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Baby puking after formula feeding


Baby Vomiting After Feeding Formula: Causes and Treatment

Your little one is happily gulping their formula while cooing at you. They finish off the bottle in no time flat. But shortly after feeding, it seems to all come out as they vomit.

There are several reasons why your baby might be vomiting after a formula feeding, but it’s important to remember that it can be — and often is — very normal.

It’s common for babies to throw up sometimes after feeding on formula or breast milk. Their shiny new digestive systems are still learning what to do with all the yummy milk coming down into their tummy.

However, if your baby often has a hard time keeping their formula down on a regular and frequent basis, let your pediatrician know.

Having a baby around means getting used to soft mushy stuff coming out fairly often. This includes spit-up and vomit.

Spit-up and vomit might seem pretty much the same — and require similar amounts of cleaning to get them off of your sweater and the sofa — but they’re very different. Spitting up is an easy, gentle dribble of milk. Baby may even smile at you as the curd-like spit-up flows from their mouth.

Spit-up is normal in healthy babies, especially if they’re under the age of 1.

On the other hand, vomit takes more effort, as it comes from deeper in your little one’s stomach. It’s a sign that your baby’s stomach is saying nope, not now, please. You might see your baby strain and recoil just before they projectile vomit. This force happens because vomit is squeezed out by the stomach muscles.

Your baby might also look more uncomfortable during and after vomiting. And vomit looks and smells different. This is because it’s usually formula, breast milk, or food (if your baby is eating solids) mixed with stomach juices.

If you’re not sure whether your baby is vomiting or spitting up, look for other vomiting symptoms, like:

  • crying
  • gagging
  • retching
  • turning red
  • arching their back

That said, there doesn’t seem to be agreed-upon definitions of these two terms among healthcare providers, caregivers, and others. Plus, their symptoms may overlap. For example, spitting up may sometimes be forceful, and vomiting may sometimes seem painless.

Overfeeding

It’s easier for your baby to overfeed when they’re drinking from a bottle than when they’re breastfeeding. They can also gulp down milk faster from a bottle and rubber nipple. What’s more, because formula is always available, it’s easier for you to give them more milk than they need by accident.

Babies have tiny stomachs. A 4- to 5-week-old infant can only hold about 3 to 4 ounces in their tummy at a time. This is why they need lots of smaller feedings. Drinking too much formula (or breast milk) in one feeding can overfill your baby’s stomach, and it can only come out one way — vomit.

Not burping properly

Some babies need to be burped after every feeding because they swallow lots of air as they gulp down milk. Bottle feeding your baby breast milk or formula may lead to more air-swallowing, as they can gulp even faster.

Too much air in the stomach can make your baby uncomfortable or bloated and trigger vomiting. Burping your baby right after feeding them formula may help prevent this.

To help prevent your baby from swallowing too much air and vomiting after formula feeding, check your baby’s bottle. Make sure you’re using a smaller bottle that’s just big enough to hold a few ounces of milk. Also, check to make sure the nipple hole is not too big, and don’t let your baby continue gulping when the bottle is empty.

Baby or infant reflux

Baby can have acid reflux, indigestion, or occasionally gastroesophageal reflux disease (GERD just like grown-ups! This happens because their stomach and food tubes are still getting used to holding down milk.

Baby reflux happens when milk travels back up toward your baby’s throat and mouth. This usually just causes some painless spitting up, but it can irritate your baby’s throat and trigger gagging and vomiting.

Sometimes, smaller feedings can help prevent baby reflux. If not, don’t worry! Most little ones outgrow baby reflux by the time they’re 1 year old.

Constipation

While simple constipation would be an uncommon cause of vomiting in an otherwise healthy infant, sometimes baby vomiting happens because of what isn’t happening at the other end.

Most babies who are formula-fed need to poop at least once a day. Anything less than your baby’s typical pattern, though, might indicate they’re constipated.

If your baby is vomiting after a formula feeding, they might be constipated if they have other symptoms, including:

  • gassiness
  • not pooping for longer than 3–4 days
  • a swollen or bloated stomach
  • a firm or hard stomach
  • crying bouts or irritableness
  • straining very hard but not pooping or pooping only a little
  • small, hard pellet-like poop
  • dry, dark poop

Stomach bug

If your baby doesn’t usually vomit after having formula, they might have a stomach bug. Also known as gastroenteritis or the “stomach flu,” a stomach bug is a very common cause of vomiting in babies. Your little one may vomit several times for up to 24 hours.

