Why does a newborn spit up profusely? Why does a one-month-old baby spit up often – should you see a doctor? Why does a baby spit up a lot after formula feeding?

With the birth of a child, parents have new concerns related to... In addition to the pleasant moments that fill the life of a family, small troubles also happen, because of which parents feel anxious about the health of their baby. One of the reasons why parents worry is the baby’s frequent and profuse burping.

Regurgitation is the release of stomach contents into the mouth in small quantities, occurring spontaneously. This process usually occurs due to the fact that during sucking on a bottle or breast, some air is swallowed along with food. The cause of regurgitation may also be physiological in nature., short esophagus, poorly developed stomach muscles and sensitivity of the mucous membrane. As a rule, the regurgitation process goes away on its own after six months, if it is not a sign of a disease.

Newborn spits up

After feeding, the baby becomes too active and this can cause regurgitation. Therefore, it is recommended to help the baby release the air trapped during feeding, for which you just need to hold it vertically, in a “column”; even if the baby falls asleep while eating, most likely he will wake up to get rid of the air. There is no need to hold the child upright after each meal, just pay attention to the baby’s behavior, if he is restless, then you should stand in a “column”, but if he is calm, then nothing is bothering him.

Do not leave the baby sleeping on his back after feeding, so that he does not choke if regurgitation occurs. It is better to place the baby on his side, or on his stomach, or use special pillows for sleeping.

If a child burps very often, you need to pay attention to the position of the baby during, it is quite possible that the position in which the baby sucks the breast is not very comfortable and in the process of eating the baby takes in a lot of air, which is why the process of regurgitation occurs. Another reason may be an incorrect or large hole in it, which also contributes to the appearance of air in the body and, accordingly, regurgitation cannot be avoided. For “artificial” patients, doctors recommend a special anti-reflux mixture, and sometimes even suggest undergoing special therapy.

For the first time in months, the baby spits up quite often, almost after every feeding.. However, if the child feels great and is gaining weight, there is no reason to worry. Everything will go away on its own after some time.
You should consult a doctor if the regurgitation is profuse and regular, similar to vomiting (fountain), has a yellowish or greenish color and an unpleasant odor, and the child’s behavior is restless, body weight is below normal.

Regurgitation itself is actually normal for a baby.. In order for your baby to get rid of excess air and train the stomach muscles, it is necessary to hold him upright after feeding, often lay him on his stomach and adhere to the correct posture when feeding. If it has pronounced symptoms of the disease, it is urgent to consult a doctor.

Regurgitation is the involuntary reflux of stomach contents into the oral cavity. This is a condition that very often occurs in infants and causes concern in their mothers. Most often, this phenomenon is “benign” and goes away on its own at the age of one and a half to two years.

Regurgitation should not be confused with vomiting. When a child burps, food is released without effort or tension in the abdominal muscles. Vomiting is characterized by tension of the abdominal muscles and the release of food under pressure not only through the mouth, but also through the nose. In infants, vomiting often begins unexpectedly and is not preceded by nausea. Sometimes general anxiety first occurs, the face becomes pale, and the extremities become cold. As a rule, vomiting is accompanied by fever and loose stools. Vomit may contain unchanged milk, an admixture of blood, bile or mucus.

Why does an infant spit up?

Why are newborns and children under one year prone to regurgitation? This occurs due to the structural features of the gastrointestinal tract in children. Their esophagus is short and straight, and their stomach is located vertically. The circular muscle is poorly developed - the sphincter between the stomach and esophagus, which, by contracting, prevents food from flowing out in the opposite direction. Gradually, as the child grows, the digestive system matures and is finally formed, and then regurgitation stops. Therefore, it becomes clear that it is not possible to avoid this condition in newborns and infants. However, you can make sure that your baby spits up as little as possible. To do this, you should know the reasons that provoke regurgitation.

Regurgitation can be physiological, occurring normally in healthy children, or pathological.

Causes of physiological regurgitation:

- Overfeeding The situation of overfeeding usually occurs in actively sucking infants when the mother produces abundant breast milk. This can also happen when switching from breastfeeding to mixed or artificial feeding, when the amount of formula is incorrectly calculated. Regurgitation occurs immediately or some time after feeding in a volume of 5–10 ml. The milk flows out unchanged or partially curdled.

