Spitting up is the easy flow of stomach contents out of the mouth, frequently with a burp. Spitting up doesn't involve forceful muscle contractions, brings up only small amounts of milk, and doesn't distress your baby or make them uncomfortable.
Always burp your baby when feeding time is over. To help prevent the milk from coming back up, keep your baby upright after feeding for 10 to 15 minutes, or longer if your baby spits up or has GERD. But don't worry if your baby spits sometimes.
What defines “normal” spit up? Involuntary spit up (reflux) consists of approximately one or two mouthfuls of stomach contents. “Wet burps” happen when a smaller amount of spit up accompanies the burp. Larger spit ups may occur if the baby is overfed.
Spitting up (while typically completely normal): May be a sign of gas build up within the stomach. Trapped gas bubbles can push some breastmilk back up. Excessive flatulence (again, usually completely normal and a natural way to relieve the pressure of gas)
Sometimes, babies spit up when they eat too much, or when they burp or drool. Many infants will spit up a little after some — or even all — feedings or during burping because their digestive systems are immature. That's perfectly normal.
You may worry that if your baby spits up while on her back she will choke. This is a natural concern. However, your baby has natural ways to prevent spit-up from going down the windpipe (also called the airway). This special protection even exists when she is on her back.
Babies regularly spit up when they drink too much milk, too quickly. This can happen when the baby feeds very fast, or when mom's breasts are overfull. The amount of spit up can appear to be much more than it really is. Food sensitivities can cause excessive spitting up in babies.
Most reflux or spitting up occurs during or after a meal, when the stomach, or tube that connects the stomach, is full.
Spitting up.
It's very common for babies to spit up after feedings. This is typically caused by swallowing too much air in the process, which leads to gas. Spit-up is good, though, as it gets the air out before moving to the stomach and digestive tract.
“Regurgitation” refers to the effortless backup movement of the stomach (gastric) contents into the esophagus—and at times into the mouth. “Spit-up” refers to when the stomach contents are visibly spilling out of the mouth.
Normal spitting up doesn't interfere with a baby's well-being. As long as your baby seems comfortable and is eating well and gaining weight, there's little cause for concern. If your baby is gaining weight, then he or she isn't being harmed by the calories lost through spitting up.
Most babies will outgrow the need to be burped by 4-6 months of age. You can often tell that a baby needs to be burped if he or she is squirmy or pulling away while being fed.
Support your baby's head and neck, make sure their tummy and back is nice and straight (not curled up), and rub or pat their back gently. You don't need to spend ages burping your baby, a couple of minutes should be enough.
If the baby does not burp after 5 minutes of trying, gently lie them down on their back, either in their crib or on another safe surface, such as a playpen. After a few minutes, carefully pick the baby up and try burping them again. Sometimes, lying down helps move the air bubbles around, making them easier to release.
There's usually no need to stress. "70% of infants under 3 months will spit up three times a day, and it's even perfectly normal for them to be spitting up as often as 10 or 12 times," says William Byrne, M.D., chief of pediatric gastroenterology at Doernbecher Children's Hospital, in Portland, Oregon.
If your baby spits up after the milk has had time to mix with your baby's stomach acid, the spit-up is likely to appear curdled. Baby spit-up differs from vomit in that the flow of spit-up is usually slower and stays closer to the baby's body, while vomiting is more forceful and projectile and can indicate illness.
Let the baby lean over slightly, bending at the waist. The upright posture moves air to the top of the stomach, and the forward lean puts a little pressure on the stomach to eject the air, helping the baby to burp.
Spitting up is common for babies because their digestive system isn't fully developed yet. It most often occurs when they've eaten too much or swallowed air while feeding. Spitting up is common for most babies until about the time they can eat solid foods (around 6 months to 1 year of age).
If he won't burp, try patting him more firmly with your whole palm, as light pats may not be effective. Another option is to pat his bottom. Many parents swear this is the only way to get their babies to burp. If patting doesn't work, see if rubbing his back does the trick.
Can you put baby down with hiccups? In most cases, it's totally fine to put baby on their back when they have hiccups; those little diaphragm spasms don't interfere with breathing so there's no physical or medical reason not to.
Is it common for babies to aspirate vomit when they cry? Although babies often spit up or vomit when they cry, it's rare for them to breathe the liquid into their lungs. Normally, babies develop reflexes that protect their airways automatically.
Hiccups are normal and usually don't hurt your baby. In younger babies, hiccups are usually a sign that they need to be seated upright during or after feeding, that feeding needs to be slower for them, or that they need more time before or after feeding to relax.