Is it normal for newborns to spit up milk?

Spitting up milk is a common phenomenon in the neonatal period, and many parents do not take it seriously. The common spitting of milk in newborns should be a milk spill, but in some cases the spitting of milk may be related to a disease.

The reason why your baby spits up

Newborn spitting milk and the physiological anatomical characteristics of newborns are related, because the newborn stomach capacity is small, horizontal state, and cardia is relaxed, when the baby feeds too much milk, sucks in too much air when feeding, the parents feed the milk posture is not right, or after drinking milk position changes, clothing is too tight, crying and other situations will appear milk spillage, a small amount of milk spillage is a normal physiological phenomenon of newborns.

Spitting up may just be a burp by your baby, causing a small amount of milk to spill out of the corner of the mouth. In general, there is not much difference between a slight spit-up and a milk spill, and there is no need to take a special treatment.

Sometimes the baby has a cold, gets sick, and the spitting up situation may be a little more serious than usual. However, as your baby grows older, the situation will improve significantly.

First of all, it is necessary to distinguish whether it is physiological spitting up milk or pathological spitting, which is manifested as milk spraying, milk can have milk lumps, sour taste, serious or yellow milk (accompanied by bile) and green, coffee color or even fecal slag-like milk, etc., the number of spitting up milk is more frequent, and the amount of vomiting is also greater.

Long-term spitting up milk will also cause symptoms such as weight loss and urine output. The spitting up of the above conditions may be a manifestation of a certain disease, and it is necessary to seek medical treatment in time and treat it early.

There are common reasons for spitting up milk

1. Pyloric spasm: due to the temporary dysfunction of pyloric function in the neonatal period, there is often squirting vomiting shortly after feeding, and clinically often spit out a large amount of milk and milk curds, sometimes good and bad.

For pyloric spasm, it is possible to use 1:1000 atropine in the mouth 5-10 minutes before feeding, starting with 1 drop, gradually increasing, the maximum amount should not exceed 4 drops, until the child appears red, generally can obtain obvious curative effect.

2. It is related to the drastic change of position: because the child's esophagus is short and the stomach is horizontal, after the child is full, whether it is suddenly picked up or suddenly put down, it will make the child spit up milk, or related to the escape of air in the stomach, or related to the sudden increase in the child's abdominal pressure.

Therefore, it is recommended to gently hold it up after the child has finished feeding, gently pat the back for at least half an hour, and wait for a burp or wait for the air in the stomach to escape before putting it down.

3, indigestion of spit milk: spit out milk generally has a sour taste, but also mixed with undigested milk blocks, and generally accompanied by poor appetite or reduced food intake, and even bloating, decreased defecation.

4. Infectious factors: it is the most common pathological cause of neonatal vomiting, in addition to the infection of the digestive tract itself such as epidemic diarrhea, hepatitis, etc., infections outside the digestive tract such as otitis media, pneumonia, sepsis, meningitis, etc., are also common causes of vomiting in newborns.

5. The incidence of hypertrophic pyloric stenosis in newborns is 1:300 to 1:900.

This type of spitting up is more likely to manifest as progressive vomiting that gradually worsens 2 to 6 weeks after birth.

Initially, vomiting after each meal can be intermittent, but soon develops into a jet.

Vomiting is non-biliary, but may have blood or "coffee grounds" due to concomitant esophagitis.

Newborns ask for feeding immediately after vomiting. Children are often dehydrated and malnourished, and their development has stopped, and once the above situation occurs, they should see a doctor in time.

Prevention of spitting up in newborns

First, when feeding, let the child not eat too urgently, in the middle of breastfeeding can stop breastfeeding, give the child a pat on the back, because some babies have more gas in the stomach, after feeding the milk must let the baby burp: the baby is lifted upright on the shoulder, tap the baby's back, let him inhale the air in the stomach together when he discharges the pumping by hiccups, and then put the baby on the bed, so that it is not easy to spit up, after feeding, it is best to let the baby stand for a while, the best posture when putting down is the right lying position, the pillow is slightly raised, These small measures can effectively reduce spitting up.

Second, when holding the baby to feed, the first is to try to be as light as possible, do not shake the baby's body violently. Second, when feeding, let the child's mouth wrap around the entire nipple, do not let the air take advantage of the void. When feeding with a bottle, the milk should also be completely filled with the nipple, and try to avoid air being brought into the child's stomach during feeding and causing spitting.

Third, when the child spits up milk, parents must timely turn the child's body over, the purpose is to let the milk in the child's mouth flow out of the corner of the mouth as soon as possible, if the child is lying on his back, after spitting up milk, you give him the process of rubbing the test, there is still residual milk in the mouth, if the child breathes at this time, it is easy to breathe into the lungs. It should be lying on your side and then cleaned up again, and there should be no damage to the child.

Fourth, supine feeding: Many parents are taking the method of feeding when the baby is lying on their back, which is actually not very scientific. Due to the particularity of the baby's stomach structure, when lying on the back, it is easy to cause milk to stay in the stomach, which can easily lead to spitting up. The more correct posture is to pick up the baby to feed, so that the baby's body is in a tilted state of about 45 degrees, and the milk in the stomach naturally flows into the small intestine, which can effectively reduce the chance of spitting up due to lying down to feed.

Fifth, observe whether the child is full, generally speaking, when feeding, the child automatically stops feeding, the mood, the state is good, automatically release the nipple, this time is generally the child is full. In addition, if the weight gain is very good and normal, it means that the child's milk is enough, as far as your child is concerned, the weight has exceeded the standard, and it is estimated that there is no problem of insufficient milk.

In addition, observe how long the child is hungry, and if the hunger situation begins after two and a half to three hours or so after eating, this time it means that the first time to eat milk is more enough, more sufficient.