- Swallowing air during feeding(aerophagia). This situation can arise when a baby greedily sucks at the breast when there is little milk from the mother. An inverted, flat nipple of the mother's breast also contributes to aerophagia, since the baby cannot completely grasp the entire nipple, including the areola. Artificial babies often have feeding defects when the hole in the nipple of the bottle is large or the nipple is not completely filled with milk and the child swallows air. Children with aerophagia are usually restless after feeding, and there is bulging of the abdominal wall (the tummy is inflated). Then, after 10-15 minutes, the eaten milk is poured out unchanged, accompanied by a loud sound of belching air. In general, children with low or high birth weight are prone to aerophagia.

- Constipation or intestinal colic. In these conditions, the pressure in the abdominal cavity increases and the movement of food through the gastrointestinal tract is disrupted, which provokes regurgitation.

Up to four months of age, the norm is to regurgitate up to 2 teaspoons of milk after each feeding or to regurgitate more than 3 spoons once a day. To find out how much a baby has burped, you need to take a diaper, pour 1 teaspoon of water on it, and compare this stain with the stain formed after regurgitation.

What to do if your baby spits up

Children with physiological regurgitation do not need any correction or treatment. You just need to try to eliminate the cause, if it depends on you, and carry out prevention.

Prevention of frequent regurgitation in infants:

1. After each feeding, hold the baby upright (in a column) for 15-20 minutes. Then the air trapped in the stomach will come out. If nothing happens, put the child down and after a minute or two lift him upright again.
2. Check whether the hole in the bottle is too large and whether the nipple is filled with milk during feeding. Try other nipples - maybe another one will suit you better.
3. During feeding, hold the baby in a semi-upright position, check whether he completely grasps the nipple with the isola.
4. Before each feeding, place the baby stomach down on a hard surface.
5. After eating, try to limit the child’s physical activity, do not disturb him unnecessarily, and change clothes only when absolutely necessary.
6. Make sure that clothes or diapers do not squeeze the baby’s abdomen.
7. If you have a good appetite, try to feed him more often, but in small portions, otherwise a large amount of food will cause a full stomach and, as a result, regurgitation of excess food.
8. The surface in the crib on which the child usually lies should have a headboard raised by 10 cm.

If regurgitation becomes more frequent or more abundant, or first appears after six months of life, or does not decrease by the age of one and a half to two years, the child should be consulted by a pediatrician, and most likely, a consultation with a gastroenterologist will be required.

There is a scale for assessing the intensity of regurgitation:

5 regurgitations per day or less, in an amount of up to 3 ml - 1 point,
More than 5 regurgitations per day, in an amount of more than 3 ml - 2 points,
More than 5 regurgitations per day, in an amount of up to half the volume of milk consumed, but no more than half of the feedings - 3 points,
Regular regurgitation of a small volume for 30 minutes or more after each feeding - 4 points,
Regurgitation from half to the full volume of milk taken in half of the feedings - 5 points,

Regurgitation with an intensity of 3 points or higher requires a mandatory visit to a doctor.

Pathological regurgitation occurs for the following reasons:

Surgical diseases and defects of the digestive system;
- diaphragm hernia;
- pathology of the central nervous system;
- food intolerance;
- increased intracranial pressure.

Such regurgitation is characterized by intensity, systematicity, and a large volume of milk that the child regurgitates. At the same time, the general condition of the child is disrupted - he becomes very tearful, loses or does not gain weight, and does not eat the amount of food required by his age. In this case, an examination by a pediatrician, surgeon, neurologist, gastroenterologist, allergist is required using laboratory and instrumental examination.

Milk thickeners for regurgitation

If examinations do not reveal diseases, the child’s mother takes preventive measures against regurgitation, and the child still continues to regurgitate, the doctor may recommend using special thickeners that make breast milk thicker, which will contribute to prolonged retention of food in the stomach and, thereby, prevent return it to the oral cavity. Rice or corn starch, carob flour, and carob gluten are used as thickeners. Usually take 1 teaspoon of starch per 30 ml of breast milk. You can use Hipp Bio-Rice Water.

