My One Month Old Baby Keeps Vomiting My Breastmilk
Question: My one month old just recently started vomiting up my breastmilk but not formula what could be the reason? I thought breastmilk was better then formula.Heidis Answer: Hi there, Throwing up a bit of milk is normal at this age. Most babies, whether formula or breast fed, do it. Vomiting more with breastfeeding may have to do with feeding position, maybe he is more upright when formula fed? Or your milk may spray out which makes him take in more air. If this is the case, press out the first gusts of milk before offering it to your baby. And always make sure he empties the first breast completely before offering the second side.Its worth trying these out because as you say breast milk is better, for so many reasons.If the vomiting is very frequent and in large quantities, and it comes out with force, that may point to a form of reflux.Please read the Baby Reflux Symptoms Guide for full details and to help you decide what is going on. Good luck,
When Should You Be Worried About Your Baby Vomiting
Although it can be alarming, an occasional vomiting episode is usually nothing to worry about. If your baby vomits often, this can be a sign of reflux disease, intestinal obstruction, infection, or a protein allergy. Get in touch with your pediatrician if your babys usual spit-up:
- Increases in amount or force
- Causes choking or respiratory difficulty like wheezing or coughing
- Leads to other issues including discomfort, fussiness, poor weight gain, or weight loss
- Is accompanied by a fever, diarrhea, bloody mucus, or a bloated tummy
- Is green
- Is projectile, meaning very sudden and with great force
Repeated vomiting in babies between 2 weeks and 4 months of age can be a sign of a blockage at the stomach. Contact your healthcare professional if your baby vomits repeatedly.
Does My Baby Have Gerd
GER isn’t something to worry abouteven the healthiest babies have it. But for about 2 percent of full-term babies and a higher percentage of preemies, reflux causes pain and medical problems. In these cases, a doctor may diagnose gastroesophageal reflux disease . Telltale signs include a lack of interest in eating, extreme fussiness during feeding, wheezing, coughing, hoarseness, and failure to gain weight.
GERD is reflux in the extreme: So much acid splashes back up from the stomach that it irritates the lining of your baby’s esophagus. Your baby might try to relieve the discomfort by coughing, arching their back, or pulling their legs up to their tummy. If your baby has these symptoms, contact their pediatrician The doctor may recommend smaller, more frequent meals or additional burping.
AdditionalAri Brown, M.D., Parents advisor and coauthor of Baby 411 Grzegorz Telega, M.D., pediatric gastroenterologist at Children’s Wisconsin, in Milwaukee.
Don’t Miss: How Much Should A Newborn Weigh
Baby Spitting Up Through His Nose Is It Normal
The reason why you might notice breast milk or formula coming out of your babys nose is infant reflux. It causes the milk to come back out of your babys stomach, and then through his mouth or nose. While it might be upsetting , its rarely a serious problem.
Reflux is a common problem that infants face, and it can cause an abundance of spitting up. Its not abnormal for babies with reflux to spit up several times per day that includes when the milk comes out of your babys nose.
Your baby has no control over this, which is why you might see milk coming out of your babys nose while sleeping. Reflux pushes the milk back up, and since your mouth and nose are connected, it comes out of either one. It selects randomly, and it often can be projectile spit-up as well.
Make sure you have those burp cloths ready for the spit up!
Here are the things that increase the likelihood of your baby throwing up through his nose.
Stay Calm When Feeding
You should try your best to stay relaxed and calm during feeding. This helps to keep your baby calm as well. Any distractions or surprises might cause them to take in more air or drink too fast.
If your baby becomes upset when feeding, remove them from the breast or the bottle, calm them down and then carry on feeding once they have settled.
Also Check: Can You Breastfeed And Give Formula To Newborn
How Can I Reduce How Often My Baby Spits Up
Spit-up isnt a pleasant part of child rearing. It stains clothes and blankets, and you will have to do more laundry than you ever wished to do. Plus, if your baby is on formula, their spit-up will smell awful.
Theres good news, though. Here are a few things you can do to reduce your little ones chances of frequently spitting up:
Swallowing Air When Feeding
Bottle-fed babies are very likely to swallow air as they feed. Breastfed babies also swallow air, especially if the milk is coming out fast and hard. If the babys tummy becomes swollen and hard after feeding, they have a gas problem. Burping helps to relieve gas. Hold your baby upright, then gently rub or pat their back as you move upwards. This should push any trapped air out.
