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Doctor insights on: If My Newborn Spits Up Should I Feed Her Again

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My newborn is 2 weeks old and frequently spits up after feedings (only breast milk) sometimes can spit up 1-2hrs later. Is this normal?

My newborn is 2 weeks old and frequently spits up after feedings (only breast milk) sometimes can spit up 1-2hrs later. Is this normal?

Normal: Reflux (spitting up) is perfectly normal. If it is accompanied by other signs such as weight loss, poor weight gain, fussiness, discomfort, bleeding, back arching, choking, trouble breathing then see your doctor right away. ...Read more

Dr. Al Hegab
1 Doctor shared a insight

Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth. Some practitioners are looser with the definition & extend the ...Read more


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My newborn spits up mucusy milk and it smells sour?

My newborn spits up mucusy milk and it smells sour?

Probably normal: Many newborns have difficulty retaining milk due to a poorly functioning sphincter muscle where the esophagus and stomach meet. The stomach normally has mucus and the sour smell comes from the acid and digestive juices in the stomach. Make sure your baby is gaining weight and report to your doctor if he seems to be fussy or severely colicky - the spit up can cause heart burn. ...Read more

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My 11 week old chokes on his milk almost every feeding. We use newborn flow nipples and have checked the drops. He spits up often as well. Help?

My 11 week old chokes on his milk almost every feeding. We use newborn flow nipples and have checked the drops. He spits up often as well. Help?

Reply: Based on history it sounds like a recent problem, now question is does he actually choke while feeding or makes choking noises only. If he had a connection between his food pipe and breathing pipe then choking episodes may have started soon after birth, making choking noises can be because of floppy sound box muscles that gets better with age. Then comes reflux that is also common at his age. ...Read more

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Newborn crying during breast feeding and seems in pain. Spits up a lot too. What could this be?

Newborn crying during breast feeding and seems in pain. Spits up a lot too. What could this be?

Likely reflux: Most likely your newborn is experiencing gastroesophogeal reflux, a common condition in babies. Try keeping baby elevated (head up), during feedings and for 20 minutes or so after feedings. Be sure not to overfeed. There is a possibility that there may be a lactose or protein intolerance, as well. Try limiting your dairy intake. If these things don't help, please contact your pediatrician! ...Read more

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3week old has been on enfamil Newborn and Soy formulas. Dr just switched him to Nutramigen but he's just as gassy and spits up more often. Any help?

3week old has been on enfamil Newborn and Soy formulas. Dr just switched him to Nutramigen but he's just as gassy and spits up more often. Any help?

Talk to your doctor: It can take about a week or so to find out if the new formula will work better for your baby. Gassiness and spitting up are usually related to how your baby feeds, more than the type of formula. Hold him upright as much as possible during feeds, and burp him frequently. Don't lie him down or put him in the carrier right after feeding. Talk with your doctor if he isn't doing better. ...Read more

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If baby spits up when do I feed her again?

If baby spits up when do I feed her again?

Spits up: How much, all of it, part of it, what?
Clean up your baby.
I apologies for her bad behaviour.
But were you taking time burping her, or were you in a hurry for poker game.
I will feed her when she demands, this time.
Now, don't make a habit of it, expecting an apology for all screw up, which you will.
Don't yell or scream at baby, if you do?
I shall turn you to " cockroach". ...Read more

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My 2 month old baby sometimes cries after feedings when he is well fed as if he wants more but when I give move he spits up??

My 2 month old baby sometimes cries after feedings when he is well fed as if he wants more but when I give move he spits up??

Reading signals: It is easy to assume a baby is hungry if they are willing to take more. However, babies suck often to self sooth and this can be when they are full. Babies are even born with sucking blisters on their hands showing they did so while getting fed through the placenta. Many babies are just tired and suck to self settle. Their crying is often fatigue and not understanding if they sleep it goes away. ...Read more

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My 10 week old daughter is exclusively formula fed. She still spits up a lot, and for a while after each feeding. How can I help her out?