When artificial feeding, you can use therapeutic antireflux mixtures.

Depending on the type of thickener, these mixtures are divided into two groups:

The greatest effect is observed when using mixtures containing gum. They are given to the child both in full and as a replacement for part of the feeding. In this case, the amount of formula needed by the child is determined by the time the regurgitation stops. The duration of use of these mixtures is on average 3–4 weeks.

Artificial mixtures containing starch as a thickener act “softer”. They can be given to children with mild forms of regurgitation (1–3 points). They are recommended to be prescribed to completely replace the previously obtained mixture. The duration of their use is somewhat longer than when using gum-containing artificial mixtures.

When using an antireflux mixture, you should remember that this group of mixtures is already a treatment for the child and is recommended only by a doctor, as well as medications prescribed when diet therapy is ineffective.

Pediatrician S.V. Sytnik

Almost all parents, without exception, know situations when a month-old baby often burps.

This process itself is very similar to vomiting, but the difference is that this action does not cause pain to the child.

At the moment of regurgitation, food that has not yet been digested is removed from the esophagus.

Parents should not immediately panic, as this is a normal phenomenon, especially for newborns. Food can come out while eating or with a sudden movement immediately after the child eats.

To understand the main reasons for regurgitation in newborns, you should pay attention to the structural features of the baby’s gastrointestinal tract:

• short and straight esophagus;
• the position of the stomach is vertical;
• the orbicularis muscle between the esophagus and stomach is underdeveloped;
• frequent contractions of the intestines.

Every parent should understand that regurgitation in babies is simply an inevitable physiological process. But the fact is that mom and dad can alleviate the baby’s condition and make sure that regurgitation occurs as rarely as possible.

Feeding with milk formulas

Often, it is the parents of bottle-fed babies who face the problem of regurgitation. The fact is that, even taking into account the maximum adaptation of the formula for babies, it, unfortunately, does not contain substances that are found in breast milk. That is why it is quite difficult for a stomach that has not yet strengthened to digest it.

Premature birth

This problem often affects premature babies. The thing is that in this case the gastrointestinal tract is even less developed than in a child born at term.

Binge eating

If the child is actively eating, naturally he receives a large amount of food and therefore regurgitation is normal, even in large quantities.

This situation also applies to those who begin to switch from breastfeeding to artificial feeding.

Swallowing air during feeding

This problem occurs for the following reasons:

• the mother does not have enough breast milk;
• a flat nipple that the baby is not able to grasp entirely;
• a very large hole in the bottle when feeding formula milk;
• The nipple in the bottle is not completely filled with milk.

This problem most often concerns.

Excessive activity

Hyperactivity is often inherent in newborn children; it can be associated both with physiological developmental processes and with some pathological abnormalities.

Immediately after feeding, they can constantly wiggle their legs and arms, that is, they are in an excited state.

It is precisely this activity of the nervous and muscular systems that interferes with the normal functioning of the stomach and, as a result, food does not have time to be fully absorbed.

In the process of growing up, the baby’s digestive system becomes stronger and fully formed. It is after full maturation that regurgitation stops.

Pathological causes

There are also pathological causes of regurgitation in children:

• diseases directly related to the functioning of the digestive system;
• dysbacteriosis;
• abnormalities of intrauterine development;
• hernia;
• increased blood pressure;
• allergic reaction to lactose;
• hereditary predisposition;
• various infectious diseases.

Copious, frequent and prolonged regurgitation, which is caused by a disease, can only be eliminated after consultation with a specialist.

Such diagnosis and, if necessary, therapy must be carried out immediately, otherwise the baby may actively lose weight, experience nutritional deficiencies and develop developmental disabilities.

Regurgitation or vomiting?

There are times when a baby's regurgitation can be so strong that parents may confuse it with vomiting.

The fact is that these phenomena are very similar.

