Should i keep feeding my baby after she spits up

How to Know Whether You Should

Your baby just threw up all the milk they’ve chugged down so far, and you’re wondering if it’s OK to continue feeding. How soon should you feed your baby after vomiting?

It’s a good question — just about every parent has likely pondered this. Spit-up is almost a rite of passage for babies (and parents). Baby vomiting is also common and can happen for many reasons. Most of the causes aren’t serious.

The short answer — because you may have a very fussy baby on your hands and want to get back to them ASAP — is yes, you can usually feed your baby after they vomit all over your favorite sweater, sofa throw, and rug.

Here’s just about everything you need to know about feeding your baby after vomiting.

Baby vomit and spit-up are two different things — and they can have different causes. Spitting up is common in babies under the age of 1 year. It typically happens after feeding. Spit-up is usually an easy flow of milk and saliva that dribbles from your baby’s mouth. It often happens with a burp.

Spit-up is normal in healthy babies. It can happen for several reasons. About half of all babies 3 months and under have a type of acid reflux called infant reflux.

Spit-up from infant reflux is especially bound to happen if your baby has a full stomach. Being careful not to overfeed a bottle-fed infant can help. Spitting up typically stops by the time your baby is a year old.

On the other hand, vomiting is typically a more forceful throwing-up of milk (or food, if your baby is old enough to eat solids). It happens when the brain signals the muscles around the stomach to squeeze.

Vomiting (like gagging) is a reflex action that can be triggered by a number of things. These include:

irritation from a viral or bacterial infection, like the stomach bug
fever
pain, such as from a fever, earache, or vaccination
blockage in the stomach or intestines
chemicals in the blood, like medicine
allergens, including pollen; very uncommon in babies under 1 year
motion sickness, such as during a car ride
dizziness, which might happen after being twirled around too much
being upset or stressed
strong smells
milk intolerance

Vomiting is also common in healthy babies, but it might mean that your baby has caught a bug or is feeling a bit under the weather.

Too much vomiting can cause dehydration and even weight loss in very serious cases. Milk feeding can help prevent both of these. Offer your baby a feeding after they’ve stopped throwing up. If your baby is hungry and takes to the bottle or breast after vomiting, go right ahead and feed them.

Liquid feeding after vomiting can sometimes even help settle your baby’s nausea. Start with small amounts of milk and wait to see if they vomit again. Your baby might vomit the milk right back up, but it’s better to try than not.

If your little one is at least 6 months old and doesn’t want to feed after throwing up several times, offer them water in a bottle or a spoon. This can help prevent dehydration. Wait a short while and try feeding your baby again.

In some cases, it’s better not to feed a baby right after vomiting. If your baby is throwing up because of an earache or fever, they may benefit from medication first.

Most pediatricians recommend pain medications like infant Tylenol for babies in their first year. Ask your doctor about the best medication and dosage for your baby.

If giving pain medication based on your doctor’s advice, wait about 30 to 60 minutes after doing so to feed your little one. Feeding them too soon might cause another bout of vomiting before the meds can work.

Motion sickness isn’t common in babies under the age of 2 years, but some babies may be more sensitive to it. If your baby vomits from motion sickness, it’s better not to offer a feeding afterward.

You’re in luck if your baby likes to nod off in the car. Wait until you’re out of the car to feed your baby milk.

Baby vomiting can be worrying, but it usually goes away by itself — even if your baby has the stomach bug. Most babies with gastroenteritis don’t need medical treatment. This means that most of the time, you’ll have to bravely wait out your baby’s vomiting.

But sometimes, throwing up is a sign that something’s not right. You know your baby best. Trust your gut and call their doctor if you feel your little one is unwell.

In addition, take your baby to a doctor immediately if they’ve been vomiting for 12 hours or longer. Babies and children can dehydrate quickly from too much vomiting.

Also call your baby’s pediatrician if your baby can’t hold anything down and has signs and symptoms of being unwell. These include:

constant crying
pain or discomfort
refusal to feed or drink water
diaper that hasn’t been wet for 6 hours or longer
diarrhea
dry lips and mouth
crying without tears
extra sleepiness
floppiness
vomiting blood or fluid with black flecks (“coffee grounds”)
lack of smile or response
vomiting green fluid
bloated tummy
blood in bowel movements

You won’t usually have any control over when or how much your baby vomits. When it happens on occasion, repeat this mantra to help you cope: “Healthy babies sometimes vomit.”

