#asktheexpert my baby spilling out milk even after burping . Whats the solution ?

Question

Accepted Answer

dear mum, it is normal for babies to vomit milk in spite of burp, do not worry. continue to burp baby preferably in sitting position. keeping the head and chest at a level higher than stomach helps in reducing the chances of vomit.

Accepted Answer

Spitting up after feeding is common in infants, and it's usually nothing to worry about. Here are some reasons why one-month-old babies may spit up after burping and what you can do about it:

### Reasons for Spitting Up:

1. **Immature Digestive System:** Babies have immature digestive systems, and their lower esophageal sphincter (the muscle that keeps stomach contents from flowing back into the esophagus) may not be fully developed, leading to spitting up.

2. **Overfeeding:** If your baby drinks too much milk during a feeding, their stomach may become too full, increasing the likelihood of spitting up.

3. **Air Swallowing:** Babies may swallow air during feedings, especially if they feed quickly or are positioned improperly, leading to air bubbles in their stomach that can contribute to spitting up.

4. **Lying Down Too Soon After Feeding:** Putting your baby down too quickly after feeding can cause milk to flow back up more easily, leading to spitting up.

### Tips to Reduce Spitting Up:

1. **Burp Your Baby:** Burp your baby frequently during and after feedings to release any swallowed air, which can reduce the likelihood of spitting up.

2. **Feed in an Upright Position:** Hold your baby upright during feedings to minimize air swallowing and help milk flow more easily into their stomach.

3. **Take Breaks During Feedings:** Take short breaks during feedings to allow your baby to rest and digest, which can reduce the risk of overfeeding and spitting up.

4. **Keep Your Baby Upright After Feeding:** Hold your baby upright for 15-30 minutes after feeding to allow gravity to help keep milk down in their stomach.

5. **Check Feeding Pace:** Ensure your baby is feeding at a comfortable pace and not gulping milk too quickly, which can increase the likelihood of spitting up.

6. **Avoid Tight Clothing:** Dress your baby in loose-fitting clothing to avoid putting pressure on their stomach, which can exacerbate spitting up.

### When to Seek Help:

While spitting up is common and usually harmless, there are times when it may indicate a more serious issue. Consult your pediatrician if:

- Your baby is not gaining weight or is losing weight.
- The amount of spit-up seems excessive or forceful.
- Your baby seems uncomfortable or in pain during or after feedings.
- There is blood in the spit-up or it is consistently green or yellow in color.

Your pediatrician can assess your baby's feeding patterns, growth, and overall health to determine if further evaluation or treatment is needed.