Due to the fact that vomiting already signals a disease and requires enormous attention from parents, you need to be able to distinguish between these two processes:

1. A child may burp approximately 15 minutes after eating or at the end of the feeding process. Vomiting can begin at any time, regardless of feeding.
2. The normal process of regurgitation of food occurs once, gag reflexes can be repeated many times over a period of time.
3. When regurgitated, the resulting mass is practically no different from milk, either in color or consistency. There are, of course, cases when it looks a little like cottage cheese. But when vomiting, the released mass contains an admixture of bile, a yellow tint and a certain amount of mucus.
4. After regurgitation, the baby will behave as usual, but after vomiting it becomes lethargic and tired. The fact is that this is a kind of signal about the onset of an infectious disease.

At what point should you start panicking?

If the baby often burps and the secreted mass is quite abundant, you should immediately contact your family doctor, since this phenomenon can be either normal or a harbinger of diseases:

1. Excessive regurgitation after feeding may indicate neurological disorders or it may be due to constant stomach cramps.
2. Dysbacteriosis can develop against the background of staphylococcus, and be accompanied by abundant repeated regurgitation, constipation or diarrhea mixed with swamp-colored mucus. A characteristic sign of staphylococcus may be only a temporary improvement in the child’s condition after a course of taking probiotics, which pediatricians usually prescribe immediately, suspecting the presence of dysbiosis in the baby. Such symptoms require diagnosis by a gastroenterologist, who will conduct laboratory tests and prescribe effective therapy.
3. Regurgitation of food long after feeding requires consultation with a specialist. The fact is that this can occur due to improper functioning of the gastrointestinal tract and a loose gastric valve. In this case, the food comes out narrower, and the process may be accompanied by severe problems with stool.
4. If the baby cries a lot when food comes out naturally, you should think about the fact that he is also worried about intestinal colic.
5. Another sign of concern may be belching, which indicates increased acidity, which is why you should not postpone your trip to the doctor for a consultation.

Frequent regurgitation in the baby begins around the end of the first month of life. The fact is that it is during this period that the mother’s milk “ripens”. Therefore, there is no need to panic ahead of time, since this process will stop by the age of six months.

Consequences of regurgitation

No matter how harmless everything may be, unfortunately, if the baby often burps, this can negatively affect his health and the general condition of the body:

1. The result of excessive regurgitation may be insufficient weight gain (and sometimes loss) of the newborn.
2. Dehydration.
3. Along with food, gastric juice itself enters the mouth from the esophagus, which has its own level of acidity. Thus, severe irritation of the oral mucosa occurs. Due to frequent regurgitation, the baby cannot spend time lying on his back.
4. This unpleasant feature in newborns can cause irritation of the respiratory tract, as a result of which inflammatory processes begin to progress. This is especially true for those children who regurgitate more profusely.

How to help your baby?

To prevent such a nuisance as regurgitation of food in babies, it is enough to follow some simple recommendations:

1. Under no circumstances should you overfeed. In this situation, if the baby greedily attaches to the breast, he must be taken away from it as soon as the first signs of satiety are visible.
2. It is necessary to monitor how the baby grasps the nipple, as well as how the nipple is filled with milk when feeding with formula.
3. Periodically you need to change positions during the feeding process and carefully ensure that the baby's head is at a level higher than the body.
4. Immediately before feeding, the baby should be placed on his tummy to avoid colic.
5. At the end of feeding, you need to take the baby in your arms and hold him in an upright position for 10 minutes, until the burping goes away.
6. The baby should sleep on its side.
7. After feeding, the baby needs to be calm, and not in an active state. You need to maintain maximum peace for about half an hour.

In addition to all of the above, you can also use preventive measures, but you must first consult a pediatrician:

1. A wonderful remedy that will help solve the problem is rice powder, which is added to the milk mixture. The fact is that this product thickens liquid well.
2. Use formulas that do not contain lactose, or avoid them until the baby’s stomach is completely stronger.

Thus, regurgitation in a one-month-old baby is a normal physiological process. But you also need to carefully monitor this process and, if anything happens, immediately consult a doctor.

