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.


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