However, if your baby often vomits (or spits up) after feeding, you may be able to take some preventative steps. Try these tips:

avoid overfeeding
give your baby smaller, more frequent feeds
burp your baby often between feeds and after feeds
prop up your baby so they’re upright for at least 30 minutes after feeding (but don’t prop your baby up for sleep or use anything to position them in their crib or elevate their mattress)

If your baby has a tummy bug and is old enough to eat solid foods, avoid feeding solids for about 24 hours. A liquid diet can help the stomach settle after a bout of vomiting.

Vomiting and spit-up are common in healthy babies. In most cases, you can milk feed shortly after your baby vomits. This helps to prevent your baby from getting dehydrated.

In some cases it’s best to wait a little while before trying to feed your baby again. If you’re giving your child medication like pain and fever relievers, wait a bit so the meds don’t come back up.

If your baby is vomiting a lot or seems otherwise unwell, call your pediatrician immediately. If you’re unsure if your baby’s vomiting or spit-up is cause for concern, it’s always best to check with your doctor.

Breastfeeding FAQs: Spitting Up, Gagging, and Biting (for Parents)

en español: Preguntas más frecuentes sobre la lactancia materna: regurgitación, arcadas y mordidas

Reviewed by: Jamila H. Richardson, BSN, RN, IBCLC

Breastfeeding is natural, but it takes practice to get it right. Here's what you need to know about spitting up, gagging, and other concerns during breastfeeding.

Is it Normal for My Baby to Spit Up After Feedings?

Sometimes, babies spit up when they eat too much, or when they burp or drool. Many infants will spit up a little after some — or even all — feedings or during burping because their digestive systems are immature. That's perfectly normal.

As long as your baby is growing and gaining weight and doesn't seem uncomfortable with the spitting up, it's OK. The amount of spit-up often looks like more than it actually is. But spitting up isn't the same as forcefully vomiting all or most of a feeding.

What’s the Difference Between Spitting Up and Vomiting?

Vomiting is a forceful projection of stomach fluids. Spitting up is a more gentle "flow" of fluids that come up. Babies don’t usually react to spitting up, but a vomiting baby will usually look upset or cry.

If you're concerned that your baby is vomiting, call your doctor. In rare cases, there may be an allergy, digestive problem, or other problem that needs medical care. It helps to keep track of how often and how much your baby is vomiting or spitting up.

How Can I Keep My Baby From Spitting Up?

If the doctor says your baby's spitting up is normal, here are some things you can do to help lessen it:

Burp your baby after each feed from each breast. Sometimes giving smaller feeds more often can help, rather than giving larger-volume feeds.
Keep your baby upright after feedings for at least 30 minutes. Holding your baby is best, since the way your baby sits in an infant seat may actually make spitting up more likely.
Don't jiggle, bounce, or actively play with your baby right after feedings.
Keep your baby's head above the feet while feeding. Don't hold your baby in a dipped-down position when feeding.
Raise the head of your baby's crib or bassinet. Roll up a few small hand towels or receiving blankets (or you can buy special wedges) to place under — not on top of — the mattress. Never use a pillow under your baby's head. Make sure the mattress doesn’t fold in the middle, and that the incline is gentle enough that your baby doesn’t slide down.

If your baby also gets bottles of breast milk or infant formula supplements:

Burp after your baby drinks 1–2 ounces from a bottle.
Don't give the bottle while your little one is lying down.
Make sure the hole in the nipple is the right size and/or flow for your baby. For example, fast-flow nipples may cause babies to gag or may give them more milk than they can handle at once. Many breastfed babies do well with the slow-flow nipple until they are 3 months old, or even older.

Many babies outgrow spitting up by the time they're sitting up.

How Can I Keep My Baby From Gagging?

Sometimes the force of your milk (especially when it “lets down”) is so strong that it can cause your baby to gag and pull off of the breast. If this happens during feeding:

Try nursing your baby in a more upright position (head above the breast). This may ease the force of the milk.
Nurse in a side-lying position, which also might help slow the flow of milk.
Make sure your breasts are not engorged or over-full. Nursing every 2–3 hours can help prevent engorgement. If your breasts are too full and you’re concerned about a forceful letdown, express or pump a little bit of milk a few minutes before feeding time to avoid a strong letdown.

If your baby is pulling off and gagging or coughing during feeding, sit your baby up in a seated burp position. Gently pat the back to help your baby calm down before continuing feeding. If you’ve tried the steps above and this continues to happen, talk to your doctor or lactation consultant.