Regurgitation in a baby is not a reason to panic. But this is still a reason to listen to the opinion of a pediatrician. Why a child spits up and in what cases this can become a cause for alarm, we were told by a pediatrician of the highest category, neonatologist of the Dobrobut Medical Network, Evgenia Bukharina.

What is regurgitation?

The process of regurgitation, or it can also be called reflux, is the return of the contents of the esophagus or stomach to the oral cavity. This is usually food mixed with saliva and... Approximately 85% of newborn babies burp in the first weeks of life.

What are the main causes of regurgitation?

Most often in infants these are anatomical features of the gastrointestinal tract. in an infant it is not expressed as in an adult, and is closed by a different mechanism. It consists of petal-like folds of the lining of the stomach that form a valve. This area does not shrink, as in adults, preventing food from returning from the stomach. In young children, this hole is constantly half-open. Thus, when a child lies in a crib and the outlet of the stomach is located higher than the inlet, food is thrown out of it, as if from an open bottle.

How to distinguish regurgitation from vomiting?

Normally, a child burps, as a rule, not profusely and not often. At the same time, his general well-being is not disturbed. He is still cheerful, active, playful, his skin color does not change. Unlike normal regurgitation, vomiting is a rather complex reflex act in which the contents of the stomach are expelled in the same way, but the abdominal muscles and diaphragm are involved. In young children, vomiting is also accompanied by disturbances in breathing and heartbeat. Thus, regurgitation is a physiological condition for some children. However, to distinguish one from the other, it is better to consult a pediatrician.

When is regurgitation a dangerous symptom?

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There are a number of diseases in which regurgitation is a pathological, dangerous symptom. First of all, these are diseases such as pyloric stenosis and pylorospasm. In the place separating the stomach and duodenum, there is a sphincter, as at the entrance to the esophagus. When the food is sufficiently prepared in the stomach, it opens, pushing it into the duodenum. With pylorospasm, a spasm of this sphincter occurs, and food is not completely removed from the stomach. With pyloric stenosis, food is not excreted almost completely. In both cases, when feeding the baby, the stomach becomes full, since it has not yet gotten rid of the remnants of the previous feeding, and the baby begins to spit up. In these cases, regurgitation is profuse, often has a cheesy consistency and a sour smell.

Typically, these diseases appear around the 2-4th week of a child’s life. If pyloric spasm can be overcome by taking antispasmodic drugs, then in case of pyloric stenosis, surgical treatment is necessary. In any case, consultation with a surgeon is necessary to confirm the diagnosis and treatment.

Sometimes regurgitation can be associated with problems with the nervous system. In this case, consultation with a neurologist is necessary.

Some causes of regurgitation in healthy children

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Even in healthy babies, regurgitation can be quite frequent. They are associated with improper attachment to the breast. Some babies suck voraciously, taking in a lot of air during feeding. Then, along with the air accumulated in the stomach, a large content of the milk eaten is expelled.

Sometimes spitting up can be related to the composition of breast milk. If the mother eats a large amount of carbohydrate foods, this can cause bloating in the baby's intestines, which provokes the release of stomach contents.

A baby may spit up if overfed. This often applies to restless children. Despite the fact that it is now common to feed on demand, it is still difficult for the mother of a newborn to distinguish his needs. Then she can put it to her chest at every call. In this case, there really is a chance to overfeed the child. The same is true for “greedy” kids who can’t get enough to eat, so they eat more than they should.

Rules for children who often spit up:

After feeding, the baby should be held in a “column” position for at least 10-15 minutes.

The head end of the crib needs to be raised slightly. To do this, you can place a terry towel under the head of the mattress.

Regardless of the form of nutrition, whether breastfeeding or artificial, a newborn may hiccup and regurgitate during feeding or after some time. What is the reason and is it dangerous when a one-month-old baby spits up milk after feeding? Regurgitation is a physiological process in which food is slowly leaked or ejected out of the stomach through the mouth and nose. How to help a baby if he often burps? What to do when the regurgitated mass looks like yellow vomit, with mucus and blood?