My 10 week old daughter is exclusively formula fed. She still spits up a lot, and for a while after each feeding. How can I help her out?

Burp, upright: New babies, like 10 week old, spit alot. The valves that close their stomachs are not well developed, and they are also on liquid diets and eat frequently. Feed slowly, burp frequently and keep upright after feeds. There are special anti-reflux formulas that "thicken" the feeding, or alternatively, some docs like the parents to use cereal to thicken the feed. Talk to your ped! Congrats on baby! ...Read more

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There are times when my nursed 1 month old spits up for hours after her feeding. She spits up a lot and can't sleep. Doesn't seem right..

There are times when my nursed 1 month old spits up for hours after her feeding. She spits up a lot and can't sleep. Doesn't seem right..

Spitting up: IS she gaining weight?? Does she seem to be uncomfortable when she is spitting up? If yes then she may be having reflux, which is common in newborn babies. You may discuss about medication options with you regular doctor, usually it gets better once the child is 4-6 months. Overfeeding results in spitting up as well.
Please make sure she feeding well, gaining weight. ...Read more

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1 month old bottle fed and eats about four ounces and burps after every 2 oz. When she burps she spits up about half of what she ate. What can I do?

1 month old bottle fed and eats about four ounces and burps after every 2 oz. When she burps she spits up about half of what she ate. What can I do?

Maybe nothing...: Did you have a baby shower? Did people buy you burp cloths and bibs? Why? Answer... Because babies spit up. All babies spit up. If I handed u my baby to burp, you would put a burp cloth down. Now, everyone thinks spitting up is horrible and reflux is one of the most over diagnosed pediatric problems. Unless baby is in pain every spit up or not gaining weight well, or very projectile it's normal. ...Read more

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If I breastfeed my daughter and she spits up a lot should I feed her again?

If I breastfeed my daughter and she spits up a lot should I feed her again?

Probably not...: Generally speaking if your daughter is gaining adequate weight as determined by your pediatrician plotting her growth curve for each well visit check-up, then you probably do not need to feed her a 2nd time. Many babies will drink until their little stomachs are overfilled, especially if your breast milk is plentiful. So, rest assured, normal weight and height curves indicate your baby has plenty. ...Read more

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Baby spits up even 1 hour after feeding (since birth, now 2 mo).sometimes refuses bottle and cries. Few seconds before spit she cries. What can this be?

Baby spits up even 1 hour after feeding (since birth, now 2 mo).sometimes refuses bottle and cries. Few seconds before spit she cries. What can this be?

GERD: Frequent spitting-up in young infants are most often caused by gastroesophageal reflux (GER). Spitting-ups can be reduced by feeding a thickened formula, adding 1 tablespoon of rice cereal per ounce of formula on every feeding. Consult with your son's pediatrician for further details and other standard treatment for GERD including antacid. ...Read more

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What to do if I am breastfeeding and my son is 3 1/2 weeks old and every time I feed him he spits up and I only feed him 5 min?

What to do if I am breastfeeding and my son is 3 1/2 weeks old and every time I feed him he spits up and I only feed him 5 min?

Check Weight: Definitely check your babies weight soon. Breastfed babies can take up to two weeks to return to their birthweight. At that point they should gain half an ounce to an ounce a day. You should definitely schedule a one month check with your pediatrician! Good luck! ...Read more

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My 12 week old formula fed child sometimes spits up an hour or more after a feeding. A few of the times it has been clear. Could this be GERD?

My 12 week old formula fed child sometimes spits up an hour or more after a feeding. A few of the times it has been clear. Could this be GERD?

Kind of...: Well, most infants have some degree of reflux. It's usually nothing to worry about, unless it's to the point the baby is having trouble gaining weight. If that is the case, or if the reflux is causing a lot of pain, pediatricians will usually treat with a formula change, medication, or with the addition of a thickener (rice cereal) to the formula. Please discuss w/ur physician if serious. ...Read more

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My 4 month old spits up a lot and poops 4x a day. His temp is 98.2 f but his head feels hot. This started 4 days ago. Formula fed. Maybe teething?