If your baby sometimes gags or chokes while taking a bottle of breast milk:

Try a different nipple with a slower flow.
Practice “paced” bottle feeding. This is where you slow down the milk flow from the bottle by holding it at less of an angle and allowing your baby to pause for breaks.

My Baby Bites During Breastfeeding. What Can I Do?

Babies will often play with their mothers' nipples with their gums, not meaning to cause any harm. But once they start teething, a baby might bite down, not knowing this is hurting mom.

Sometimes you can tell when your baby's about ready to bite down — usually when satisfied and starting to pull away from the breast. When you sense that your baby is finished feeding and may be bored or feeling playful, end the feeding. Break the suction by slipping your finger into the corner of your baby’s mouth.

If your baby is already biting down, pull your baby closer to you to make it more difficult to pull off easily. Then, break the suction. React calmly without raising your voice.

Here are more ways to make baby less likely to bite:

Before a feed, give your baby something to chew on. Make sure it's big enough that it can't be swallowed or choked on and that it can't break into small pieces. A wet washcloth placed in the freezer for 30 minutes makes a handy teething toy. Be sure to take it out of the freezer before it becomes rock hard — you don't want to bruise those already swollen gums. Wash after each use.
Say, "Mommy is not for biting. You can bite this." Then, offer your little one a teething toy or ring.
Praise your baby — with a hug, kiss, or cuddle — whenever they nurse without biting or trying to bite.

Usually this is enough to stop the biting, but if your baby continues, talk to your doctor or lactation consultant for advice.

Reviewed by: Jamila H. Richardson, BSN, RN, IBCLC

Date reviewed: January 2021

How to help the baby when regulating

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Breastfeed special time for mom and her newborn baby. Together with the feeling of closeness and affection that feeding brings, understanding its nuances cannot but raise many questions, including the question of how to help an infant spit up. Regurgitation in a newborn is by no means always the result of a simple pat on his back.

In this article, we'll talk about the basics of helping a newborn spit up, as well as other questions you may have about spitting up.

Why do babies spit up?

Let's get it straight: why do newborns need to burp in the first place? During feeding, children usually swallow extra air - this is called aerophagia. Spitting up helps prevent this air from entering the intestines, as well as vomiting, gas, and crankiness in the baby. To avoid the return of milk after feeding, you should give the baby the opportunity to burp more often.

How to help a newborn spit up?

During the first six months, the baby should be kept upright in a column for 10-15 minutes after each feed. This will help keep the milk in his stomach, but if the baby occasionally burps anyway, parents need not worry. While carrying your baby in an upright position, you can put a baby diaper or wipes on your shoulder to keep your clothes clean.

We've already seen why spitting up is important, now let's find out how to help your baby spit up. Parents should gently pat the baby on the back with a hand folded in a handful until he burps. Folding your hand into a handful is important because clapping with a flat palm may be too strong for an infant.

Every baby is different and there is no one right position for spitting up. To get started, you can try the following options:

Sitting position with the baby on the chest. In this position, the parent puts the baby's head with his chin on his shoulder and with one hand supports the baby under the back. With the other hand, you can gently pat the baby on the back. This method is most effective in a rocking chair or when the baby is gently rocking.
Holding the child upright on your legs. With one hand, parents can hold the baby by the back and head, supporting his chin and placing his palm on the baby’s chest, with the other hand, you can gently pat him on the back. At the same time, it is important to be careful: do not press the child on the throat, but only gently support his chin.
Holding a baby on your lap while lying on your tummy. Make sure his head is above his chest and gently pat your baby on the back until he burps.

Here are some tips on how best to help your newborn spit up:

Let your baby spit up during feeding. If the baby is restless or has swallowed air, it is worth giving him the opportunity to burp during feeding, and not just after.
When bottle feeding, let the newborn burp after every 50-60 ml.
When breastfeeding, let the baby burp at every breast change.

It is important to let your baby spit up after eating, even if he spit up during feeding!

If your baby is gassy, spit up more often. Also, if he vomits frequently or suffers from gastroesophageal reflux disease (GERD), have him spit up after every 30 ml bottle-feeding or every five minutes while breastfeeding.

How long should a baby be held for it to burp? It's different for everyone, but generally keeping a newborn upright for 15 to 20 minutes after a feed helps the milk stay in the baby's stomach.