Other symptoms of a stomach bug include:

  • crying
  • stomach cramps
  • stomach rumbling
  • bloating
  • diarrhea or watery poop
  • mild fever (or none at all in babies)

Allergy

In rare cases, the cause of your baby’s vomiting might be in the formula. Although it’s uncommon for babies to be allergic to cow’s milk, it may happen to up to 7 percent of babies under the age of 1.

Most children outgrow a milk allergy by the time they’re 5 years old, but it can cause vomiting and other symptoms in babies. A cow’s milk allergy might cause vomiting right after your baby eats. It can also cause vomiting and other symptoms hours or rarely days later.

If your baby has an allergy to milk or something else, they might have other symptoms of an allergic reaction, like:

  • skin rash (eczema)
  • diarrhea
  • cough
  • hives
  • difficulty breathing
  • wheezing

Lactose intolerance

An allergy to milk is different than being lactose intolerant. Lactose intolerance usually causes digestive symptoms like diarrhea. It can also make your baby vomit after drinking formula containing cow’s milk.

Your baby might get temporary lactose intolerance after getting a tummy bug or gastroenteritis, although this is uncommon.

Other symptoms include:

  • diarrhea or watery poops
  • constipation
  • bloating
  • gassiness
  • stomach pain
  • stomach rumbling

Note that lactose intolerance is rare in babies under the age of 1.

Other causes

Some common health conditions can cause vomiting at any time, including after breastfeeding or formula feeding. Some rare genetic conditions can also cause vomiting in babies.

Other causes of vomiting in babies include:

  • colds and the flu
  • ear infections
  • some medications
  • overheating
  • motion sickness
  • galactosemia
  • pyloric stenosis
  • intussusception

In most cases, minor tweaks can help stop your baby’s vomiting. Remedies to stop your baby’s vomiting after formula depend on what’s causing it. Try some of these tried and tested methods to see what helps your baby:

  • feed your baby smaller amounts of formula more often
  • feed your baby slowly
  • burp your baby after the feeding
  • hold your baby’s head and chest up while feeding
  • hold your baby upright after a feeding
  • make sure your baby doesn’t move around or play too much right after a feeding
  • try a smaller bottle and smaller-hole nipple to feed
  • check the ingredient list on your baby’s formula
  • ask your baby’s doctor if you should try a different kind of formula
  • talk to your baby’s doctor about a possible allergic reaction
  • dress your baby in looser clothing
  • make sure their diaper isn’t on too tightly

If your baby has the stomach flu, you’ll both usually just have to ride it out for a day or two. Most babies and children with a stomach bug don’t need treatment.

If your baby is vomiting, see your doctor or pediatrician right away if they:

  • are vomiting often
  • are vomiting forcefully
  • aren’t gaining weight
  • are losing weight
  • have a skin rash
  • are unusually sleepy or weak
  • have blood in their vomit
  • have green bile in their vomit

Also, see your doctor urgently if your baby has any sign of dehydration from all the vomiting:

  • dry mouth
  • crying without shedding tears
  • a weak or quiet cry
  • floppiness when picked up
  • no wet diapers for 8 to 12 hours

It’s pretty common for babies to vomit, especially after feeding. This happens for many reasons, including that these little people are still just getting used to keeping down their milk.

Check with your doctor about what you can do. See your doctor urgently if your baby vomits often for any reason.

Baby Vomiting After Feeding Formula: Causes and Treatment

Your little one is happily gulping their formula while cooing at you. They finish off the bottle in no time flat. But shortly after feeding, it seems to all come out as they vomit.

There are several reasons why your baby might be vomiting after a formula feeding, but it’s important to remember that it can be — and often is — very normal.

It’s common for babies to throw up sometimes after feeding on formula or breast milk. Their shiny new digestive systems are still learning what to do with all the yummy milk coming down into their tummy.

However, if your baby often has a hard time keeping their formula down on a regular and frequent basis, let your pediatrician know.

