#asktheexpert

good morning sir
i am Doctor Harsh (Radiologist) , I have 4 month old son , he is split out milk after feeding , amount is much more , split out raw milk when he is awaken but in night he is no splitting, weight and frequency of urine and stool is normal.
i had seen baby splitting but my son splitout much more quantity, is it normal ? and when he will stop doing it ?

Question

#asktheexpert

good morning sir 
i am Doctor Harsh (Radiologist) , I have 4 month old son , he is split out milk after feeding , amount is much more , split out raw milk when he is awaken but in night he is no splitting,  weight and frequency of urine and stool is normal.
i had seen baby splitting but my son splitout much more quantity,  is it normal ? and when he will stop doing it ?

Accepted Answer

Spit-up is a common occurrence in babies, especially during the first few months of life. While it's usually normal and not a cause for concern, there are some strategies you can try to minimize spit-up in a 4-month-old baby:

1. **Burp Your Baby:**
   - Ensure that you burp your baby regularly during and after feeds. This can help release any swallowed air and reduce the likelihood of spit-up.

2. **Feed in an Upright Position:**
   - Hold your baby in a more upright position during feeds. This can help gravity keep the milk down and reduce the chances of reflux.

3. **Avoid Overfeeding:**
   - Pay attention to your baby's cues and avoid overfeeding. Stop the feeding when your baby shows signs of being full, such as turning away from the breast or bottle.

4. **Frequent, Smaller Feeds:**
   - Offering smaller, more frequent feeds can help prevent the stomach from becoming too full, reducing the likelihood of spit-up.

5. **Hold Upright After Feeding:**
   - Keep your baby in an upright position for 15-20 minutes after each feeding. This helps the milk settle in the stomach before laying them down.

6. **Gentle Burping Techniques:**
   - Experiment with different burping techniques to find what works best for your baby. Patting, rubbing, or holding your baby against your shoulder are common methods.

7. **Check for Sensitivities:**
   - If you are breastfeeding, consider whether certain foods in your diet might be contributing to increased spit-up. Dairy or other common allergens could be potential triggers.

8. **Avoid Tight Clothing:**
   - Dress your baby in loose-fitting clothes. Tight clothing around the abdomen may put additional pressure on the stomach.

9. **Elevate Sleeping Area:**
   - If your baby sleeps on their back, consider elevating the head of the crib slightly. Consult with your pediatrician before making any adjustments to the sleeping environment.

10. **Consult with Pediatrician:**
    - If spit-up is excessive, causing discomfort, or if you have concerns, consult with your pediatrician. They can assess your baby's overall health and offer guidance specific to your baby's needs.

It's important to note that spit-up is often a normal part of a baby's development, and most babies outgrow it as their digestive systems mature. However, if you have any concerns or if spit-up is associated with signs of distress, weight loss, or other symptoms, it's crucial to seek guidance from your pediatrician for a thorough evaluation.