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Why is my baby spitting up breast milk?

Understanding Baby Spit-Up: A Common Concern for Parents
For many new parents, witnessing their baby spit up breast milk can be a source of anxiety. However, it’s important to understand that spitting up is a common occurrence in healthy infants and typically does not indicate any serious health issues. In fact, most babies will experience some degree of spitting up during their early months, and it usually does not interfere with their growth or development.
Why Do Babies Spit Up?
There are several reasons why babies may spit up breast milk:
1. Immature Digestive System: Infants have underdeveloped digestive systems, which can lead to spitting up as their bodies adjust to processing milk. The muscle at the top of the stomach, known as the lower esophageal sphincter, may not yet be strong enough to keep the milk down, especially after a feeding.
2. Overfeeding: Babies have small stomachs, and if they consume more milk than their stomach can hold, it can result in spitting up. This is particularly common if a baby is fed too quickly or if they are encouraged to finish a bottle.
3. Positioning During Feeding: The way a baby is held during feeding can also impact spitting up. If a baby is laid flat or not held upright after feeding, gravity may not help keep the milk down, leading to more spit-up.
4. Strong Milk Let-Down: For breastfeeding mothers, a forceful let-down reflex can cause the baby to gulp milk quickly, which may lead to gagging and spitting up. This can be particularly noticeable if the milk flow is too fast for the baby to manage.
5. Normal Reflex: Spitting up can also be a natural reflex as babies learn to coordinate swallowing and breathing. As they grow and their digestive systems mature, this reflex typically diminishes.
When to Be Concerned
While spitting up is generally normal, there are certain signs that may warrant a visit to the pediatrician. If a baby is experiencing excessive spit-up, appears to be in pain, or if the spit-up is accompanied by other symptoms such as difficulty breathing or poor weight gain, it may indicate a more serious condition, such as gastroesophageal reflux disease (GERD).
Conclusion
In summary, while it can be distressing for parents to see their baby spit up breast milk, it is usually a normal part of infancy. Understanding the reasons behind this behavior can help alleviate concerns. If parents have any doubts or notice concerning symptoms, consulting a healthcare professional is always a wise choice.

Is it OK for babies to spit up breast milk?

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 stop my breastfed baby from spitting up?

Sometimes giving smaller feeds more often can help, rather than giving larger-volume feeds. Keep your baby upright after feedings for at least 30 minutes. Holding your baby is best, since the way a baby sits in an infant seat can actually make spitting up more likely.

Do certain foods cause breastfed babies to spit up?

Food sensitivities can cause excessive spitting up in babies. Products with cow milk in the mom or baby’s diet can be a common food sensitivity. 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.

How to help reflux in a breastfed baby?

Managing reflux symptoms
Keep the baby upright after feeds over your shoulder ideally for at least 30 minutes with a muslin to catch milk if necessary. Using a sling to keep the baby upright may help but ensure there is no pressure on the stomach and do not bend yourself.

Could my breast milk be upsetting my baby?

You’ll know if your breast milk is upsetting baby if they are unusually gassy or fussy after eating. As you and your baby get acclimated to breastfeeding, you’ll learn what not to eat while breastfeeding if your baby reacts to a certain food or drink.

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

Does spit up mean overfeeding?

Give smaller amounts per feeding (1 ounce or 30 mL less than you have been). Keep the total feeding time to less than 20 minutes. Reason: Overfeeding or completely filling the stomach always makes spitting up worse. Breastfed Babies.

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 do I stop my breastfed baby from throwing up?

What can you do to reduce spitting up?

  1. Keep your baby upright. Feed your baby in a more upright position.
  2. Avoid overfeeding. Feeding your baby smaller amounts, more frequently might help.
  3. Take time to burp your baby.
  4. Put baby to sleep on his or her back.
  5. Experiment with your own diet.

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.

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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