Having a baby around means getting used to soft mushy stuff coming out fairly often. This includes spit-up and vomit.

Spit-up and vomit might seem pretty much the same — and require similar amounts of cleaning to get them off of your sweater and the sofa — but they’re very different. Spitting up is an easy, gentle dribble of milk. Baby may even smile at you as the curd-like spit-up flows from their mouth.

Spit-up is normal in healthy babies, especially if they’re under the age of 1.

On the other hand, vomit takes more effort, as it comes from deeper in your little one’s stomach. It’s a sign that your baby’s stomach is saying nope, not now, please. You might see your baby strain and recoil just before they projectile vomit. This force happens because vomit is squeezed out by the stomach muscles.

Your baby might also look more uncomfortable during and after vomiting. And vomit looks and smells different. This is because it’s usually formula, breast milk, or food (if your baby is eating solids) mixed with stomach juices.

If you’re not sure whether your baby is vomiting or spitting up, look for other vomiting symptoms, like:

  • crying
  • gagging
  • retching
  • turning red
  • arching their back

That said, there doesn’t seem to be agreed-upon definitions of these two terms among healthcare providers, caregivers, and others. Plus, their symptoms may overlap. For example, spitting up may sometimes be forceful, and vomiting may sometimes seem painless.

Overfeeding

It’s easier for your baby to overfeed when they’re drinking from a bottle than when they’re breastfeeding. They can also gulp down milk faster from a bottle and rubber nipple. What’s more, because formula is always available, it’s easier for you to give them more milk than they need by accident.

Babies have tiny stomachs. A 4- to 5-week-old infant can only hold about 3 to 4 ounces in their tummy at a time. This is why they need lots of smaller feedings. Drinking too much formula (or breast milk) in one feeding can overfill your baby’s stomach, and it can only come out one way — vomit.

Not burping properly

Some babies need to be burped after every feeding because they swallow lots of air as they gulp down milk. Bottle feeding your baby breast milk or formula may lead to more air-swallowing, as they can gulp even faster.

Too much air in the stomach can make your baby uncomfortable or bloated and trigger vomiting. Burping your baby right after feeding them formula may help prevent this.

To help prevent your baby from swallowing too much air and vomiting after formula feeding, check your baby’s bottle. Make sure you’re using a smaller bottle that’s just big enough to hold a few ounces of milk. Also, check to make sure the nipple hole is not too big, and don’t let your baby continue gulping when the bottle is empty.

Baby or infant reflux

Baby can have acid reflux, indigestion, or occasionally gastroesophageal reflux disease (GERD just like grown-ups! This happens because their stomach and food tubes are still getting used to holding down milk.

Baby reflux happens when milk travels back up toward your baby’s throat and mouth. This usually just causes some painless spitting up, but it can irritate your baby’s throat and trigger gagging and vomiting.

Sometimes, smaller feedings can help prevent baby reflux. If not, don’t worry! Most little ones outgrow baby reflux by the time they’re 1 year old.

Constipation

While simple constipation would be an uncommon cause of vomiting in an otherwise healthy infant, sometimes baby vomiting happens because of what isn’t happening at the other end.

Most babies who are formula-fed need to poop at least once a day. Anything less than your baby’s typical pattern, though, might indicate they’re constipated.

If your baby is vomiting after a formula feeding, they might be constipated if they have other symptoms, including:

  • gassiness
  • not pooping for longer than 3–4 days
  • a swollen or bloated stomach
  • a firm or hard stomach
  • crying bouts or irritableness
  • straining very hard but not pooping or pooping only a little
  • small, hard pellet-like poop
  • dry, dark poop

Stomach bug

If your baby doesn’t usually vomit after having formula, they might have a stomach bug. Also known as gastroenteritis or the “stomach flu,” a stomach bug is a very common cause of vomiting in babies. Your little one may vomit several times for up to 24 hours.

Other symptoms of a stomach bug include:

  • crying
  • stomach cramps
  • stomach rumbling
  • bloating
  • diarrhea or watery poop
  • mild fever (or none at all in babies)

Allergy

In rare cases, the cause of your baby’s vomiting might be in the formula. Although it’s uncommon for babies to be allergic to cow’s milk, it may happen to up to 7 percent of babies under the age of 1.

