Young parents often sound the alarm after the baby spit up milk. This is a common situation, which in most cases is a variant of the norm, but requires control by the mother over the number of regurgitations per day, their volume and weight gain of the baby.

What is regurgitation

mom and baby

First you need to understand what regurgitation is. Regurgitation is the passive leakage of the contents of the stomach immediately after eating or half an hour after feeding the baby. This situation occurs in more than half of healthy children of the first year of life, most often up to 6 months. In the first months, the child’s body adapts to new conditions. Their digestive system is no exception. When the baby spit up, the mixture or milk that is in the stomach after feeding is thrown back.

How to determine the amount of regurgitation

The following actions will help the mother determine the amount of regurgitated mass:

  1. Try to get the baby to burp into the diaper. It has a stain on it.

  2. Take 1 tsp. water, pour it on the diaper.

  3. Compare spots.

If the spots are approximately the same in size, then there is no cause for concern.

Reasons for regurgitation

Medicine distinguishes between two types of causes of regurgitation. Causes related to the physiology of the baby:

  1. short or globular esophagus;

  2. the esophagus in the upper part has a funnel shape;

  3. narrowed esophagus;

  4. underdeveloped sphincter of the stomach.

The mucous membranes of the newborn are quite sensitive with a weak muscular corset at the same time. As a result of these features, when food enters the stomach, its bottom begins to contract, pressure rises, and a small part of the food is thrown back into the oral cavity. The sphincter is located between the stomach and esophagus. It is still not mature enough in children of the first year of life. After the passage of food, the sphincter does not close completely, due to which food enters the esophagus and back into the oral cavity.

Functional reasons:

  1. the child’s esophagus is not yet formed; in the supine position, food enters his oral cavity;

  2. active movements after eating;

  3. binge eating;

  4. disturbed diet;

  5. incorrectly selected adapted mixture;

  6. swallowing air while feeding;

  7. improper attachment of the child to the breast;

  8. a sharp change in the position of the child after eating;

  9. pressure on the child’s abdominal cavity, tight diaper, diaper, constipation, gases;

  10. diseases of the gastrointestinal tract;

  11. viral diseases;

  12. head injury.

Often the cause of regurgitation lies in the diet is not according to the regimen. This mainly applies to “artificial babies”, who are not fed according to a schedule, but on demand, like babies. But formula takes longer to digest than breast milk. As a result of a disturbed feeding regime, pressure is created on the bottom of the stomach, food cannot be digested normally, regurgitation occurs.

What regurgitation is considered normal

baby feeding

Most often, regurgitation is not related to the child’s neurological dysfunction. In the following cases, mom should not panic, These are the normal options:

  1. after regurgitation, the child’s general well-being does not worsen;

  2. the baby does not refuse the next feeding;

  3. the child is gaining weight well;

  4. regurgitation occurs if the baby lies on his stomach;

  5. mild regurgitation, no more than 2 tbsp. l. at one time, it is about 30 ml.;

  6. regurgitation no more than 5-6 times a day;

  7. the substance has the consistency of cottage cheese, it is milk curdled under the influence of gastric juice;

  8. regurgitation “fountain” no more than 1 time per day;

  9. no unpleasant smell of vomiting.

Normally, this situation should pass by a year. After 6 months, spitting up in a child becomes less and less. Also, do not worry if the baby burped in two stages, after changing his body position. It’s quite normal.

What regurgitation is not a variant of the norm

Unfortunately, not all regurgitation is physiological. There are situations when they need to be treated with great attention. Parents should be concerned if:

  1. in the regurgitation fluid there is an admixture of bile or blood;

  2. there is bloating;

  3. diarrhea is present in parallel;

  4. streaks of blood are found in the child’s feces;

  5. simultaneous constipation;

  6. regurgitation with a “fountain” if the child is lying on his back;

  7. frequent regurgitation “fountain”;

  8. body temperature rises;

  9. regurgitation an hour after eating;

  10. frequent regurgitation with an interval of 5-10 minutes;

  11. after regurgitation, drowsiness appears;

  12. the child is not gaining weight well;

  13. the regurgitated mass has a large volume.

These symptoms may be a sign of health problems in a child. We advise you not to ignore them, but to consult a pediatrician as soon as possible.

What to do if regurgitation is not a normal option

Which breast pump to choose

The only thing mom can do is see a doctor. Next, the pediatrician will give a referral to the examination of narrow specialists:

  1. surgeon

  2. neurologist;

  3. gastroenterologist;

  4. a lactation consultant if the baby is breastfeeding.

When conducting an examination, the mother needs to clarify the following questions:

  1. Is the baby properly attached to the breast?

  2. Is he allergic to the mixture?

  3. Is the mixture correct?

  4. Does the child have problems with the esophagus.

On examination by a neurologist, the doctor excludes the presence of increased intracranial pressure, epilepsy.

Important! The older the child, the fewer regurgitations he should have. If at the age of one month he burped 2-3 times a day, then began to burp up to 8-10 times, then this situation should alert the parents.