My 4 month old spits up a lot and poops 4x a day. His temp is 98.2 f but his head feels hot. This started 4 days ago. Formula fed. Maybe teething?

Maybe not: Teeth start to erupt around 5 to 6 months. This sounds too early. Maybe consult a physician. With teething they usually act very fussy too. ...Read more

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My almost 3 month old daughter constantly spits up after each feeding. Bottle. I swiched her formula 3 times already could she have acid reflux?

My almost 3 month old daughter constantly spits up after each feeding. Bottle. I swiched her formula 3 times already could she have acid reflux?

All babies reflux: As long as she is growing well, and does not experience pain or choking then the spitting up can be ignored, and she will outgrow it. If she does have associated pain or choking then you should discuss thia with your pediatrician, and her weight gain and growth chart should be established at her well baby checkups. ...Read more

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My 5 wk old vomits (not projectile)and spits up at least 3 or so times every feed. He's kept upright, burp him often. Will switching formula help?

Usually physiologic: Not uncommon for spitting up to occur in infants. If vomiting occurs several hours after eating then usually problem with slow gastric emptying. If infant gaining weight and not having airway or lung problems usually physiologic. If infant stops eating or loses weight than an issue. With maturity usually reflux or vomiting lessens. If worried see pediatrician, ...Read more

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How can I tell if my 2mth old has reflux and requires medicine? He spits up sometimes but is gaining weight. He makes swallowing sounds hrs after feed

How can I tell if my 2mth old has reflux and requires medicine? He spits up sometimes but is gaining weight. He makes swallowing sounds hrs after feed

Happy vs sad: I classify these kids as happy spitters or sad. All babies reflux, and it worsens as they age, peaking around 4 mo and diminishing when they start sitting. If they look and act sick, a trial and or use of meds is worth the effort. If they are happy, just monitor. ...Read more

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My 1 month old spits up clear loquid after feedings and she will cry atleast 15 to 20 minutes after and right before spitting up. Is this normal?

My 1 month old spits up clear loquid after feedings and she will cry atleast 15 to 20 minutes after and right before spitting up. Is this normal?

Normal: Babies do spit up a bit, it may be due to over feeding as they have small stomach or need burping after feed. Feed your baby every 2 hrs 2-3 oz at a time and burp for 15 minutes or so. This may help, if not then talk to your doctor and get the baby checked up. ...Read more

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My two month old spits up every time he eats. He is breast fed only, and gaining fine. What can I do to stop this? And should I be worried?

My two month old spits up every time he eats. He is breast fed only, and gaining fine. What can I do to stop this? And should I be worried?

Doctor to evaluate: If a young, refluxing baby is already taking zantac, (ranitidine) getting burped, being held upright (with nothing pressing on the tummy), the question becomes: is there good growth and no pain? If the baby is happily growing despite spitting every feeding, it may be ok to keep watching with the pediatrician. Sometimes one can try switching to small, frequent bottle feedings to regulate the intake per feeding. ...Read more

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My daughter is 3 weeks old and is bottle feeding about 4 oz every 3-4 hours, and I notice that an hour after eating she spits up water is it normal?

My daughter is 3 weeks old and is bottle feeding about 4 oz every 3-4 hours, and I notice that an hour after eating she spits up water is it normal?

Spitting: Spitting can be normal. Is the child fussy? Is the child gaining weight? If the child is a happy spitter then nothing to worry about. If the child is forcefully vomiting that is a different story ...Read more

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My 2 month old breast milk fed baby spits up a lot. How much is too much and when should I be concerned about it?

My 2 month old breast milk fed baby spits up a lot. How much is too much and when should I be concerned about it?

