Almost all babies spit up, especially newborns. Spitting up
happens less often after the muscles of the esophagus, the muscular tube that connects the throat
to the stomach, become more coordinated. This process can take as little as 6
months or as long as 1 year.
When spitting up becomes a problem
If your baby
starts spitting up after every feeding, there may be a problem with the way he
or she is being fed. He or she may be swallowing too much air when sucking, or
you may not be burping the baby enough during feedings. Fever will sometimes
cause a baby to spit up. Milk (lactose) intolerance and food allergies also can
cause increased spitting up. Other signs of these problems include loose and
watery stools, irritability, and belly pain.
should not be confused with vomiting. Vomiting is forceful and repeated.
Spitting up may seem forceful but usually occurs shortly after feeding, is
effortless, and causes no discomfort. A baby may spit up for no reason at all.
Vomiting may be caused by a more serious problem, such as pyloric stenosis or gastroesophageal reflux disease. If you think your
baby is vomiting, contact your doctor.
Tips to reduce spitting up
The following tips may
help your baby to spit up less often. If this advice does not reduce the
frequency of spitting up, contact your doctor.
Feed your baby smaller amounts at each
Feed your baby slowly.
Hold your baby during
Don’t prop your baby’s
Don’t place your baby in an infant seat during feedings.
Try a new type of bottle or use a nipple with a
smaller opening to reduce air intake.
Limit active and rough play
Try putting your baby in different positions during
and after feeding.
Burp your baby frequently during
Do not add cereal to formula without first consulting
Do not smoke when you are feeding your
If you think a food allergy may be the cause of spitting up,
talk to your child’s doctor about starting your baby on hypoallergenic