Spanish Version
 
E-mail Form
Email Results

 
 
Print-Friendly
Bookmarks
bookmarks-menu

Spitting up - self-care

Spitting up is common with babies. Babies may spit up when they burp or with their drool. Spitting up should not cause your baby any distress. Most often babies stop spitting up when they are about 7 to 12 months old.

Why Babies Spit up

Your baby is spitting up because:

  • The muscle at the top of your baby's stomach may not be fully developed. So baby's stomach cannot hold in milk.
  • The valve at the bottom of the stomach may be too tight. So the stomach gets too full and milk comes out.
  • Your baby may drink too much milk too fast, and take in a lot of air in the process. These air bubbles fill up the stomach and milk comes out.
  • Overfeeding causes your baby to get too full. So milk comes up.

Spitting up is often not due to a formula intolerance or an allergy to something in the nursing mother's diet.

Spitting up is Often Normal

If your baby is healthy, happy, and growing well, you don't need to worry. Babies that are growing well often gain at least 6 ounces (170 grams) a week and have wet diapers at least every 6 hours.

How to Reduce Spitting up

To reduce spitting up you can:

  • Burp your baby several times during and after feeding. To do so sit the baby upright with your hand supporting the head. Let the baby lean forward slightly, bending at the waist. Gently pat your baby's back. (Burping your baby over your shoulder puts pressure on the stomach. This might cause more spitting up.)
  • Try nursing with just one breast per feeding while breastfeeding.
  • Feed smaller amounts of formula more frequently. Avoid large amounts at one time. Be sure that the hole in the nipple is not too large while bottle feeding.
  • Hold your baby upright for 15 to 30 minutes after feeding.
  • Avoid a lot of movement during and immediately after feeding.
  • Slightly elevate the head of babies' cribs so babies can sleep with their heads slightly up.
  • Talk to your baby's health care provider about trying a different formula or removing certain foods from the mother's diet (often cow's milk).

When to Call the Doctor

If your baby's spit up is forceful, call your baby's provider. You want to make sure your baby does not have pyloric stenosis, a problem where the valve at the bottom of the stomach is too tight and needs to be fixed.

References

Khan S, Orenstein SR. Gastroesophageal reflux disease. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 323.

Liacouras CA. Normal digestive tract phenomena. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 305.

Noel RJ. Vomiting and regurgitation. In: Kliegman RM, Lye SP, Bordini BJ, Toth H, Basel D. Nelson Pediatric Symptom-Based Diagnosis. Philadelphia, PA: Elsevier; 2018:chap 12.

US Food & Drug Administration website. Babies spitting up - normal in most cases. www.fda.gov/ForConsumers/ConsumerUpdates/ucm363693.htm. Updated May 9, 2018. Accessed August 20, 2018.

  • Spitting up

    Spitting up - illustration

    Spitting up is common and occurs frequently during infancy. Spitting up does not indicate a problem unless the baby is choking on the food, or is spitting up excessively large amounts of food.

    Spitting up

    illustration

  • Baby burping position

    Baby burping position - illustration

    To reduce spitting up, burp the baby several times during and after feeding. One technique is to sit the baby upright, with your hand supporting the head. Let the baby lean over slightly, bending at the waist. The upright posture moves air to the top of the stomach, and the forward lean puts a little pressure on the stomach to eject the air, helping the baby to burp.

    Baby burping position

    illustration

  • Baby spitting up

    Baby spitting up - illustration

    Babies commonly spit up since the sphincter at the top of the stomach is often loose. In healthy babies who are growing well, the spit-up is mostly milk, rather than stomach acid. On average spitting up peaks at 4 months and is over by about 7 months of age, though it can take longer. To help reduce spitting up, burp the baby several times during and after feeding.

    Baby spitting up

    illustration

    • Spitting up

      Spitting up - illustration

      Spitting up is common and occurs frequently during infancy. Spitting up does not indicate a problem unless the baby is choking on the food, or is spitting up excessively large amounts of food.

      Spitting up

      illustration

    • Baby burping position

      Baby burping position - illustration

      To reduce spitting up, burp the baby several times during and after feeding. One technique is to sit the baby upright, with your hand supporting the head. Let the baby lean over slightly, bending at the waist. The upright posture moves air to the top of the stomach, and the forward lean puts a little pressure on the stomach to eject the air, helping the baby to burp.

      Baby burping position

      illustration

    • Baby spitting up

      Baby spitting up - illustration

      Babies commonly spit up since the sphincter at the top of the stomach is often loose. In healthy babies who are growing well, the spit-up is mostly milk, rather than stomach acid. On average spitting up peaks at 4 months and is over by about 7 months of age, though it can take longer. To help reduce spitting up, burp the baby several times during and after feeding.

      Baby spitting up

      illustration

    Self Care

     
     

    Review Date: 8/5/2018

    Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
    adam.com

     
     
     

     

     

    A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.
    Content is best viewed in IE9 or above, Firefox and Google Chrome browser.