![]() ![]() Spitting up changes to vomiting (forceful or projectile).After learning to sit well, many babies are better by 7 months of age.They are only useful for symptoms of heartburn.They do not reduce excessive crying from colic.These medicines also can have side effects.Prescription medicines that block acid production are not helpful for normal reflux.Start with 1 level teaspoon of rice cereal to each ounce of formula.If your baby still spits up large amounts, try thickening the formula.Burp each time for less than a minute.Don't interrupt his feeding rhythm in order to burp him. Do it when he pauses and looks around.You can burp your baby 2 or 3 times during each feeding. Burping is less important than giving smaller feedings.You can also make the nipple hole slightly bigger. If it doesn't, the nipple hole may be clogged. The formula should drip 1 drop per second when held upside down.So can sucking on a bottle with too small a nipple hole.Frequent sucking on a pacifier can pump the stomach up with swallowed air.Try to keep your baby's head higher than the stomach. During breast or bottle feeds, hold your baby at a slant.After 6 months of age, a jumpy seat is helpful.Decrease the time in a sitting position (such as infant seats).Use a front-pack, backpack, or swing for 30 to 60 minutes after feedings.After meals, try to hold your baby in the upright (vertical) position.Also, do not play too hard with your baby during this time.Don't put pressure on the stomach right after meals.Reason: It takes that long for the stomach to empty itself.Switch sides you start on at each feeding. If you have a good milk supply, try nursing on 1 side per feeding. Reason: Overfeeding or completely filling the stomach always makes spitting up worse. Keep the total feeding time to less than 20 minutes. Give smaller amounts per feeding (1 ounce or 30 mL less than you have been). ![]() Skip this advice if age less than 1 month or not gaining weight well.Here is some care advice that should help.Infants with normal reflux do not need any tests or medicines.Spitting up does not interfere with normal weight gain.Almost always doesn't cause any pain or crying.Spitting up occurs in most infants (50%).What You Should Know About Spitting Up:.Normal reflux (spitting up) with no problems.Spitting up does not get better with this advice.You think your child needs to be seen, but the problem is not urgent.You think your child needs to be seen, and the problem is urgent.Age less than 1 month old and looks or acts abnormal in any way.Age less than 12 weeks and spitting up changes to vomiting (forceful or projectile).Choked on milk and turned blue or went limp.When to Call for Reflux (Spitting Up) Call Doctor or Seek Care Now In these babies, it becomes narrow and tight. Cause: the pylorus is the channel between the stomach and the gut.Right after vomiting, the baby is hungry and wants to feed.Onset of vomiting age 2 weeks to 2 months.This is the most common cause of true vomiting in young babies.New symptom starting today or yesterday.Your baby acts hungry, looks well and acts happy.Onset early in life (85% by 7 days of life).You've been told by a doctor your baby has reflux.The following suggests reflux (normal spitting up): Therefore, it's important to tell the difference between reflux and true vomiting. The causes of vomiting in this age group can be serious. During the first month of life, newborns with true vomiting need to be seen quickly.More than half of all infants have occasional spitting up ("happy spitters").Main trigger: overfeeding of formula or breastmilk.Poor closure of the valve at the upper end of the stomach (weak valve).They also act very unhappy when they are not crying. Infants with this problem cry numerous times per day. Heartburn from acid on lower esophagus.GERD problems occur in less than 1% of infants: If they develop complications, it's called GERD (gastro-esophageal reflux disease).Crying and colic are not helped by heartburn meds. Frequent crying (called colic) occurs in 15% of babies. Most infants are "happy spitters." Normal spitting up (normal reflux) occurs in half of babies. ![]()
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