Read Also: How Many Poop Diapers Should A Newborn Have
Tips To Help Prevent Or Reduce Spitting Up In Babies
Create a calm feeding environment
Reduce stimulation, like bright lights and loud sounds, during feedings to avoid distracted eating. When a distracted baby pops on and off the breast or bottle frequently, it can increase the amount of air being swallowed.
Use paced bottle feeding
If you are nursing, feed on demand and allow baby to eat at their own pace. If bottle feeding, avoid tipping the bottle and allowing baby to âchug.â10
Pace the feeding by holding the bottle more horizontally, allowing the baby to eat more slowly, take breaks and draw the nipple back in when they are ready.
Read more: What is Paced Bottle Feeding?
If you are breastfeeding, this may mean trying a more upright breastfeeding position, such as the koala hold .13 Note that this position requires your little one to have good neck control, so be sure to try this only if your baby is strong enough.
Hold upright after feeds
Donât jostle baby after feedings
How Is Baby Spit
When spitting up begins to make your baby uncomfortable, and more liquid than usual comes up with greater force, this is probably vomit.When a baby vomits more than once, its usually caused by a virus. Viruses usually arent dangerous, but they can cause your little one to get dehydrated. If your baby is less than 1 year of age, he is at more risk for dehydration. Consult your healthcare professional immediately if you think your baby might be dehydrated.
Read Also: What Happens At 2 Week Check Up For Newborn
When Should You Worry About Your Baby’s Spitting Up
As mentioned already, there is usually nothing you need to worry about baby spitting up clear liquid. However, you may notice certain symptoms that indicate an underlying condition. Be sure to contact your baby’s doctor if you notice the following symptoms:
- Your baby isn’t gaining weight.
- Your baby vomits consistently and forcefully.
- Your baby spits up yellow or green fluid or fluid with blood in it.
- Your baby doesn’t allow any feedings and has blood in stool as well.
You should also seek immediate medical attention if your baby is spitting up clear liquid and has difficulty breathing at the same time. Your baby’s doctor will consider other symptoms and prescribe medication to treat the condition.
Dangers Associated With Spitting Up
Spitting up is very healthy and safe. However, there are myths peddled around on how dangerous spitting up is. Many misleading recommendations may pose a danger to your baby.
When you let the baby sleeping on the stomach, the airway will be located lower than the esophagus spit-up is likely to block the airway. It is expected to happen when the baby sleeps on the side. Judy advised Annie to let the baby sleep on her back. It cuts down the chances of chocking as the airway will be above the esophagus. .
Also Check: How To Make Your Newborn Sleep Through The Night
How To Reduce Spitting Up
Here are a few tips to help prevent your baby from spitting up their milk:
- Always feed your baby while they are upright, and keep them upright for at least 20 minutes after feeding.
- Avoid overfeeding the baby, and give them enough time to digest before feeding them again.
- Feed your baby in a calm and quiet environment.
- To manage forceful letdown, express before feeding to reduce milk.
- Switch up breastfeeding positions to find the most comfortable position for the baby.
- Use inserts on the babys feeding bottle.
- Consult your pediatrician about adding rice cereal to your babys formula. It thickens the formula.
Cause & Cure Of Baby Vomiting
The sight of your baby vomiting is no doubt a disheartening experience. What could be the reason for this agony? Is it a simple thing, like milk coming out because you forgot to burp your sweet-pea or perhaps you have absolutely no idea why your baby is vomiting. The later part can raise even more cause for concern.
What makes a baby vomit?
Knowing the possible causes of baby vomiting can help you be prepared to handle it appropriately. Even if you expect your newborn to vomit for some reason or another it is also a good idea to know what to do when vomiting occurs.
Baby vomiting can occur due to the following reasons. Every reason has its own way of treatment that is mentioned in the respective sections. Check out these 7 reasons why your little one is pouring it all out:
Read Also: How Much Formula Do You Give A Newborn
Causes Of Spitting Up
After your baby swallows milk, it glides past the back of their throat and goes down a muscular tube, called the esophagus, to their stomach. A ring of muscles connects the esophagus and stomach. It opens to let the milk go into the stomach, and then it closes again. If that ring, called the lower esophageal sphincter, doesn’t tighten, the milk can come back up. That’s reflux.
