Why Does My Breastfed Baby Spit Up So Much?

Table of Contents
    Add a header to begin generating the table of contents

    Spitting up either breast milk or formula is common in infants. Babies often come up a little milk when they burp, and they tend to spit up after (and sometimes during) feedings. A "happy spitter" is what doctors might call a baby that regurgitates but otherwise seems healthy, isn't having any breathing issues, and is thriving and growing well. It's normal for babies to do this, but there are steps you can take to ease your child's discomfort and prevent more episodes. The spitting up could be a symptom of anything more serious, so it's important to know what to watch for in case you need to see a doctor. Check out My Baby Nursery for all your baby product needs.

    What Should I Do If My Infant Regurgitates?

    Infant spitting up, also known as physiological or simple reflux, is common but mostly harmless. Because their digestive systems aren't fully developed, most infants will experience occasional spitting up (the tube connecting the mouth to the stomach).

    When infants consume milk too quickly, they often experience a gagging reflex. This can occur if the baby is feeding too quickly, too forcefully, or if the mother's breasts are too full. Spit up often looks much more substantial than it actually is. Babies who are easily distracted (drawing away from the breast to gaze about) or who are fussy at the breast are more likely to swallow air and spit up. When teething, trying solid foods, or learning to crawl some infants have more spitting up.

    Why Do People Throw Up Occasionally?


    Even healthy infants occasionally throw up. Roughly half of infants will have gastroesophageal reflux (GER), infant reflux, or newborn acid reflux within the first three months of life. A muscle called the lower oesophageal sphincter, located between the oesophagus and the stomach, normally prevents stomach contents from escaping. It's possible that your kid will have trouble with spitting up until this muscle has developed, even if they seem otherwise full-term. The digestive system of a newborn is still developing, therefore there is more spitting up in the first few months than later on. Babies' milk travels from the mouth, via the oesophagus, and finally into the stomach while they nurse. A ring of muscles termed the lower oesophageal sphincter closes off the oesophagus at the stomach. This "trap door" isn't as reliable as it should be until around six months of age, when the sphincter has matured and can open and close quickly to allow milk to enter the stomach and then seal again. This may lead to spit up because milk is being forced backwards. In addition to this, three more factors contribute to infant vomiting:

    • Since infant stomachs are very small, overfeeding can be a problem. Overfeeding can cause a baby to become full, and there's only one place for the excess milk to go.
    • Your infant may have gastrointestinal distress due to a sensitivity or allergy you have to a food or drink you consume while breastfeeding.
    • Babies who drink quickly often swallow air along with their milk. If you have a powerful let-down reflex or an abundance of breast milk, this is very important to remember.

    Vomiting Vs. Spitting Up?

    A baby will spit up when the contents of his or her stomach easily pass through his or her mouth, sometimes accompanied by a burp. When the flow is strong, blasting out inches rather than dribbling, we call that vomiting. The infant appears to be vomiting a lot. Does our child's frequent vomiting threaten his or her development? A baby's normal spitting up behaviour has no negative impact on their health. There should be no cause for alarm as long as your kid is content, is eating properly, and is putting on weight. Your infant won't be hurt by the loss of calories from excessive spitting up if he or she is growing weight. Remember that the size of a spit-up stain is not necessarily indicative of how much your kid has spat up.

    Excessive Spitting Up: Possible Causes

    Reflux-like symptoms can be caused by an excess of breastmilk or a forced let-down (milk ejection reflex), but are usually easily treated.

    Overly Frequent Spitting Might Be A Symptom Of A Food Allergy.

    Cow's milk products (whether consumed by the mother or the infant) are the most likely culprit. Does the infant receive anything besides breast milk? This includes formula, foods (such as cereal), vitamins (fluoride, iron, etc.), medicines, and herbal remedies. We were wondering if Mom took any supplements or vitamins.

    Gerd Babies Often Vomit.

    Projectile vomiting is unusual in breastfed infants, but it can be an indication of pyloric stenosis, a stomach condition that requires surgery. Symptoms normally manifest between 3 and 5 weeks of age, and it is four times more common in boys than in girls. It is recommended that newborns who projectile vomit more than once a day see a doctor.

