Crying and colic are not helped by heartburn meds. These meds also have side effects. If they develop complications, it's called GERD gastro-esophageal reflux disease.
Infants with this problem cry numerous times per day. They also act very unhappy when they are not crying. They are in almost constant discomfort. Poor Weight Gain Cause Poor closure of the valve at the upper end of the stomach weak valve Main trigger: overfeeding of formula or breastmilk More than half of all infants have occasional spitting up "happy spitters" Reflux Versus Vomiting: How to Tell During the first month of life, newborns with true vomiting need to be seen quickly. The causes of vomiting in this age group can be serious.
Therefore, it's important to tell the difference between reflux and true vomiting. Spitting up, sometimes called physiological or uncomplicated reflux, is common in babies and is usually but not always normal. Most young babies spit up sometimes, since their digestive systems are immature, making it easier for the stomach contents to flow back up into the esophagus the tube connecting mouth to stomach. Babies often spit up when they get too much milk too fast.
The amount of spitup typically appears to be much more than it really is. If baby is very distractible pulling off the breast to look around or fussy at the breast , he may swallow air and spit up more often. Some babies spit up more when they are teething, starting to crawl, or starting solid foods. Some older babies will start spitting up more after a period of time with little or no spitting up. If the spitting up is very frequent particularly if baby does not seem well , consider the possibility of a GI illness.
A small percentage of babies experience discomfort and other complications due to reflux — this is called Gastroesophageal Reflux Disease. There seems to be a family tendency toward reflux. GERD is particularly common in preemies due to their immaturity and in babies with other health problems.
GERD usually improves by months. Current information on reflux indicates that testing or treatment for reflux in babies younger than 12 months should be considered only if spitting up is accompanied by poor weight gain or weight loss, severe choking, lung disease or other complications. A barium swallow upper GI is not so invasive baby swallows a barium mixture, then an x-ray is taken but is not really effective for diagnosing reflux in babies, since most babies will reflux when given barium.
Additional tests may be recommended in certain circumstances see the links below for additional information. Keep in mind that it's easy to overestimate the amount your baby has spit up based on the size of a spit-up stain.
Certain signs and symptoms might indicate an underlying condition or something more serious than run-of-the-mill spitting up. Contact your baby's doctor if your baby:. Treatment depends on what's causing the problem. Special feeding techniques might be helpful. In other cases, the doctor might prescribe medication to treat reflux.
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