February 2014 Moms

Let's talk spit up (BF babies)

Ok so FTM alert and yes probably overreacting. I understand some spit up is normal however....
How much spit up is too much? How can you tell if it's normal or something else is up? When do you talk to a doc re: reflux? Could it be something in my diet? Could it be as simple as bad latch and LO getting air?
LO is exclusively BF. He struggled with latch bc of a tongue tie for the first 3 weeks and has had it snipped for 5 days now. He's doing better on the boob with latch but with his new found abilities now guzzles milk and sometimes gasps for air resulting in swallowing it. He also is doing ALOT more spitting up. I stop frequently to burp him (is 1 burp enough?) but still find he spits up numerous times after each feed followed by hiccups. Last night it was projectile spit up and looked like at least an ounce or more or milk. He didn't eat well the rest of the night and after our morning feed spit up 3 more times (little bits this time) but probably equalled close to an ounce. I'm worried he won't get enough milk if he keeps spitting up. Advice or experience ?
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Re: Let's talk spit up (BF babies)

  • DD was a HUGE spitter upper but it never made her uncomfortable. We even tried reflux meds at one point and they didn't help. The conclusion seemed to be that whatever throat flap normally keeps liquid down was undeveloped on her and he just needed to grow out of it, which she did when he was mostly on solid food. She spit up just as much on formula.
    BFP #1 9/2010 (lost our baby at 21 weeks) BFP #2 8/2011 (ectopic pregnancy) BFP #3 10/2011 (chemical pregnancy) BFP #4 12/2011 (Abigail born 8/15/12) BFP #5 5/2013 (Griffin born 1/23/14 with heart defects, now repaired!)

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  • Soap1Soap1 member
    edited March 2014
    DS3 is a major spitter - usually spits 3-5 times after every feeding.  It is usually because they eat too much and/or get too much air.

    If your baby is gaining weight, having plenty of wet/poop diapers, and generally pretty content, you don't have a reflux problem.  It's a laundry problem :)

    PS - It looks like a lot more than it really is when they spit up!
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  • Both of my babies are spotters and have reflux. Projectile isn't usually related to reflux and could be over feeding or some other issue. If its regular spit up and doesn't seem to bother LO then its more of a laundry issue :). Also, keep in mind that it looks like more milk than it is becuse its mixed in with mucus.

    If it seems to be bothering LO though it could be reflux. Meds won't stop the spitting but they'd stop the pain. I had DS1 on meds and it looks like this little guy is heading down the same path. They cough/sneeze frequently, arch back when spitting up, make grimace like faces frequently and look like they're trying to swallow something back down.

    Def mention it to your pedi.
  • keags5496 said:

    Both of my babies are spotters and have reflux. Projectile isn't usually related to reflux and could be over feeding or some other issue. If its regular spit up and doesn't seem to bother LO then its more of a laundry issue :). Also, keep in mind that it looks like more milk than it is becuse its mixed in with mucus.

    If it seems to be bothering LO though it could be reflux. Meds won't stop the spitting but they'd stop the pain. I had DS1 on meds and it looks like this little guy is heading down the same path. They cough/sneeze frequently, arch back when spitting up, make grimace like faces frequently and look like they're trying to swallow something back down.

    Def mention it to your pedi.

    He does cough/sneeze a lot! We usually start the day out OK where the spit up doesn't seem to bother him but by 5pm he is arching his back, locks his legs, and screams for a few hours. He looks like he is in pain at that point but other times during the day he doesn't. There's is a mix of projectile, curdled and not. It's nice to be reassured however. And I will mention it to doc. Thanks ladies!!
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  • Soap1Soap1 member
    Both of my babies are spotters and have reflux. Projectile isn't usually related to reflux and could be over feeding or some other issue. If its regular spit up and doesn't seem to bother LO then its more of a laundry issue :). Also, keep in mind that it looks like more milk than it is becuse its mixed in with mucus. If it seems to be bothering LO though it could be reflux. Meds won't stop the spitting but they'd stop the pain. I had DS1 on meds and it looks like this little guy is heading down the same path. They cough/sneeze frequently, arch back when spitting up, make grimace like faces frequently and look like they're trying to swallow something back down. Def mention it to your pedi.
    He does cough/sneeze a lot! We usually start the day out OK where the spit up doesn't seem to bother him but by 5pm he is arching his back, locks his legs, and screams for a few hours. He looks like he is in pain at that point but other times during the day he doesn't. There's is a mix of projectile, curdled and not. It's nice to be reassured however. And I will mention it to doc. Thanks ladies!!
    Mention it to your pedi for sure, but the back arching/tight legs is often related to gas, not reflux.

    I just hate to see so many babies put on reflux medication for no reason.  Sometimes it's very necessary, of course, but many times it isn't. 

    Does your baby seem to hate eating?  This is a major sign of reflux.  They are very obviously hungry but refuse to eat because it hurts them.
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  • The thing to keep in mind with reflux meds is that you'd see an improvement within 48 hours. If you don't see an improvement then that's not the issue. I'm of the mindset that its easier to try it if there's a lot of reflux symptoms and to just stop use if it doesn't correct the problem. A few days on meds is NBD to me especially when there aren't any side effects.
  • DD just got diagnosed with reflux. the dr said the tell-tale signs are hiccups very often, general fussiness when laying down, being angry when throwing up (some babies are "happy" spitters and it won't bother them), and sneezing/coughing often. DD also gets very mucousy after she eats. the dr said that frequent projectile vomiting is bad though. since M is less than two weeks, it's related to an allergy because the pedi said it's common for babies to show signs around 4-6 weeks but earlier means it's caused by something else.
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  • My pedi said if LO is mostly spitting up during/after feeding she considers it a "wet burp" and it's NBD. If they are uncomfortable and spitting up a lot more often than that it could be reflux.
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