    Gerd (A.K.A. Reflux)

    The condition gastroesophageal reflux disease can be the root cause of spitting up in infants who are not "happy spitters" (GERD). Spit-up that comes back up with stomach juices and acids is called "reflux," and it occurs when the lower oesophageal sphincter does not close promptly after opening. Some infants with reflux suffer from significant distress. Heartburn and other symptoms of GERD include:

    • To have difficulty breathing, such as via gagging, choking, coughing, or wheezing
    • Anguish and distress
    • Due to vomiting, growth is stunted (rarer)

    A severe case of acid reflux can be identified by the following warning signs:

    • Severe or inconsolable crying or fussiness associated with feedings.
    • A state of not thriving; low weight gain or loss. Issues with eating. Refusal to breastfeed or eat.
    • Throat pain, hoarseness, congestion in the nose and sinuses, and repeated ear infections are all symptoms of this condition.
    • She coughed up what looked like green or yellow fluid.
    • When a baby has Sandifer's syndrome, he or she may 'posture' by arching the back and neck to ease the pain of reflux by increasing the length of the oesophagus.
    • Bronchitis, apnea, wheezing, persistent coughing, asthma, pneumonia, aspiration, and cyanosis are all examples of breathing disorders.

    You and your baby's paediatrician should talk about your child's spitting up habits to determine whether or not gastroesophageal reflux disease (GERD) is a factor. If that's the case, medical intervention and/or lifestyle changes may be required. Babies with GERD may not eat enough. Current data suggests that infants younger than a year old should only be tested for reflux if their spitting up is accompanied by other symptoms such as rapid weight growth or loss, lung disease, severe choking, or other issues. An infant with severe reflux who appears to be developing normally and who does not have any other serious health problems may benefit most from minimal or no treatment.

    Many paediatricians, upon suspecting gastroesophageal reflux disease (GERD), will first prescribe a trial of different reflux drugs (prior to ordering tests) to see if the baby's symptoms improve. The current "gold standard" for evaluating infants for reflux is a 24-hour pH probe study (PDF), in which a tube is inserted down the baby's throat to monitor the acid level at the base of the oesophagus.

    Since most infants will experience reflux after being administered barium, the less intrusive barium swallow is not useful for identifying reflux in infants. When a baby has reflux, an upper GI will not reveal if the infant's stomach contents are more acidic or whether the baby's oesophagus has been damaged. However, it will reveal any narrowing or blockage of the stomach's valves that may be to blame for or contributing to the reflux. Under some conditions, extra testing may be advised. Babies with severe cases of reflux who do not respond to treatment may be candidates for surgical intervention.

    How To Decrease Vomiting?

    Baby Tips and Advice

    Several measures can be taken to lessen the frequency with which your infant throws up.

    The Baby Needs To Burp

    After each meal, make an effort to burp your baby to get any excess air out of her digestive system. Some breastfed infants can go longer between burps because they take in less air while nursing compared to newborns who are given a bottle.

    This might not be the case, though, if your milk production is high or if it comes out quickly. A baby's spit up may be the result of being burped. Even so, it's a good idea to take this step. Burping your infant helps him or her expel the air that was swallowed during the meal.

    Your infant will feel better after a burp. If your baby is having trouble keeping food down, deflating his or her stomach may help. Online baby product directory at My Baby Nursery.

    Observe A State Of Calm And Quiet During Feedings

    While nursing, it is best to have as little outside stimulation as possible, including little noise and dim lighting. Less spitting up may result from more relaxed feedings. You shouldn't hop about or play extremely vigorously just after a meal, either.

    Baby Needs More Frequent Feedings.

    The longer you go between feedings, the more likely it is that your baby may feed too quickly, gulping in air. Maintain the daily milk intake at the minimum recommended level; think about changing the timing of your feedings.

    Implement A Powerful Decay

    Your breast milk may be coming out too quickly if you have a strong let-down reflex. To help your infant take in the milk against gravity, try nursing while lying down. As an additional measure, you can pump or express some milk from your breasts before starting a feeding to assist control the rate of milk production.

    It's Important To Prevent Stomach Pain Before Eating.