Is baby growing?: If baby is happy more or less and ready to refeed after sptting it is likely simple reflux. As long as baby wets diapers every 6 hours and is growing, I don't get very concerned. The spitting can increase and peak around 4 mo as baby becomes more active. If baby doesn't wet but every 8hrs or more, you need to have it evaluated. ...Read more

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My 3 month old expressed breast milk fed baby sometimes spits up clear liquid. Is this normal or should I take him to a dr?

My 3 month old expressed breast milk fed baby sometimes spits up clear liquid. Is this normal or should I take him to a dr?

Stomach juices: Sounds like normal baby spit-up. If he is growing and gaining weight well, a happy and content baby and not having any respiratory problems such as cough or wheezing that could be caused by reflux, I wouldn't worry about it. ...Read more

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My 1 month old spits up a lot. She either does not spit up at all or she spits up 5-10 times which seems like her entire stomach full. Breast fed.?

My 1 month old spits up a lot. She either does not spit up at all or she spits up 5-10 times which seems like her entire stomach full. Breast fed.?

Burp, upright: New babies spit alot. The valves that close their stomachs are not well developed, and they are also on liquid diets and eat frequently. Feed slowly, burp frequently and keep upright after feeds. Sometimes altering your diet can be helpful, such as decreasing your dairy products intake. If baby gaining weight and growing well, not to worry. Talk to your ped! Congrats on baby! ...Read more

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My one month old spits up a lot, should I be worried?

My one month old spits up a lot, should I be worried?

Not if...: He is gaining weight and sleeping 2-3 hours at least between feeds. He may have a little reflux, burp him after every ounce and keep him upright for 30 minutes after eating. Have him weighed by your pediatrician. ...Read more

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My baby spits up after every bottle should I change her milk?

My baby spits up after every bottle should I change her milk?

Not necesarily: Look into how much you r feeding him first. Try to make feeds of lesser amount and more frequent. Also use "reflux precautions" in which u keep babies head elevated above stomach for half an hour after each feeding, and lay him with head of crib elevated. If this doesn't work talk with your doctor to see if thickening or changing formula is the next best thing. ...Read more

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Sometimes my 2 month old over eats and spits up. How do I know when he is full even when he keeps sucking?

Sometimes my 2 month old over eats and spits up. How do I know when he is full even when he keeps sucking?

Sucking: 2 month olds like to suck. Make sure he is getting the recommended amount of formula and then allow him to suck on a pacifier briefly. Do not use the pacifier continuously. By 6 months this need should pass. Review the volumes of his feedings with his MD. Most babies do spit. All the best. ...Read more

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When I sit my baby up and pat her back, she usually burps and spits up, but only a little bit. Is that normal?

When I sit my baby up and pat her back, she usually burps and spits up, but only a little bit. Is that normal?

Spit ups are common: Small amounts of spit ups are very common in infants, due mostly in part to their anatomy. Since the esophageal sphincter is not as well developed for the first few months, they are at an anatomical disadvantage for keeping milk in the stomach. If not associated with poor weight gain, projectile vomiting or severe distress, spit ups are not cause for concern. ...Read more

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Should I be concerned that my baby always spits up?

Should I be concerned that my baby always spits up?

No: Many babies spit up normally in the first 4 months, even with every feeding. If you feel your baby is not growing well, is uncomfortable when spitting up, or appears sick, they need to be examined. ...Read more

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How do I know my baby is getting enough to eat if he spits up frequently?

How do I know my baby is getting enough to eat if he spits up frequently?

Spitty babies: The bottom line here is in the numbers. The newborn and young infant should gain about an ounce a day (some more, some less based on birth factors). If your baby is meeting those weight gain goals, you can rest assured that enough is staying down despite the spit up. If your baby is not, or if s/he is experiencing pain associated with feeding or spit up, be sure to talk with your pediatrician. ...Read more

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My 6 mo old spits up a lot what can I do?

My 6 mo old spits up a lot what can I do?

