#asktheexpert newborn 25days old baby spitting milk 50% times after feed

Question

Accepted Answer

It's common for newborns to spit up milk, especially in the early weeks, as their digestive systems are still developing. However, spitting up 50% of the time after feeding could be a bit concerning if it is frequent or causing discomfort to your baby.

Possible Causes for Spitting Up:

1. Overfeeding:

Feeding too much at one time can lead to spitting up. Try feeding smaller amounts more frequently.

2. Swallowing Air:

Babies often swallow air during breastfeeding or bottle-feeding, leading to gas or discomfort. Ensure proper latch during breastfeeding, or use a slow-flow nipple if bottle-feeding.

3. Immature Digestive System:

A newborn's digestive system is still maturing, and this can result in some regurgitation of milk after feeding.

4. Reflux (GERD):

Gastroesophageal reflux disease (GERD) can cause more significant spitting up, and the milk may come out forcefully. Babies with reflux may appear fussy or irritable after feedings. If this is the case, your doctor can provide advice on managing it.

5. Position After Feeding:

Lying your baby flat after feeding can lead to milk coming back up. Try keeping your baby upright for 20-30 minutes after feeding to reduce spitting up.

6. Formula Sensitivity (If Formula-Fed):

If your baby is on formula, certain formulas may cause sensitivity or a mild intolerance, leading to more spitting up. You can consult your pediatrician if you suspect this.

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What You Can Do:

1. Burp Your Baby:

Make sure to burp your baby during and after each feed to release any trapped air.

2. Upright Position After Feeding:

Keep your baby upright for 20–30 minutes after feeding to allow gravity to help with digestion.

3. Feed in Smaller Amounts:

Try offering smaller feeds more frequently to avoid overfeeding.

4. Gentle Handling:

Avoid vigorous play or jostling right after a feed.

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When to Consult a Doctor:

If your baby is spitting up forcefully or seems to be in pain.

If the spitting up is accompanied by other symptoms, such as weight loss, coughing, or difficulty breathing.

If your baby seems excessively fussy or has trouble gaining weight.

Most of the time, spitting up in newborns is normal and will improve as they grow. However, if you're concerned, it's always best to consult your pediatrician for reassurance and to rule out any underlying issues.