Causes of regurgitation in infants

“Why does a newborn baby spit up?” — young mothers ask pediatricians. The reason for regurgitation lies in the immaturity of the internal organs and the digestive system. Belching is air that enters the esophagus during feeding. The body gets rid of air through the mouth and nose along with some of the milk. Up to 3-4 months, a newborn burps 5-10 minutes after each meal, sometimes after half an hour. Later, regurgitation is reduced to 1-2 times a day.

The reason that a baby hiccups and is able to regurgitate a lot of milk is considered to be:

• Incorrect feeding or diet. With early introduction of complementary foods, large portions, very liquid food, the walls of the stomach are stretched, which causes regurgitation.
• Lying position after feeding. When the child has eaten, he is lifted up in a column and stroked on the back until a burp appears. If this is not done, the baby will vomit most of what he ate.
• Disturbance of rest after eating. A newly fed baby should not be changed, turned over, or placed on his tummy. Once she breaks this unwritten rule, mommy will find a whole puddle of milk, which the baby will immediately spit up.
• Teething. This is a real test for a baby. Some children react to it with fever, crying, anxiety, and increased salivation. Others, when teething, burp more often and more.
• Tight swaddling, squeezing the delicate body, impedes gastric motility. Food, without getting to it, comes back out.

Regurgitation while breastfeeding

• Often regurgitation of milk occurs due to overfeeding. Mommy needs to establish the feeding process so that the newborn learns to eat as much as he needs. There is no need to give the breast when he does not ask, distracting him from crying and anxiety. It is unlikely that a 2-3 month old baby will refuse to latch on to the breast, but he will definitely regurgitate an extra portion of milk.
• Air entering the intestines during feeding. If the baby is not properly attached to the breast, a lot of air is swallowed, which can cause the baby to spit up and hiccup. It is necessary to ensure that it covers the entire nipple and part of the areola. The chin should touch the chest, and the lower lip should turn outward - this indicates correct attachment.
• Bloating and colic provoke regurgitation. Mom needs to stick to a diet and not eat foods that cause stomach upset, and massage the tummy.
• Greedy sucking. With rapid absorption of milk, the newborn swallows air along with food. A hungry child, intensively sucking large portions, can regurgitate them. Feedings should be carried out more often, with short breaks between them.

Regurgitation after formula feeding

• In newborns who are fed formula, regurgitation occurs due to overeating, as in breastfed babies. In this case, the volumes eaten are easier to control. The amount of food offered in the bottle should be age appropriate.
• A mixture containing a lot of lactose. This type of food is difficult for infants to digest and causes regurgitation. If your baby spits up frequently, it makes sense to switch him to anti-reflux formulas. They contain components that secure food in the stomach, preventing it from expelling out.
• Large hole in the nipple. You should choose an anti-colic bottle with a valve that prevents excess air from entering during feeding. It is important to hold the bottle at a slight angle. In this case, the nipple should be filled entirely with the mixture.

Regurgitation due to health problems

When a baby spits up frequently, it may indicate serious health problems. The main reason lies in neurological disorders and disorders of the digestive system.

Neurological abnormalities:

1. Intrauterine abnormalities or birth injuries. Pathologies of the nervous system, hypoxia, high intracranial pressure, trembling of the chin and limbs, muscle tone in a child.
2. Trauma to the cervical vertebrae received at birth can cause regurgitation. The baby suffers from vomiting and pain when turning her head. The doctor prescribes massage, physiotherapy, and medications.
3. Premature babies are delayed in physical development and often spit up. Their esophagus and stomach are underdeveloped. In order to catch up with peers, the baby will need time.

Digestive system disorders:

1. Dysbacteriosis. It occurs due to the use of antibiotics, when introducing complementary foods, or when the child consumes an inappropriate formula.
2. Infectious diseases. Intestinal infections, meningitis, gastroenteritis, pneumonia, causing toxic poisoning. Inflammatory processes are accompanied by high fever, vomiting, weakness, diarrhea, and colic. The products of regurgitation may contain streaks of blood, mucus, and bile.
3. Increased gas formation, bloating, colic. A large amount of gas in the intestines causes fluid to be pushed out through the nose and mouth.
4. Constipation. It interferes with the normal digestion of milk, causing it to be regurgitated. At the same time, the child strains, groans, and worries about how to cope with constipation in a newborn.
5. Allergy. Fake chickens often suffer from an allergic reaction to cow protein. In addition to skin irritation, discomfort, colic, regurgitation occurs.
6. Lactase deficiency. The absence of this enzyme causes digestive disorders. Milk sugar is not broken down and fermentation begins in the intestines. Lactase deficiency can be determined using tests. The child’s well-being improves when he is transferred to lactose-free formulas and given lactase enzymes.
7. Congenital gastric pathologies.
8. Narrowing of the passage connecting the stomach and duodenum.

