Spitting up is a common condition among newborns and infants, usually considered a physiological phenomenon, but parents often worry that it may affect their baby’s nutrient absorption and growth. When faced with a baby spitting up, parents can take the following measures:
Keep the baby’s upper body elevated to prevent vomit from entering the trachea and causing danger. While sleeping, place a towel under the baby and ensure their head is slightly elevated; if spitting up occurs, quickly turn the baby’s face to one side.
Closely monitor the baby’s condition. If the baby appears unwell after spitting up but is able to recover on their own afterward, there is generally no need for excessive concern. Depending on the situation, small amounts of water can be given, but it is advisable to avoid giving water immediately after spitting up to prevent further vomiting; waiting about half an hour before spoon-feeding some plain water is recommended.
Adjust feeding strategies; for the next feeding, reduce the amount to half of the usual volume and increase the frequency moderately. During this period, only feed breast milk or formula, and pause solid foods and other snacks.
There are two main causes behind spitting up: physiological and pathological. Physiological spitting up is related to the immature digestive system of the baby, such as the horizontal stomach structure and insufficient control of the esophageal muscles. This type of spitting up will gradually improve as the baby grows. Pathological factors involve colds, bacterial infections, or abnormalities in the digestive tract structure, which require medical intervention.
Improper care practices can also lead to spitting up, such as incorrect breastfeeding position, feeding too quickly, giving too much milk, frequently switching sides during feeding, introducing solid foods too early, or using a bottle with a too-large nipple opening. Parents should pay attention to and adjust these practices.
In general, although most spitting up cases are within normal limits, parents should still observe carefully. If pathological spitting up is suspected, seek medical attention promptly to ensure the baby receives proper treatment.