Most children outgrow a milk allergy by the time they’re 5 years old, but it can cause vomiting and other symptoms in babies. A cow’s milk allergy might cause vomiting right after your baby eats. It can also cause vomiting and other symptoms hours or rarely days later.

If your baby has an allergy to milk or something else, they might have other symptoms of an allergic reaction, like:

  • skin rash (eczema)
  • diarrhea
  • cough
  • hives
  • difficulty breathing
  • wheezing

Lactose intolerance

An allergy to milk is different than being lactose intolerant. Lactose intolerance usually causes digestive symptoms like diarrhea. It can also make your baby vomit after drinking formula containing cow’s milk.

Your baby might get temporary lactose intolerance after getting a tummy bug or gastroenteritis, although this is uncommon.

Other symptoms include:

  • diarrhea or watery poops
  • constipation
  • bloating
  • gassiness
  • stomach pain
  • stomach rumbling

Note that lactose intolerance is rare in babies under the age of 1.

Other causes

Some common health conditions can cause vomiting at any time, including after breastfeeding or formula feeding. Some rare genetic conditions can also cause vomiting in babies.

Other causes of vomiting in babies include:

  • colds and the flu
  • ear infections
  • some medications
  • overheating
  • motion sickness
  • galactosemia
  • pyloric stenosis
  • intussusception

In most cases, minor tweaks can help stop your baby’s vomiting. Remedies to stop your baby’s vomiting after formula depend on what’s causing it. Try some of these tried and tested methods to see what helps your baby:

  • feed your baby smaller amounts of formula more often
  • feed your baby slowly
  • burp your baby after the feeding
  • hold your baby’s head and chest up while feeding
  • hold your baby upright after a feeding
  • make sure your baby doesn’t move around or play too much right after a feeding
  • try a smaller bottle and smaller-hole nipple to feed
  • check the ingredient list on your baby’s formula
  • ask your baby’s doctor if you should try a different kind of formula
  • talk to your baby’s doctor about a possible allergic reaction
  • dress your baby in looser clothing
  • make sure their diaper isn’t on too tightly

If your baby has the stomach flu, you’ll both usually just have to ride it out for a day or two. Most babies and children with a stomach bug don’t need treatment.

If your baby is vomiting, see your doctor or pediatrician right away if they:

  • are vomiting often
  • are vomiting forcefully
  • aren’t gaining weight
  • are losing weight
  • have a skin rash
  • are unusually sleepy or weak
  • have blood in their vomit
  • have green bile in their vomit

Also, see your doctor urgently if your baby has any sign of dehydration from all the vomiting:

  • dry mouth
  • crying without shedding tears
  • a weak or quiet cry
  • floppiness when picked up
  • no wet diapers for 8 to 12 hours

It’s pretty common for babies to vomit, especially after feeding. This happens for many reasons, including that these little people are still just getting used to keeping down their milk.

Check with your doctor about what you can do. See your doctor urgently if your baby vomits often for any reason.

Neonatal regurgitation after formula feeding

At least 80% of babies under the age of six months regurgitate some amount of food just eaten. This happens for various reasons, and most often it is a variant of the norm.

But since the biggest aspiration of parents during this period is weight gain in the baby, spitting up often causes real panic. The child appears to be malnourished.

Let's figure it out: what is the norm, and in what cases you need to run to the doctor.


Causes of regurgitation

First, consider the causes of regurgitation, which happens in most babies and should not cause concern to parents:

  • Immaturity of the digestive system . In an adult, a special muscular valve or sphincter is located between the stomach and esophagus. It's called Cardia. This valve prevents food from being thrown back into the esophagus. In babies up to six months, it is not sufficiently developed. Therefore, any contraction of the walls of the stomach causes regurgitation or reverse reflux. This is the absolute norm for all children. Most often, by the age of 6 months, everything passes. In rare cases, it continues until the age of one.
  • Overeating . Toddlers do not always eat as much as they need, often they eat as much as they like. And the body already regulates the required amount of food, belching the excess. This cause of regurgitation is typical for artificial children. The mixture comes through the nipple more easily than from the breast. The baby eats faster than the feeling of fullness sets in. So overeating happens.
  • Swallowing air with food . In this case, the air goes back along with the milk, and the baby spits up.
  • Gas and colic . They can also cause reflux. Air bubbles press against the walls of the intestines and stomach and help food return to the esophagus.
  • Increased nervous excitability . When the baby is worried, the walls of the stomach begin to contract and return of the milk eaten occurs.

