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Why does my baby spit up with breast milk but not 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. While it’s widely recognized that babies can spit up both breast milk and formula, some parents notice a distinct difference in frequency or severity between the two. Understanding the reasons behind this phenomenon can help alleviate worries and guide feeding practices.
The Role of the Lower Esophageal Sphincter
One of the primary reasons babies spit up is due to an underdeveloped lower esophageal sphincter (LES). This muscle, which connects the esophagus to the stomach, is not fully matured in infants, making it less effective at keeping stomach contents down. This condition is prevalent regardless of whether the baby is breastfed or formula-fed.
Feeding Techniques and Milk Flow
The way a baby feeds can significantly influence the likelihood of spitting up. Breastfeeding often involves a more variable flow of milk, which can lead to situations where a baby might consume too much too quickly, especially if the mother has an overactive letdown or if the baby is particularly hungry. In contrast, formula is typically delivered at a more consistent rate, especially when using a bottle, which may help some babies manage their intake better and reduce the chances of spitting up.
Composition Differences
Another factor to consider is the composition of breast milk versus formula. Breast milk is more easily digestible and contains enzymes that aid in digestion, which can sometimes lead to less spitting up compared to formula. However, some babies may react differently to the proteins in formula, which can lead to less frequent spit-up episodes if they are more tolerant of the formula’s composition.
Positioning During Feeding
The position in which a baby is fed can also play a crucial role. Feeding a baby in an upright position can help minimize the risk of spitting up, as gravity assists in keeping the milk down. This technique can be particularly effective during breastfeeding, where the flow can be more variable.
Individual Variability
It’s essential to recognize that every baby is unique. Some may simply be more prone to spitting up breast milk due to their individual digestive systems or feeding habits. Factors such as the baby’s age, feeding frequency, and even their temperament can influence how much they spit up.
Conclusion
In summary, while it may seem that some babies spit up breast milk more than formula, the reality is that spitting up is a normal part of infancy. It often stems from an underdeveloped lower esophageal sphincter, feeding techniques, and individual digestive differences. Parents should focus on feeding practices that promote comfort and digestion, and consult with pediatricians if they have concerns about their baby’s feeding habits. Understanding these factors can help ease the worries that come with the joys of parenthood.

Why does my baby spit up breast milk and not formula?

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.

Can a baby be allergic to breast milk but not formula?

Babies are not allergic to breast milk,” clarifies Dr. Bjelac. “Very little food protein is passed through breast milk directly to the baby, so the chances that your baby will have a true allergic reaction to something you eat is very, very small.”

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.

How to tell if baby needs sensitive formula?

Some signs that your baby may need a formula change include:

  1. Diarrhea. A baby’s poop is constantly changing, especially as its digestive system continues to develop and be exposed to new things.
  2. Excessive Fussiness.
  3. Gas.
  4. Trouble sleeping.
  5. Rash.
  6. Wheezing after eating.
  7. Vomiting.

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.

Why is my baby sick after breast milk but not formula?

Milk intolerance
Cow’s milk protein is one of the most common causes of food sensitivity in a baby who is breastfeeding. Cow’s milk protein intolerance is a reaction by the body’s immune system to a protein found in cow’s milk. A milk allergy or milk protein intolerance is different from lactose intolerance.

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.

Why does my baby spit out breast milk while feeding?

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 is my baby spitting up undigested breast milk?

Babies typically spit up chunky milk if they’re having difficulty digesting it or experiencing acid reflux. In some cases, they may need a diet change.

How do I know if formula isn’t agreeing with baby?

What are the Signs of Formula Intolerance?

  1. Diarrhea.
  2. Vomiting.
  3. Blood or mucus in your baby’s stool.
  4. The baby often pulls her legs up toward her belly because of pain.
  5. Difficulty with weight gain or noticeable weight loss.
  6. Constant crying and signs of discomfort.
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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