#asktheexpert my newborn of 1 month is spitting out milk from nose and mouth even after 1 hour of feeding. How to avoid this? Please suggest

Question

Accepted Answer

It’s not uncommon for a newborn to spit out milk from the nose and mouth, especially in the first few months, but if this continues after a year of feeding, it might be due to a few reasons:

1. Reflux (GERD): Gastroesophageal reflux (GERD) can cause milk to flow back from the stomach into the esophagus, leading to spitting up or milk coming out of the mouth or nose. This is often more pronounced after feedings.

2. Overfeeding or Fast Feeding: If the baby is feeding too quickly or taking in more milk than they can comfortably hold, it can lead to spitting up. This can happen if the baby is drinking too fast from a bottle or breastfeeding too aggressively.

3. Nasal Congestion: Sometimes, babies may have blocked nasal passages due to cold or allergies, which can make it harder to swallow and may cause milk to come out of the nose.

4. Improper Latch: An improper latch during breastfeeding can cause air to enter the stomach, which can contribute to spitting up or milk regurgitation.

What to do:

Feed in an upright position: Hold your baby in an upright position while feeding and for about 20 to 30 minutes afterward to help milk settle and reduce the chances of spitting up.

Burp frequently: Burp your baby during and after feedings to release any trapped air that could contribute to reflux.

Avoid overfeeding: Try to feed in smaller amounts more frequently, rather than large amounts, to prevent overwhelming the stomach.

Check for nasal congestion: If your baby has a stuffy nose, clear it with saline drops or a nasal aspirator to help them breathe easier while feeding.

Proper latch: Ensure that your baby is properly latched during breastfeeding to reduce air intake.

If the spitting continues or is associated with discomfort, poor weight gain, or other symptoms, it’s important to consult your pediatrician to rule out any underlying issues like reflux or feeding problems.