#asktheexpert my baby frequently spitting what should I do

Question

Accepted Answer

Frequent spitting up in babies is common and can often be managed with a few adjustments. Here’s what you can do:

### Tips for Managing Spitting Up:

1. **Feeding Position:**
   - **Upright Position:** Keep your baby in an upright position during and after feeding. This can help reduce the likelihood of spitting up.

2. **Burping:**
   - **Frequent Burping:** Ensure you burp your baby frequently during and after feedings to help release any trapped air that can contribute to spitting up.

3. **Feeding Amounts:**
   - **Smaller, Frequent Feedings:** Offer smaller amounts of milk more frequently rather than larger volumes at once, which can reduce spitting up.

4. **Feeding Pace:**
   - **Slow Feeding:** If bottle-feeding, use a slow-flow nipple to help control the flow of milk and reduce the chances of overfeeding and spitting up.

5. **Avoid Overstimulation:**
   - **Calm Environment:** Keep the feeding environment calm and avoid activities that might overstimulate your baby right after feeding.

6. **Check for Allergies or Intolerance:**
   - **Formula Changes:** If you are formula-feeding, consider whether the formula might be contributing to the issue. Consult your pediatrician about trying a different formula if necessary.

7. **Monitor for Illness:**
   - **Health Check:** If spitting up is accompanied by other symptoms like fever, weight loss, or discomfort, consult your pediatrician to rule out any underlying health issues.

8. **Avoid Immediate Laying Down:**
   - **Post-Feeding Position:** Keep your baby upright for at least 30 minutes after feeding if possible, as this can help with digestion and reduce spitting up.

### When to Consult a Pediatrician:

- **Persistent or Severe Spitting Up:** If your baby’s spitting up is severe, frequent, or worsening, it’s important to consult your pediatrician to rule out conditions such as gastroesophageal reflux disease (GERD) or other health concerns.
- **Associated Symptoms:** If spitting up is accompanied by poor weight gain, severe discomfort, or signs of dehydration, seek medical advice promptly.

In many cases, spitting up in babies resolves on its own as they grow and their digestive systems mature. However, monitoring and making adjustments as needed can help manage the frequency and severity.