    Breast engorgement can occur if a mother produces too much milk or if her milk supply has not yet adjusted to her baby's needs. Because of this, your breasts may become too firm for your infant to obtain a good latch and a healthy seal around your nipple. This means that while he tries to nurse, he will be taking in air. Before you feed your infant, you can prepare the breast by pumping or expressing milk. Your kid will be able to latch on more easily if you do this.

    Attempt Different Roles

    If your infant seems uncomfortable when breastfeeding, try a few different positions. And for at least 30 minutes following a feeding, keep your baby's head raised and supported.

    How Can I Control My Burping?

    Keep in mind the following:

    • You should try to keep your kid in an upright position. If you're going to feed your infant, do it while standing up. Spend at least 30 minutes in a favourable position after each feeding. Do not use a baby swing or engage in active play right away.
    • Don't stuff yourself. Try giving your infant more frequent, smaller feedings.
    • Remember to pause and burp your infant. Avoiding gas in your baby's stomach can be accomplished by burping him or her frequently after and before each feeding.
    • Infants should be put to sleep on their backs. If you want to lower your baby's risk of SIDS, you should always put her or him to sleep on his or her back. Babies shouldn't be put to sleep on their tummies to avoid regurgitation.
    • Play around with what you eat. A doctor caring for a breastfeeding infant may advise you to avoid dairy and other foods.

    Helpful Hints For Mothers Who Are Breastfeeding

    Each of us has a unique rate of milk production from the breast. Keeping the flow under control isn't always easy. Spitting up is more common after eating a large meal. Think back to all those nursing classes you attended with much anticipation throughout your pregnancy. Regular, modest meals are easy on the stomach. When you eat less, you throw up less. Additionally, it controls the flow.

    Frequent milk expression reduces the likelihood of a painful let-down in nursing mothers. The outcome is less gas in your infant's stomach. She will have a sufficient amount of milk at each feeding to stave off hunger. This means she is less prone to throw up after eating.

    An infant can get a more consistent flow of milk from a bottle than through breastfeeding. Because of this, eating becomes more leisurely and does not cause a rapid accumulation of food in the stomach. Bottle feeding, when done properly, also reduces the risk of aspiration. In our case, we saw less gas and spittle from our kid as a result.

    • Breastfeeding should be done as often as the baby requests it. These more frequent, smaller meals can be easier for the digestive system.
    • As an alternative to lying flat on one's back, breastfeeding mothers can recline such that their babies are perched on their chests. For more on how to nurse in an upright posture, read this.
    • Breastfeeding while on the move (rocking, strolling), in the tub, or while the baby is asleep might help soothe fussy, reluctant eaters.
    • Maintain a secure latch to reduce the likelihood of choking on air.
    • Do not provide the other breast until the first one has been finished (by waiting for the infant to pull off or fall asleep). It's not a good idea to switch sides in the middle of a feeding. Frequently or prematurely switching sides might lead to a great deal of spitting. Swap breasts every few hours rather than at each feeding if your baby is nursing regularly.
    • Sucking for comfort rather than nutrition at the breast is encouraged since it helps soothe an upset stomach and hastens gastric emptying.
    • When your baby has just finished eating, it is best not to subject him or her to any sudden movements, jostling, or handling. Helping the baby to sit up straight may make him or her feel more at ease. Burping frequently can prove useful.
    • As usual, pay attention to your baby and respond to his indications to figure out what makes him more comfortable.

    As To Why Throwing Up Occurs?

    Nausea and vomiting are common side effects of exercise. There is usually no cause for alarm in infants younger than three months. During this time, about half of all infants will throw up. The reason for this is because the lower oesophageal sphincter is still developing at this age. Spitting up is normal until that muscle is strong enough to keep food in the stomach. It's only natural that you'd take notice once she's had a meal.

    This kind of response is typical. It's likely that your infant is similar to ours in that he or she is content and contented, and eats without fuss. You may relax as long as your newborn is meeting these milestones. The world is a pleasant place if your spitter is cheerful.

    It came down to making sure she was propped up after each meal, and also don't forget to burp! Releasing the trapped gas from the stomach can assist keep food from being forced back up the oesophagus.

