#asktheexpert

hello doctor.
I hage twin babies - baby boy and girl. after feeding, and burping also, little quantity of milk keeps coming out of my baby girl's mouth. I fees breast milk + formula(similac plus)

Question

#asktheexpert

hello doctor.
I hage twin babies - baby boy and girl. after feeding, and burping also, little quantity of milk keeps coming out of my baby girl's mouth. I fees breast milk + formula(similac plus)

Accepted Answer

thank you Doctor

Accepted Answer

It's common for babies, especially those who are breastfed or fed formula, to spit up a little milk after feeding. Here are some possible reasons for this and tips to manage it:

Reasons for Spitting Up

1. Normal Reflex: Spitting up is often a normal reflex in infants due to their immature digestive systems.

2. Overfeeding: Feeding too much at once can lead to spitting up, as babies may not be able to hold all the milk in their stomachs.

3. Air Swallowing: Babies can swallow air while feeding, which may lead to spit-up as the air rises with the milk.

4. Positioning: The baby's position during and after feeding can affect how much they spit up.

5. Reflux: Some babies experience gastroesophageal reflux, where stomach contents flow back into the esophagus, causing spitting up.

Tips to Reduce Spitting Up

1. Feed Smaller Amounts: Offer smaller, more frequent feeds instead of larger amounts at once. This can help reduce the volume in their stomachs.

2. Burp Frequently: Burp your baby during and after feeds to help release any trapped air. Try burping halfway through the feed and after finishing.

3. Keep Them Upright: Hold your baby in an upright position during and for at least 20-30 minutes after feeding. This can help reduce the likelihood of spitting up.

4. Gentle Handling: Avoid vigorous movements or jostling after feeding. Gentle rocking can help soothe them.

5. Avoid Tight Clothing: Ensure that your baby’s clothing is not too tight around the belly, as this can contribute to discomfort and spitting up.

6. Feeding Position: Experiment with different feeding positions to see if one is more comfortable for your baby.

7. Monitor Formula: If you suspect that the formula may be causing issues, consult your pediatrician. They may suggest trying a different formula.

When to Consult a Pediatrician

If your baby is consistently spitting up large amounts of milk (more than just a small amount).

If your baby seems to be in pain, is not gaining weight, or shows signs of dehydration (such as fewer wet diapers).

If you notice blood in the spit-up or if the spit-up is green or yellow.

Conclusion

Spitting up is quite common in infants and often resolves on its own as their digestive systems mature. By following the tips above, you can help minimize the spitting up and ensure your babies are comfortable during and after feeding. If you have ongoing concerns, don’t hesitate to consult your pediatrician for personalized advice and support.

#asktheexpert hello doctor. I hage twin babies - baby boy and girl. after feeding, and burping also, little quantity of milk keeps coming out of my baby girl's mouth. I fees breast milk + formula(similac plus)