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Your baby just spit up what looks like the entire bottle, through the nose and the mouth, all over your shirt. It looks terrifying. You are standing there soaked, wondering if you should call the pediatrician right now or just change your shirt and move on. Here is the truth. The amount of spit up is not what tells me if something is wrong. I have seen babies drench three outfits a day and be perfectly healthy, and I have seen babies who barely spit up at all who needed real medical attention.
In this episode, I'm going to explain why babies spit up so easily, what you can do to reduce it, and the real signs that tell me it is more than a messy shirt.
β±οΈ TIMESTAMPS
0:00 Baby Spitting Up Constantly? Hereβs When to Worry
0:52 Why babies spit up so easily
2:28 Why the amount of spit up can fool you
3:27 Simple ways to reduce spit up
5:32 How and when to burp your baby
5:57 Why gravity is your friend after feeds
7:05 When I actually start to worry
7:53 The two very different feeding pictures
8:34 How to think about constant spit up
9:35 The takeaway on spit up versus real concern
β QUESTIONS ANSWERED
Is it normal for a baby to spit up a lot after every feeding?
Yes. Babies have an immature muscle between the esophagus and stomach, so milk can easily come back up through the mouth or nose after nearly every feed. A large looking mess does not automatically mean something is wrong, since the volume of spit up is not a reliable measure of a real problem.
When should I actually worry about my baby's spit up?
Worry less about the amount and more about how your baby looks and acts overall. If your baby is fussy or arching during feeds, refusing to eat, choking or gagging repeatedly, or not gaining weight on the growth curve, talk to your pediatrician right away rather than waiting it out.
How can I reduce how much my baby spits up?
Hold your baby under the arms instead of squeezing the abdomen, burp over the shoulder partway through and after feeds, and keep the head above the stomach for about 30 minutes after feeding. Gravity helps keep the milk down, and smaller, slower feeds can also make a real difference.
π RESOURCES
Website: https://www.DrRomaFranzia.com
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ABOUT DR. ROMA FRANZIA
Dr. Roma Franzia is a board certified pediatrician, MD, FAAP, with a special interest and expertise in newborn care. She has practiced pediatrics for over 26 years, seeing patients six days a week with 24/7 on call availability. She has cared for tens of thousands of children and families from newborn through age 21, and she practices pediatrics the old fashioned way, building real relationships with every family she treats. Her approach blends decades of clinical experience with practical, exam room tested guidance that parents can use the same day they hear it.
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