    It's not just your baby; ours suffers from acid reflux too. They feel the same discomfort as everyone else. Reflux may be to blame if your infant is in pain, isn't gaining weight, or complains of being overfed. Feedings can be less of a chore and her symptoms can subside with the help of a variety of drugs and (much as in adults) adjustments to her way of life. My Baby Nursery is your one-stop baby product store.

    The majority of the time, the best way to stop choking is to try different things and see what works. Neither breast milk nor formula can account for this. One hundred percent of the focus should be on you and your kid during feedings.


    Infants frequently throw up after consuming either breast milk or formula. Your child's pain can be reduced by taking these measures. It's vital to know the signs to look for in case you need to see a doctor because choking or vomiting could be a sign of something more serious. If a baby is able to effortlessly remove stomach contents through his or her mouth, this is called spitting up, and it may be accompanied by a burp. An overabundance of breastmilk or an abrupt cessation of breastfeeding may result in symptoms similar to reflux (milk ejection reflex).

    Infants who are exclusively breastfed are more likely to get pyloric stenosis, which can cause vomiting that is thrown up in a projectile motion. When the lower oesophageal sphincter does not seal swiftly after opening, stomach acid and fluids can back up into the oesophagus, causing a condition known as reflux. In order to observe if the baby's symptoms improve, many paediatricians will prescribe a trial of different reflux medicines. A 24-hour pH probe study is the current "gold standard" for assessing newborns for reflux. Because they are taking in less air while breastfeeding, some breastfed newborns can go longer between burps.

    Breast engorgement can occur when a mother's milk production has not yet adjusted to her baby's needs, or when she produces too much milk. Your infant is more likely to feed too quickly, gulping in air, the longer you go between feedings. When nursing women express their milk frequently, they lessen the chance that they will experience a painful let-down. The danger of aspiration is also decreased by bottle feeding if done correctly. A fussy eater may be comforted by switching breasts every few hours rather than at each feeding.

    Exercise frequently brings on nausea and vomiting. Until the stomach muscle develops enough strength, vomiting is to be expected. If your infant is uncomfortable, not gaining weight, or complaining of being overfed, reflux may be to cause.