Infants are especially likely to get reflux because their stomachs are small — about the size of their fists or a golf ball — so they fill up easily. Also, a valve where their esophagus meets their stomach may not be mature enough to work like it should. That usually changes around age 4 to 5 months. After that, they may stop spitting up.
What Is Baby Spit
Spitting up refers to what happens in the first few months of your baby’s life when they regurgitate some of their stomach contents. Because a baby’s diet consists of primarily breast milk or formula, the spit-up is likely to be a white texture but can vary depending on how long after feeding your baby spits up.
Spit up that looks like curdled milk is no reason to be alarmed, and there is an explanation. If your child spits up during or immediately after feeding, it is likely to have a smooth, milky texture. If your baby spits up after the milk has had time to mix with your baby’s stomach acid, the spit-up is likely to appear curdled.
Baby spit-up differs from vomit in that the flow of spit-up is usually slower and stays closer to the baby’s body, while vomiting is more forceful and projectile and can indicate illness. If your child is vomiting, call your child’s health care provider.
Also Check: Must Haves With A Newborn
When Should You See A Doctor
Your medical team is there to help you with concerns as your child grows. Dont hesitate to contact them to discuss any issues.
While much of the mess around spit-ups can be easily handled , if you see that your baby has fever, seems listless, is dehydrated, or doesnt appear to be putting on weight, contact your doctor.
What Causes Spitting Up In Your Baby
Whatever you drink or eat goes into your stomach through the feeding tube,different acids will mix with food in your stomach and pass it into the intestines where further digestion will take place. There’s a valve between the stomach and the esophagus that ensures what you eat or drink doesn’t come back up and out of your stomach. However, the valve is not well developed in infants, so you will more often see milk and saliva coming out of their stomach. Similarly, if you’re feeding too much of food, it will again result in regurgitation because your baby’s stomach is still quite small. The valve will develop as your baby grows, and this will keep anything they eat from coming out of the stomach when fully developed.
Read Also: What Shots Are Required For Newborns
Why A 5 Month Old May Suddenly Spit Up More
There are a number of reasons why a baby may start vomiting all of a sudden, even without a change of diet.
Has she had a cold lately? Some babies throw up easily and mucus mixed with the formula may make them throw up long after they were actually ill.
Other possibilities are a stomach bug, ear infection, or urinary tract infection.
Then, of course, you have acid reflux and milk protein allergy, although both of these should probably have appeared earlier than at 5 months.
Actually, Id probably talk to a doctor. Is your daughter spitting up or really vomiting? If this continues for more than a day or two, talk to a doctor even if your girl seems healthy in all other aspects. No point in taking chances when it comes to a little baby!
Also, watch for signs of illness of course and of dehydration.
Tips To Reduce Spitting Up
These tips may help your baby spit up less often:
- Dont feed too much at once.Instead, give them smaller amounts more often.
- Burp them often. Burp your baby during and after meals to help them get rid of gas that can add to problems with spitting up.
- Keep your baby upright for 30 minutes after a feeding.Gravity helps keep things down.
- Dont bounce them or do other active play right after feeding.Keep your baby calm for about 20 minutes after they eat.
- Make sure theres no pressure on their stomach after they eat. For example, wait at least 30 minutes before you put your baby in their car seat.
- Try a different formula. A few babies are allergic to milk or soy in formula. Your pediatrician can suggest a formula without these ingredients. You can try it for a week or two to see if it cuts down on spit-up.
- If you breastfeed, consider a change to your own diet.Your baby may spit up less if you cut out dairy or other foods.
- Dont put your baby to sleep on their stomach. Place your baby on their back to sleep to reduce the risk of sudden infant death syndrome .
Sometimes, these simple steps help enough to keep your little one a happy spitter. If not, your pediatrician may suggest medications that can help. Each can have benefits and side effects. The doctor can help you decide which, if any, is right for your baby.
Read Also: What Does A Newborn Seizure Look Like