Alarming symptoms that are the reason for an immediate visit to the doctor are most often accompanied by violations in weight gain, since the milk eaten is not absorbed by the body:

  • Frequent regurgitation with a fountain . It can be an indicator of lactase deficiency - in other words, indigestibility of milk. Read more about lactase deficiency in our article. Fountain regurgitation can also occur due to improper development of the baby's digestive system.
  • Regurgitation of yellowish or greenish milk . May be an indicator of an infectious disease. Or occur as a result of the reflux of bile into the stomach. The baby is likely to behave restlessly, because bile irritates the walls of the stomach.

But how to determine the cause of reverse reflux? In fact, this is not necessary! There is only one indicator that is important to monitor - this is weight gain. If your child is gaining weight normally and you are not experiencing warning signs, then there is no cause for concern. The regurgitation will stop on its own as the child grows.


Regurgitation after formula feeding

This is not to say that regurgitation after formula feeding is more common than with breast milk. However, it happens that the mixture did not fit the baby due to the characteristics of the composition.
In any case, remember that if abundant regurgitation occurs with a fountain after the mixture, then there is an indication to consult a doctor. And this must be done immediately.

The pediatrician will determine the cause. And if she is in the mixture, she will prescribe a different or special anti-reflux mixture.


How to reduce regurgitation

It will not be possible to completely get rid of the natural process of returning food, but this process can be facilitated for the baby and parents.

  • Carry your baby upright in a "column" position after feeding. So the air that he swallowed during feeding will come out faster.
  • Make sure that the baby completely captures the circumference of the nipple. Then the air will not penetrate when sucking.
  • Use anti-colic nipples when formula feeding. They are designed in such a way as to prevent air from getting inside.
  • After feeding, do not entertain the baby, let him rest for a while.
  • Try to feed a little less time to avoid overeating.
  • Give your baby a pacifier before bed to stimulate digestive activity for some time after the meal.
  • Provide your baby with more movement: exercise, massage, swimming, tactile contact, walking in the fresh air. To develop the muscular system more actively. Along with it, all internal organs will develop.

There is no drug that will reduce regurgitation. Because it is not a disease, it is either a symptom of it, or a natural process.

The only thing that can affect the amount of food returned is the use of anti-colic drugs, which reduce gas formation in the intestines. Their use is justified only if the baby is tormented by gaziki. Pay attention to the Israeli colic drug Simicol, which is suitable for babies from birth.

Rassadina Zinaida Vladimirovna, pediatrician

Why does the child spit up after feeding?

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Regurgitation is a common condition in newborns and infants and is most often a normal variant. However, it is not uncommon for parents to worry if their baby is spitting up frequently, believing that it is due to nutritional or health problems in general. Sometimes these fears are not unfounded, and regurgitation really has a pathological origin. What is its cause and when should you really consult a doctor about this?

Regurgitation - Return of a small amount of food (uncurdled or partially curdled milk) from the stomach up the digestive tract: into the esophagus and further into the oral cavity. According to statistics, at least 1 time during the day, at least 50% of babies from 0 to 3 months can spit up, more than 60% of children 3-4 months old, and in 5% of children spit up continues up to the year 1 .

Regurgitation in newborns is considered a physiological process. It is caused by a number of factors, including:

  • Features of the structure of the upper digestive tract in babies
  • In newborns and infants up to a year of age, the stomach has a spherical shape. It holds a small amount of food, besides, the release from it into the duodenum is slower in comparison with children after the year 2 .
  • Weakness of the lower esophageal sphincter that separates the esophagus from the stomach
  • Normally, the lower esophageal sphincter should tightly "close" the esophagus, allowing food to pass into the stomach and not allowing it to enter back into the upper digestive tract. However, in young children (up to a year), the muscles of the esophageal sphincter are poorly developed, and it does not do its job very well 2 .
  • Slow movement of food through the gastrointestinal tract
  • The neuromuscular system of newborns is immature. It does not ensure the proper movement of food through the esophagus, causing regurgitation.

