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Spitting Up - Reflux

Disponible En Espanol


Care at Home

  • FEED SMALLER AMOUNTS: * Skip this advice if age less than 1 month or not gaining weight well. * BOTTLEFED BABIES. Give smaller amounts per feeding (1 ounce or 30 ml less than you have been). Keep the total feeding time to less than 20 minutes. Reason: Overfeeding or completely filling the stomach always makes spitting up worse. * BREASTFED BABIES. If you have a good milk supply, try nursing on 1 side per feeding. Pump the other side. Switch sides you start on at each feeding.
  • LONGER FEEDING INTERVALS: * FORMULA. Wait at least 2½ hours between feedings. * BREASTMILK. Wait at least 2 hours between feedings. * Reason: It takes that long for the stomach to empty itself. Don't add more milk to a full stomach.
  • LOOSE DIAPERS: * Do not put the diaper on too tight. It puts added pressure on the stomach. * Don't put pressure on the stomach right after meals. * Also, do not play too hard with your baby during this time.
  • UPRIGHT POSITION: * After meals, try to hold your baby in the upright (vertical) position. * Use a front-pack, backpack, or swing for 30 to 60 minutes after feedings. * Decrease the time in a sitting position (such as infant seats). * After 6 months of age, a jumpy seat is helpful. The newer ones are stable. * During breast or bottle feeds, hold your baby at a slant. Try to keep your baby's head higher than the stomach.
  • WHAT TO EXPECT: * Reflux gets better with age. * After learning to sit well, many babies are better by 7 months of age.
  • CALL YOUR DOCTOR IF: * Your baby does not get better with this advice * Your child becomes worse
  • LESS PACIFIER TIME: * Frequent sucking on a pacifier can pump the stomach up with swallowed air. * So can sucking on a bottle with too small a nipple hole. * The formula should drip 1 drop per second when held upside down. If it doesn't, the nipple hole may be clogged. Clean the nipple better. You can also make the nipple hole slightly bigger.
  • BURPING: * Burping is less important than giving smaller feedings. You can burp your baby 2 or 3 times during each feeding. * Do it when he pauses and looks around. Don't interrupt his feeding rhythm in order to burp him. * Burp each time for less than a minute. Stop even if no burp occurs. Some babies don't need to burp.
  • WHAT YOU SHOULD KNOW: * Mild reflux occurs in most infants (50%). * Almost always doesn't cause any pain or crying. * Infants with normal reflux do not need any tests or medicines. * Reflux improves with age. * Here is some care advice that should help.

Disclaimer

The information contained in these topics is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition. Nothing contained in these topics is intended to be used for medical diagnosis or treatment.

  • Not a Substitute - The information and materials in Pediatric HouseCalls Symptom Checker should not be used as a substitute for the care and knowledge that your physician can provide to you.
  • Supplement - The information and materials presented here in Pediatric HouseCalls Symptom Checker are meant to supplement the information that you obtain from your physician. If there is a disagreement between the information presented herein and what your physician has told you -- it is more likely that your physician is correct. He or she has the benefit of knowing your child's medical problems.
  • Limitations - You should recognize that the information and materials presented here in Pediatric HouseCalls Symptom Checker have the following limitations, in comparison to being examined by your own physician:
    • You can have a conversation with your child's doctor.
    • Your child's doctor can perform a physical examination and any necessary tests.
    • Your child could have an underlying medical problem that requires a physician to detect.
    • If your child is taking medications, they could influence how he experiences various symptoms.

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