Danger of spitting up

Constant regurgitation in a child is fraught with loss of fluid in the body and weight loss, which is the main indicator in newborns. It is especially dangerous if the baby burps in his sleep. He may choke and cough. Pediatricians recommend placing the head of a baby up to 6-7 months old on a small pillow so that regurgitation products do not enter the respiratory tract.

Regurgitating a fountain is very similar to vomiting. When vomiting, the abdominal muscles tense and food is expelled through the baby's mouth and nose. It begins unexpectedly, without attacks of nausea. The baby is worried, turns pale, and his limbs become cold. Vomiting is accompanied by fever and diarrhea. And the vomit may be yellow or contain blood. You can distinguish normal regurgitation from vomiting using water. The normal volume of regurgitation is considered to be 10 ml. Fill 2-3 tablespoons with water and pour them onto the diaper. The resulting stain is compared to the amount that the baby burped. If the baby is able to burp more, and this happens regularly, you need to visit a doctor. It is advisable to take a closer look at the composition of the stain. If a newborn vomits curdled milk that resembles cottage cheese, there is no need to worry - this is not vomiting.

Regurgitation is not a pathology. But when it is noticed that the newborn is burping after each fountain feeding, his urination is impaired, his stomach is upset, he is losing weight - you cannot delay consulting a pediatrician.

A doctor is needed when:

• after regurgitation, the child strains, arches, cries;
• after feeding, he always spits up in a fountain, similar to vomit;
• curdled regurgitation has changed color and has an unpleasant odor.

Regurgitation with yellow color or blood indicates diseases of the digestive system. If bile and blood are noticed once, there is no need to worry, perhaps this is a temporary random phenomenon. When the baby strains, burps, and strains too much, a blood vessel in the esophagus may rupture. It will heal soon and there will be no more bleeding. But if blood and yellow regurgitation are observed several times a day, then this is a clear violation that requires medical intervention.

What to do if your baby spits up often

A mother can figure out for herself what to do when a child under 12 months of age spits up. Only she is nearby and controls the frequency, volume of regurgitation, its smell and color. If there are any doubts or concerns, it is better to visit a specialist.

What can be done to help a child if he spits up a lot, but gains weight and feels well?

1. When a baby lies on his back and spits up, the airway can become blocked, leading to pneumonia. It is necessary to take the baby in your arms or turn it on its side. This way, any leftover food will flow out without causing any danger to your health.
2. If a newborn burps through his nose and starts crying, you can help him by moving him onto his stomach. When fluid leaks through the nostrils, the nasal mucosa is subject to irritating injury. In the future, this leads to the formation of polyps and adenoids.

For preventive purposes, to avoid regurgitation you need:

• place the baby on the stomach before feeding;
• When placing a newborn on the chest, monitor his position. The head should be slightly elevated and the nipple grasped correctly;
• After eating, the child must be picked up. Sometimes the baby, already in his sleep, begins to push, worry and fidget. You need to lift him up and rock him until he burps.

At what age does a baby stop burping?

A healthy baby stops burping at 6-7 months of age. At this time, he actively learns to sit, increasingly being in an upright position. Thick food in complementary foods reduces the frequency of regurgitation. In children, the stomach muscles develop slowly and finally reach maturity by age 8. Because of this, spontaneous vomiting in a child occurs much more often than in an adult.

When a one-year-old child spits up, this causes concern. By this age, regurgitation in healthy children finally goes away. If it does not stop, the child may have pathologies that require diagnosis and treatment.