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CurlieGlamourGirlie 01-22-2008 07:53 AM

Reflux-y Spit Up Baby
 
It seems as though Luke is really spitting up more than usual. It happens right after and well after feedings. He's not fussy about it and just keeps grooving afterwards, but I'm wondering if there's a way to circumvent this. I'm sure a little spit up is fine, but we're talking spitting up about 4 times after a feeding.

He's a glutton - fast eater and really chows, so I'm sure this has something to do with it.

CGNYC 01-22-2008 08:48 AM

Does he actually have reflux? I know there is something referred to as silent reflux (my cousin had it, she was the HAPPIEST baby ever but projectile vomited after eating) but that usually involves really puking and not just dribbling spit up.

If it is reflux, slow down his eating. He needs to suck to sooth but try to feed a little and then take a break, burp, start over. Keep him upright for much longer than you'd think necessary and burp burp burp. Even when you're certain there can't be any more air in there, try one more time.

There are meds for reflux but really, if it's not interrupting his sleep, making him cranky, or hurting his weight gain - what's the point! They can be difficult to get down (weird grainy texture or horrible taste) and it's not easy to get the timing right.

inheritedcurls 01-22-2008 08:57 AM

A friend's baby did this. He was happy as everything but he spit up a ton. She just always kept a ton of clean clothes with her. He eventually grew out of it. If he's happy I would avoid medicine and try CGNYC suggestions.

Good Luck.

Amneris 01-22-2008 09:00 AM

Quote:

Originally Posted by CurlieGlamourGirlie (Post 470179)
It seems as though Luke is really spitting up more than usual. It happens right after and well after feedings. He's not fussy about it and just keeps grooving afterwards, but I'm wondering if there's a way to circumvent this. I'm sure a little spit up is fine, but we're talking spitting up about 4 times after a feeding.

He's a glutton - fast eater and really chows, so I'm sure this has something to do with it.

JJ was like that, and still is once in a while. He gulps my milk down like nobody's business! Holding him up and still after a feed (no bouncing) for about half an hour helped a lot - and burping him really well, then making sure he had on a bib and I had a burp cloth for any messes that still happened. JJ didn't fuss about it and has gained a ton of weight consistently, so I don't think it was a big problem, just messy. The doctor said spitting up was nothing to worry about but projectile vomiting, where it sprays out suddenly and with force and lands at a distance from the baby, can be a problem.

spiderlashes5000 01-22-2008 11:27 AM

My daughter had "milk reflux" really bad. I didn't cause her any discomfort or problems gaining weight. She was the happiest little thing...with milk running out of her mouth and a wet bib. I just changed her clothes and bibs a lot so she wouldn't get cold. And she was fine. She outgrew it at around 7 months. But prior to her outgrowing it, I did try putting cereal in her bottles (with EBM at first and then also with formula). That didn't work so I stopped. My pediatrician told me he'd write her a prescription for something but I declined...because it really wasn't a problem.

They say it comes from the top "valve" (or sphincter muscle) of the esophogus not being fully developed. It's different than acid reflux and vomitting, etc.

RedCatWaves 01-22-2008 12:41 PM

Some babies are just "spitters". I had one of those...he projectile vomitted 20-30 times a day. He was VERY happy though. I took him to several doctors, and had him on many medications, nothing worked. One doc gave him phenobarbitol...so my baby was DRUGGED and still spit up. I finally took him to an old pediatrician...a really old guy. He told me that my baby was happy, growing well, meeting his milestones, gaining weight and not in distress of any kind and to just live with the spitting up and that he would outgrow it by a year. He was absolutely right. My son did outgrow it. That year was tough for me, cleaning up constant vomit and dealing with no one else wanting to hold him. But we got through it.

Jenny C 01-22-2008 06:28 PM

Sophia is a big spitter upper. I call her my little fountain because anytime you look at her there's something flowing out of her mouth. Sometimes it's just milk dribbling, sometimes it's that curdled spit up and every now and then it's full on vomit.

She's totally happy before during and after the episodes so I'm not really worried about it. It's just annoying that her cute outfits always have to be covered by a bib.

I have talked to other moms with spitter uppers and they said she should outgrow it around 8 months or so, around the time they can sit up on their own.

mad scientist 01-22-2008 06:40 PM

I think all babies have some degree of reflux as their digestive tract is maturing. Like the PPs have said, as long as he is gaining weight and not in pain, you just deal with it until he grows out of it.

Burp him every few minutes while feeding (even if he objects to being removed from the breast) and after his feeding keep him upright or even on his tummy for a little while to get all the trapped air out.

Munchy 01-23-2008 06:44 AM

Brooklyn has/had milk reflux. I noticed when she was about a month old that after I fed her in the night, I would lay her down and it sounded like liquid in her lungs when she was breathing. The doctor said we could do 3 things: switch formula to Enfamil AR (added rice milk for thickness), sit her up at an incline for at least 20 mins after eating, and he prescribed her some kind of reflux medicine.

I switched the formula, started sitting her up, and resolved that if they didn't help, I would get the prescription filled. I really had a hard time with the idea of giving such a young baby a steady prescription. She seemed to be fine and I never had to give her any meds. Now seems to be growing out of it (but also eats cereal in her bottle) so I wouldn't notice it as much either way.

fuzzbucket 01-23-2008 08:17 AM

Harry went through a phase like that at about 3 months and we thought reflux. But he was gaining fine and not in pain and it passed quickly. I think part of it is my overactive let-down reflex. It hardly happens at all now and when it does, we just say he is sharing his extra milks.


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