Baby spit up

Introduction Spitting milk is normal in newborns, and most babies spit milk several times a day during the first few months of life. Although many mothers know that newborns are prone to spitting milk due to physiological reasons, they are still nervous when they see their baby spit. Here, we will give you a detailed description of the specific reasons for the baby to spit milk, what we can do when we spit milk, and what can be done to prevent the child from spitting milk.

Cause

Spitting milk is a common phenomenon in infants. It is caused by two reasons: one is a symptom of systemic or gastrointestinal disease; the other is that the anatomical and physiological characteristics of the baby's gastrointestinal tract are prone to spit milk. In general, spitting milk is more common due to the second cause.

The first thing to do is to understand whether the baby is spitting milk or spilling milk. The meaning of the two is different, and the reasons and treatment methods are different. The amount of spitting milk is relatively large, which may occur shortly after feeding, or half an hour later, before the spit milk, the child has a mouth-opening, painful and uncomfortable expression. Spilled milk is less, most of the time when you just finished eating milk, usually spit out one or two.

The milk that is eaten by the mouth is first called a esophagus through a tube and then into the stomach. The stomach has two doors, one is called the cardia, which is connected to the esophagus, the entrance to the stomach, and the other is the pylorus, which is the outlet of the stomach, which is connected to the intestine. The tension of the esophageal muscles of infants and young children is low, which is easy to cause dilatation, and the peristalsis is relatively slow, so the food is easily deposited. The card is relatively slack, the closure is not tight, and it is easy to be washed away by food. When there is a little more food in the stomach, you can open the card and back to the esophagus. The pylorus is tightly closed, prone to food irritations and sputum, making the export resistance greater, the food passing slowly or difficult to pass, and the food is returned from the pylorus to the Tuen Mun door and breaks out.

The stomach of the newborn is lying horizontally from the front, showing an unstable state, while the cardia (the stomach entrance) is still loose. That is to say, when an adult eats, when the food enters the stomach, the cardia will shrink to prevent the food from flowing back to the esophagus; but because the baby's stomach and mouth are not well contracted, the milk entering the stomach is caused. It can be easily returned to the esophagus. In addition, compared with adults, newborns have a higher throat position, and their nipples are awkward, which makes the air easy to inhale with the milk when eating, so when the child is snoring or shaking The milk that is eaten is more likely to be spit out. The child occasionally spits a milk, and the spirit is also very good, not necessarily sick. If you vomit several times in a row, spit every time you feed, you should pay attention to whether the child has fever, how the stool is, whether the spirit changes or not. There may be problems in the gastrointestinal tract itself, or there may be lesions in other systems. Children should be taken to the hospital for examination.

Most of the milk is due to the baby sucking in the air while eating. After the air enters the stomach, it is located above because the gas is lighter than the liquid. It is easy to open the door and also bring out some milk, which causes the milk to be sucked. Therefore, when feeding, let the child's mouth wrap the entire teat, do not leave a gap to prevent the air from entering. When feeding with a bottle, the milk should be completely filled with the teat. Don't be afraid that the milk is too rushing and only half of the teat, so it is easy to suck in the air. After feeding the baby, it is best to let the child lie on the shoulder of the adult and pat the back of the child with your hand to make the air sucked in. After feeding the baby, the movements should be lighter when lifting and lowering the child, and the activity should be smaller. If you shake too much, it is easy to suck or spit milk. The amount of milk is generally small, and will not have much impact on the growth and development of children. As the age of the month grows, nature will be fine.

an examination

Related inspection

Gastrointestinal CT examination of children's growth and development

The baby's stomach is not as vertical as the older child and the adult, but is horizontal. This will make the stomach's capacity smaller, store less food, and easily return to the cardia. Due to the above various factors, even under normal circumstances, due to excessive eating, lying immediately after eating milk, the milk is easy to open the door, return to the mouth through the esophagus, causing spitting milk. The child occasionally spits a milk, and the spirit is also very good, not necessarily sick. If you vomit several times in a row, spit every time you feed, you should pay attention to whether the child has fever, how the stool is, whether the spirit changes or not. There may be problems in the gastrointestinal tract itself, or there may be lesions in other systems. Children should be taken to the hospital for examination.

Differential diagnosis

Symptoms of babies spitting milk:

Spitting milk: Spilled milk is a common physiological phenomenon common in newborns. Normal newborns often have spilled milk within a few weeks after birth, usually as a strong, stress-free, non-injective, small amount of milk from the mouth after feeding. Milk can be spilled one or more times a day, but does not affect growth, and the baby has no other discomfort or abnormal conditions. Neonatal milk spills generally do not require treatment. As the baby grows, the milk spill gradually decreases and disappears completely from about June to August.

Pathological vomiting is not the same as physiological irritability. It is a clinical manifestation of neonatal disease. There are many diseases that cause vomiting in newborns, and some are severe congenital gastrointestinal malformations, which require timely surgical treatment. Therefore, it is necessary to correctly distinguish between neonatal physiological milk spills and pathological vomiting.

In general, pathological vomiting caused by congenital gastrointestinal malformations is more serious, frequent, vomiting, often sprayed, and vomit contains bile, or vomit, in addition to the milk that is eaten. Fecal sample solution. If the baby has more saliva after birth, the first time eating, swallowing 1, 2 mouth milk, there will be vomiting, cough, bruising or even suffocation, mostly due to esophageal atresia; after birth, there will be no feces or less, after 1-2 days will Symptoms of intestinal obstruction: frequent vomiting, vomit contains bile or vomit as fecal sample, abdominal distension is obvious, abdominal wall is bright, there is dilated vein, a large amount of stool is discharged after rectal examination or enema, mostly congenital megacolon; Asymptomatic after birth, feeding and urine are normal, vomiting occurs after 2-3 weeks, gradually increased until vomiting immediately after each feeding or soon vomiting, often sprayed, it is mostly congenital pyloric hypertrophy. Congenital malformations generally require surgical treatment, and drug treatment is ineffective.

Vomiting caused by pediatric medical diseases is often obvious symptoms, vomiting is generally not very serious or intermittent seizures, such as cerebral edema caused by neonatal asphyxia and intracranial hemorrhage in addition to vomiting symptoms, often have symptoms such as convulsions, cyanosis, convulsions; Neonatal upper respiratory tract infections often have symptoms such as fever, runny nose, nasal congestion, cough; sepsis and meningitis often have poor response, listlessness, refusal to eat, immobility, jaundice and other symptoms; pneumonia often has fever, shortness of breath, mouth foam , cyanosis and other symptoms.

In short, infants have symptoms of spitting milk. If vomiting is severe or other symptoms are mentioned in addition to vomiting symptoms, consider not a normal physiological milk spill, but pathological vomiting. See a doctor in time to avoid delay in treatment or Missed the opportunity for surgery. Diagnosis can be made based on clinical manifestations.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.