One of the important risk factors contributing to the appearance of regurgitation in newborns is aerophagia. This is the swallowing of large amounts of air during feedings. This happens when the baby is not properly attached to the breast, the mother has a lack of breast milk, or the bottle is in the wrong position in the child who receives the mixture. The size of the opening in the nipple also matters - if it is too large, the newborn swallows a lot of air 3 .

With aerophagia, the baby becomes capricious, restless immediately after feeding. Noticeable bloating. If the baby spits up immediately after a feed, the milk (or formula) remains practically fresh, uncurdled 3 .

Promotes post-feeding regurgitation and baby's predominantly horizontal position during the day, combined with relatively high intra-abdominal pressure 4 . Therefore, the correct position of the baby after feeding is so important. To avoid regurgitation of an excessive amount of stomach contents, after feeding, it is necessary to hold the baby in an upright “column” position for some time (10-20 minutes), lightly patting on the back and allowing excess air to “exit”.

Regurgitation in many newborns can be provoked by other situations in which pressure in the abdominal cavity increases and stomach contents are thrown into the esophagus, in particular 3 :

  • tight swaddling;
  • stool disorders, in particular constipation;
  • long, forced cry and some others.

Want to avoid common feeding problems?


Start with a baby bottle with an anti-colic system that helps avoid common feeding problems such as colic, gas and spitting up*

How can you tell the difference between normal spitting up and vomiting?


Sometimes regurgitation is considered a manifestation of disorders in the digestive tract of children. Due to the constant reflux of acidic stomach contents into the upper sections, inflammation and other complications may develop, including growth retardation, a decrease in hemoglobin levels, and others. Therefore, it is important for parents to understand where the line is between physiological and pathological regurgitation 1 .

If the mother is worried that her baby is spitting up, keep track of when this happens and count the total number of spit ups per day. Normally, regurgitation usually occurs after eating (the child burps after each feeding), lasts no more than 20 seconds and repeats no more than 20-30 times a day. With pathology, the problem manifests itself at any time of the day, regardless of when the baby was fed. Their number can reach 50 per day, and sometimes more 1 .

The amount of discharge during regurgitation also matters. With normal, physiological regurgitation, it is approximately 5 - 30 ml. If this volume fluctuates between 50 and 100 ml, it is already defined as profuse vomiting. When the range of the jet of vomit is up to 50 cm, doctors talk about "vomiting a fountain." A variant of atonic vomiting is possible, when the contents of the stomach flow "sluggishly". It occurs with atony of the stomach (decrease in muscle tone of the stomach wall) and disruption of the esophagus 1 .

Vomiting in babies is a warning sign. Doctors are especially alarmed by repeated vomiting, a fountain, with an admixture of bile, in combination with constipation. Vomiting can lead to the development of dehydration, acid-base imbalance and other consequences, therefore, if it occurs, you should urgently contact a pediatrician to find out the cause and begin treatment. A doctor's consultation is necessary if the child is spitting up a lot (more than 15-30 ml at a time), with a frequency of more than 50 episodes per day 1.3 .

Physiological regurgitation: symptoms


Neonatal regurgitation, which is considered normal and not of concern to pediatricians 3 :

  • usually lasts for a certain period of time;
  • is characterized by slow, "passive" leakage; if the baby spits up a fountain, it is better to consult a doctor;
  • has a sour smell of curdled milk;
  • occurs without the participation of muscles - the baby does not strain during regurgitation;
  • does not affect the general well-being of the baby.

How to help a newborn who spit up often?


If the baby is healthy, no medication is prescribed for spitting up. To help the child allow simple measures based on lifestyle changes and feeding.

. To improve the situation, it is recommended to feed the baby more often, avoiding oversaturation, best of all - on demand 5 .

  • Correct feeding technique
    Every feeding, the mother must ensure that the baby does not swallow too much air during suckling. When sucking, there should be no loud, smacking, clicking sounds. You also need to control that the baby captures the nipple along with the areola.