SPITTING UP (REFLUX)

 

Symptoms | When to call | Homecare Advice

 

HOME CARE ADVICE FOR SPITTING UP

  1. Feed Smaller Amounts:
    Bottlefed:  Give smaller amounts per feeding (at least 1 ounce less than you have been).  Keep the total feeding time to less than 20 minutes (reason: overfeeding or filling the stomach to capacity always makes spitting up worse).
    Breastfed:  If the mother has a plentiful milk supply, try nursing on 1 side per feeding and pumping the other side. Alternate sides.
  2. Longer Feeding Intervals:  Wait at least 2½ hours between feedings, because it takes that long for the stomach to empty itself.  Don't add food to a full stomach.
  3. Loose Diapers:  Avoid tight diapers.  It puts added pressure on the stomach. Don't put pressure on the abdomen or play vigorously with your child right after meals.
  4. Vertical Position:  After meals, try to hold your baby in the upright (vertical) position.  Use a front-pack, backpack, or swing for 30 to 60 minutes.  Reduce time in sitting position (e.g., infant seats).  After 6 months of age, a jumpy seat is helpful (the newer ones are stable).
  5. Expected Course:  Reflux improves with age.  Many babies are better by 7 months of age, after learning to sit well.
  6. Call Your Doctor If:
    • Your baby doesn't improve with this approach.
    • Your child becomes worse or develops any of the "Call Your Doctor" symptoms.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Pediatric SelfCareNavigator. Copyright © 2000-2004 Barton Schmitt, M.D. FAAP

Reviewed 8/2004

Revised 8/2004

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