Minimize the amount of air you swallow. Gas production and regurgitation result from aerophagia during feeding. The baby will inevitably swallow air, but there are ways to prevent it from swallowing too much. Whether you bottle feed your baby or combine breastfeeding with bottle feeding, the Philips Avent anti-colic bottle with AirFree valve is designed so that the nipple is always filled with milk without excess air, even in a horizontal position, thus preventing the baby from swallowing excess air during feeding.

Reducing the amount of air your baby swallows can help reduce your baby's risk of colic, gas, and spitting up.

Breastfeeding is a wonderful time to strengthen the bond between parent and baby. Every mom and every baby is different, so learning to help your newborn burp properly can take time and practice.

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Baby spits up fountain | Nutrilak

Kuznetsova Anna

Published: 01/16/2023

Reading time: 7 minutes

1661

Every child has regurgitation at least once. As a rule, they occur after feeding and do not affect the general condition. But sometimes the contents of the baby’s stomach erupt literally like a fountain. Such episodes are not the norm and always require observation.

Why does a child spit up like a fountain

The reason for profuse spitting up can be elementary overfeeding if the baby has eaten more than his stomach can hold. But spitting up a fountain can also be a sign of illness: for example, food allergies - most often to cow's milk protein (CMP), a viral, neurological or acute surgical disease, malformations of the digestive system.

If the child vomited up once or rarely, there is probably nothing to worry about. Watch for gains in height and weight, tell your doctor about what happened. You may need his nutritional advice.

You should urgently seek medical help if the baby spit up a fountain often - not only after feeding, but also 1-2 hours after it, and even in sleep, if he feels worse, he cries, worries during and after such regurgitation. Another alarming symptom against the background of regurgitation by the fountain is stunting and lack of weight gain.

This is important!

The reason to call an ambulance is an unpleasant smell and an admixture of blood in the vomited contents, as well as a high temperature in the child.

The child spits up in a fountain after breastfeeding, what should I do?

If a baby is spitting up in a fountain, you need to make sure that he has a normal
temperature, that there are no items of clothing that are pressing on the tummy, tight elastic bands, and then observe if there will be more episodes of spitting up.
If the baby is not worried, does not show signs of fever or other alarming symptoms, most likely the cause of spitting up was overfeeding or incorrect positioning of the baby during / after feeding.

To avoid similar cases in the future, it must be remembered that in infants of the first half of the year the esophagus is relatively short and wide, and there is no complete closure of the opening between the esophagus and the stomach. Because of this feature, food is easily thrown back from the stomach into the esophagus, and then into the child's mouth, regurgitation occurs. In addition to overfeeding, it can be caused by a sharp change in body position, air swallowed during feeding, intense crying.
To prevent regurgitation, follow a few simple rules:

List

Do not overfeed your baby. If he is more than a month old, try to stick to the feeding regimen: in the first half of the year, about 3 hours should pass between feedings, in the second - 3.5-4. Find out if your baby is really hungry before breastfeeding.
Avoid tight swaddling and don't wear tight clothing to your baby.
Lay your baby on his tummy before feedings to strengthen the abdominal muscles and expel excess air from the stomach.
When feeding, hold your baby at a 45-60 degree angle so that his head is higher than his belly.
After a feed, hold the baby upright until he burps air that has entered the stomach while eating.
Do not play active games with the baby for 30-40 minutes after feeding: do not turn it over, do not toss it up and do not let others do it.

This is important!

If spitting up after breastfeeding occurred against the background of an increase in body temperature in a child, if spitting up is repeated, if you notice streaks of blood and an unpleasant smell in the milk that the baby spit up, call a doctor.

Child spits up like a fountain after formula. Change mix?

If the baby is spitting up the mixture profusely, but all health indicators are normal, check if you violate the feeding technique:

This is important!

Your pediatrician will help you choose an anti-reflux mixture based on the thickener. He will also advise on how many feedings and in what volume to add the anti-reflux mixture to the child, given the frequency and abundance of regurgitation.

It is not necessary to switch completely to another mixture due to regurgitation, but can be used together with the usual anti-reflux mixture until they stop. It is thicker and more viscous, so it stays better in the child's stomach and does not flow back.

Anti-reflux mixtures use modified starch or locust bean gum as a thickener. Mixtures with starch as a thickener can only be used for babies with loose, unstable stools. If the child has a tendency to constipation, such a mixture will only aggravate the situation.

Blends with natural locust bean gum, such as Nutrilak Premium Antireflux, on the contrary, help fight constipation: the active dietary fibers of natural gum normalize intestinal motility, soften stool and gently remove it from the body.