    Content Summary

    1. Infants frequently throw up after consuming either breast milk or formula.
    2. A baby that regurgitates but is otherwise alert, alert to stimuli, and growing normally may be deemed a "happy spitter" by their doctors.
    3. Even though this behaviour is common in infants, there are things you can do to make your baby more comfortable and stop future bouts.
    4. It's crucial to know what to look for in case you need to see a doctor because the retching could be a sign of anything more serious.
    5. Infant vomiting, also known as physiological or simple reflux, is common and typically harmless.
    6. Within the first three months of life, almost half of newborns will experience GER, baby reflux, or neonatal acid reflux.
    7. Most of a baby's spitting up will occur in the first few months as their digestive system matures.
    8. Moreover, the following three elements also have a role in newborn vomiting:
    9. Overfeeding can be dangerous for infants due to their tiny stomachs.
    10. The baby seems to be sick a lot.
    11. What kind of effect could regular vomiting have on our child's growth and development?
    12. Normal retching in infants does not pose any health risks.
    13. Just though a spit-up stain is big doesn't mean your youngster threw up a lot.
    14. The most likely cause is the consumption of cow's milk products, either by the mother or the infant.
    15. The sudden onset of projectile vomiting is not common in breastfed newborns, but it can be a sign of pyloric stenosis, a stomach problem that requires surgery.
    16. Newborns who projectile vomit more than once a day should be checked up by a medical professional.
    17. Gerd (A.K.A. Reflux) (A.K.A. Reflux)
    18. Infants who are not "happy spitters" may have gastroesophageal reflux illness, the underlying reason of their frequent vomiting (GERD).
    19. Some infants with reflux experience severe discomfort.
    20. If your baby frequently throws up after eating, you and your child's paediatrician should discuss the possibility of gastroesophageal reflux disease (GERD).
    21. When gastroesophageal reflux disease (GERD) is suspected, many paediatricians will try a variety of reflux medications on the baby first (before scheduling tests) to see if the symptoms subside.
    22. The 24-hour pH probe study (PDF), in which a tube is placed down the baby's throat to monitor the acid level at the base of the oesophagus, is currently considered the "gold standard" for screening newborns for reflux.
    23. An upper GI will not show whether or not a baby's oesophagus has been damaged by the acidic stomach contents that reflux causes.
    24. Surgical surgery may be an option for babies with severe cases of reflux who do not respond to medical treatment.
    25. If your infant is sick frequently, you can take some steps to reduce the frequency of their vomiting.
    26. Take the time to burp your infant after each meal to help release any trapped air.
    27. The act of burping an infant could cause vomiting.
    28. A burp will help your baby feel better.
    29. Your infant is more likely to feed too quickly, gulping in air, the longer you go between feedings.
    30. Keep your milk intake at the minimal daily level; consider shifting the timing of your feedings.
    31. Nursing your baby while lying down will assist them take in the milk against gravity.
    32. To further help regulate your milk supply, you can express or pump a small amount of breast milk just before giving a meal.
    33. Pumping or expressing milk might help you become ready to nurse your baby from the breast.
    34. Feed your baby while standing up if at all possible.
    35. After eating, you should rest for at least half an hour.
    36. Provide your baby with more frequent, smaller meals.
    37. Take a break and burp your baby.
    38. Burping your infant repeatedly after and before each feeding is a great way to prevent gas in the stomach.
    39. When it comes to breast milk production, everyone is different.
    40. Sometimes it's hard to keep the flow under control.
    41. After a heavy meal, many people experience a round of retching.
    42. It regulates the current as well.
    43. The end result is reduced gas in your infant's digestive tract.
    44. A baby can get a more steady supply of breast milk from a bottle.
    45. When a baby is hungry, it's time to breastfeed.
    46. This article will teach you how to nurse while sitting up straight.
    47. Feeding a fussy or reluctant eater while on the go (rocking, strolling), in the tub, or even while the baby is asleep could assist.
    48. Always keep the latch closed to prevent accidental suffocation.
    49. If your infant is breastfeeding often, you should alternate breasts every few hours rather than at each meal.
    50. In cases of gastrointestinal distress, comfort sucking at the breast is recommended above actual feeding since it calms the baby's stomach and speeds up the digestive process.
    51. Pay close attention to your kid and act on his cues to determine what he needs to feel at ease.
    52. Exercise frequently brings on nausea and vomiting.
    53. Infants fewer than three months old rarely present any serious health concerns.
    54. Roughly half of infants will experience vomiting during this time.
    55. This is because the lower oesophageal sphincter is not fully formed until later in childhood.
    56. Until the stomach muscle develops enough strength, vomiting is to be expected.
    57. The reaction you gave was quite standard.
    58. Your baby is probably just like ours in that he or she is calm and happy and eats well without any fuss.
    59. So long as your newborn is reaching these benchmarks, you may rest easy.

    Frequently Asked Questions

    • Keep your baby upright. Feed your baby in a more upright position.
    • Avoid overfeeding. Feeding your baby smaller amounts, more frequently might help.
    • Take time to burp your baby.
    • Put baby to sleep on his or her back.
    • Experiment with your own diet.

    Offer your baby a feeding after they've stopped throwing up. If your baby is hungry and takes to the bottle or breast after vomiting, go right ahead and feed them. Liquid feeding after vomiting can sometimes even help settle your baby's nausea. Start with small amounts of milk and wait to see if they vomit again.

    Gastroesophageal reflux, characterised by recurrent spitting and vomiting, is common in infants and children, but doesn't always require treatment. A new study shows that infants who suck on pacifiers have fewer and shorter episodes of reflux, although researchers don't go so far as to encourage the use of pacifiers.

    Usually, it's just 1 or 2 tablespoons at a time. If your baby spits up more than this—or if their spitting up is the effect of respiratory events like choking, coughing, or wheezing—ask your paediatrician if there is a reason to be concerned.

    • Fish high in mercury.
    • Some herbal supplements.
    • Alcohol.
    • Caffeine.
    • Highly processed foods.
    Scroll to Top