sucking pattern.

Why does my baby spit up breast milk not formula?

Babies regularly spit up when they drink too much milk, too quickly. This can happen when the baby feeds very fast, or when mom’s breasts are overfull. The amount of spit up can appear to be much more than it really is. Food sensitivities can cause excessive spitting up in babies.

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

If your baby shows negative symptoms after drinking breast milk. Consider how your baby responds to breast milk after drinking it. 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.

What fills up a baby more, breastmilk or formula?

Breastfed babies typically eat less at a feeding because breastmilk has more nutrients per ounce, and babies digest breastmilk more fully than formula.

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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