First aid for a child

If the baby is lying on his back and begins to spit up, immediately, without delay, pick him up to prevent food from entering the respiratory tract. It happens that during feeding the baby begins to experience discomfort, crying, breaking away from the chest, then let him burp in the following ways:

  1. Hold the baby on your chest so that his chin rests on the mother’s shoulder. Gently pat or pat him on the back.

  2. Turn the baby on the tummy, perpendicular to the body of the mother. With one hand, hold the baby’s chin, with the other, stroke or lightly pat his back. The child’s head should be higher than other parts of the body. Otherwise, a rush of blood will form and food will be thrown into the baby’s airways.

If the baby burped with a “fountain”, then lay him on the barrel so that the vomit does not enter the respiratory tract. Then wash the child, change his clothes. If he is bottle-fed, give him some water. Take the baby in your arms, calm him down, carry him vertically around the room, stroking his back. After he calms down, check if the body temperature has risen, if the general condition has worsened.

How to reduce the number of regurgitation in the baby

Regulation of breastfeeding will help reduce the number of regurgitation in a newborn. For this, it is advisable to contact a breastfeeding specialist. At home, we advise mom to pay attention to the following points:

  1. Make sure your baby is latching on correctly. He should have the entire areola in his mouth. Mom should not be in pain, there should not be air whistles.

  2. The baby should not slide onto the nipple during feeding.. Often there is a situation when feeding begins correctly, the baby completely captures the breast. But, gradually begins to slide only on her nipple. If you do not control this moment in a timely manner, then the baby will capture air when sucking.

  3. If the breast latch is not correct, do not be afraid to take the breast from the baby and insert it again. If he continues to suck in the wrong position, then there is a waste of energy. Feeding will be ineffective.

Feeding experts advise breastfeeding your baby in an underarm position. Thus, the mother sees the capture of the breast by the baby, it is easier for her to control the feeding process. As a rule, the normalization of breastfeeding reduces the number of regurgitation.

sedatives for the chest

How to avoid curd regurgitation

Simple feeding rules will help to avoid regurgitation of the curd mass:

  1. Place your baby on your tummy an hour before feeding.

  2. During feeding, make sure that the baby’s body is slightly raised up.

  3. It happens that mother’s milk, which flows in a plentiful stream from the breast, leads to regurgitation. The baby does not have time to swallow it. This causes air to enter the stomach. In this case, the mother needs to express some milk and not drink liquids before feeding.

  4. If the child is bottle-fed, then purchase a special nipple for a bottle with an anti-reflux and anti-colic effect at the pharmacy.

  5. Don’t force feed your baby.

  6. Take care of your breast hygiene.

  7. Feed your baby in small portions, but more often.

  8. During the night feeding, put the baby on the flank. Thus, his stomach is better able to digest food.

When to feed a baby after spitting up

There is no need to look for a connection between the baby’s spitting up and subsequent feeding. The baby can eat enough, but then he was awkwardly taken, his body position changed. It is only natural that he will regurgitate a small amount of food. This situation will not be an indication for another unscheduled feeding. A baby may spit up immediately after sucking on breast or formula. It’s possible that he ate a little. Wait until your next meal. There is no need to adjust non-volume regurgitation to feeding and change its regimen. Voluminous regurgitation is a reason for consulting a pediatrician.

Prevention of regurgitation

If the child often spits up after feeding, then the following recommendations will help reduce the number of unpleasant moments:

  1. Don’t feed your baby in a squat position. In this case, the milk does not reach the lower parts of the stomach.

  2. Create a calm feeding environment so that the baby is not distracted by noise. Thus, it can capture a large amount of air.

  3. Do not let your child become very hungry. In this case, he greedily pounces on his chest and grabs the air.

  4. Make sure that the baby’s clothes and diaper do not put pressure on the tummy.

  5. Immediately after feeding, do not arrange a trip by car.

  6. Hold the baby upright for half an hour after eating.

  7. Follow the correct grip on the chest. The lips of a newborn should capture not only the nipple, but also the areola.

  8. If your baby is bottle fed, make sure the hole is not too big to choke on the formula, and not too small to trap air.

  9. Do not overfeed a formula-fed baby. Try giving him a smaller amount of formula at a time, but more often.

If your baby is spitting up after every feed, talk to your pediatrician.

Adaptive bathing

With frequent regurgitation up to 3 months of age, we advise the mother to discuss the issue of adaptive bathing with a neurologist. This is bathing a swaddled baby in warm water. The procedure must be performed in a baby bath. At the bottom of the bath we lay a diaper folded several times, under the head – a small roller of a thin towel. Water should slightly cover the body, the head remains open.

The purpose of adaptive bathing lies in the return of the child to a comfortable intrauterine state and the creation of favorable sensations for him. Thanks to him, the nervous system of the newborn is normalized, all body systems work in full. It is noticed that such children gain weight better. For bathing when regurgitation, you can use herbal infusions:

  1. mint;

  2. chamomile;

  3. motherwort;

  4. hop cones;

  5. turns.

Moreover, the series is always the basis for bathing. The rest of the herbs are used as ingredients. For example, 2 tbsp. l. series +2 tbsp. l. motherwort, 2 tbsp. l. series + 2 tbsp. l. chamomile. Before the procedure, do an allergy test. With the prepared infusion, treat the area of ​​the baby’s wrist. If there is no irritation, redness, itching, then the procedure will not harm the child.

Regurgitation in a child of the first year of life is the norm, if at the same time there is no deterioration in the baby’s well-being. Usually the situation improves after 6 months of age and completely disappears by the year.