Spit up: The most important issues here are the babies comfort level and weight gain. In the absence of irritability in a baby who is gaining appropriate weight, you don't necessarily have to do anything. Often the introduction of solid foods in the 4-6 month age range will help control it anyway. But if your baby is irritable and/or is not gaining appropriate weight, evaluation by a doctor is needed. ...Read more

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Should I breastfeed my baby after he spits up?

Should I breastfeed my baby after he spits up?

Yes: A baby who swallowed a lot of air will have a full stomach but not much calories in it. Spitting up will leave him with not enough to call it a feeding. ...Read more

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4mo baby periodically spits up clear spit up everyday. Normal?

4mo baby periodically spits up clear spit up everyday. Normal?

Spit up can be norma: Most 4 month olds have some degree of spitting up (we call it reflux). If it occurs during or after feeding it may look more like breast milk or formula but stomach contents can be clear too. If it is not constant and not severe and your baby continues to grow normally, than it is likely O.K. ...Read more

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My son spits up after every nursing does he have a reflux problem?

My son spits up after every nursing does he have a reflux problem?

Maybe reflux: A child who has always been spitty after each breastfeeding may have gastroesophageal reflux, especially if he is an otherwise normal child. Spitty babies need to be evaluated by a doctor to be sure there is not another problem causing spitting, such as some internal blockage or other medical condition. Treatment is available for reflux, so the doctor may prescribe some medication. ...Read more

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My baby is almost 4 months but constantly acts hungry but also spits up a lot what could this be?

My baby is almost 4 months but constantly acts hungry but also spits up a lot what could this be?

If growing: Just fine in height and weight it could be reflux. There is treatment even for babies. If not reflux it could be a milk allergy of some kind, milk protein or lactose. Talk to the pediatrician. ...Read more

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How do you know if your baby is lactose intolarant I have changed formulas and she spits up more than most babies

How do you know if your baby is lactose intolarant I have changed formulas and she spits up more than most babies

Doubt it: Most spitters have exaggerated reflux.This usually worsens until about 4 months before starting to improve.Formula changes seldom help. True lactose intolerance affects few newborns but can occur transiently after a bad diarrhea. Acidic watery stools are a common finding. ...Read more

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My 3.5 mth old has reflux. On meds and hypoallergenic formula. Happy/healthy otherwise but he spits up all day! Could it be something else?

My 3.5 mth old has reflux. On meds and hypoallergenic formula. Happy/healthy otherwise but he spits up all day! Could it be something else?

GER: As long as your baby is free of complication, e.g., chest congestion, poor weight gain, excessive crying with arching back posture, he is merely a "happy spitter." trial of thickened feeding, adding cereal, one tablespoon per oz of formula, could reduce amount of vomiting. ...Read more

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My 2 month old is sick with a cold. Today she won't eat much. Also gags and spits up. How many wet diapers should she be having? Suggestions

My 2 month old is sick with a cold. Today she won't eat much. Also gags and spits up. How many wet diapers should she be having? Suggestions

>=5 times a day: At least 5 a day. Try Ricelyte or Pedialyte for hydration. Take a small syringe without a needle and dose 1-2 cc's directed into her inner cheek as often as possible. If she doesn't put out urine in 6 hours, to ER. Otherwise, use saline sterile drops in one nostril at a time with very gentle suctioning. If she acts lethargic, has sunken eyes, begins vomiting or diarrhea or develops a fever, ER. ...Read more

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My boyfriend keeps having bad headaches, and sometimes he spits up blood what is wrong?

My boyfriend keeps having bad headaches, and sometimes he spits up blood what is wrong?

Potentially Serious: I would strongly recommend you have your boyfriend seek medical attention immediately. I am not an alarmist, but severe headaches associated with spitting up blood can be signs of very serious, even life-threatening problems. Again, I highly encourage you to seek medical attention--with you personal doctor or emergency room--as soon as possible. ...Read more

Children's Health (Definition)

Children's health refers broadly to the health maintenance and prevention ...Read more