why does my baby spit up so much after breastfeeding
I think these are all good questions and common concerns. So I will try to address them. Yes, it is possible. Especially if a mom has a fast letdown, (common if there is some overproduction going on) then a baby CAN take more then their tummy cans easily hold at once. And this is one reason why it is entirely normal for a baby to spit up- spitting up excess milk helps baby deal with the fact that in some cases they take too much! Studies show that at least half of
all babies spit up frequently (no matter what or how they are fed. ) The conclusion from that study is the spit up is not harmful, whether baby is breastfed or formula fed. But some doctors theorize that what it actually shows is that spitting up breastmilk is actually beneficial. Ok so here is where it gets tricky. While yes a baby might overeat in a sense, at a single feeding, if what a baby is eating is breastmilk at the breast, it does not appear they can overeat overall. Even if a breastfed baby gains very rapidly due to moms overproduction, the weight gain will even out to 'normal over time. Some studies suggest that breastfeeding- nursing at the breast, not bottles-is protective in avoiding childhood obesity. And yes this is very different than an adult or even an older child. IN those cases, a person regularly eating until they vomited would be a sign of a serious issues. In babies, again, it is entirely normal. You know that every shred of evidence about breastfeeding there is indicates baby nursing at the breast as much as baby wants is only beneficial and dos not lead to any health issues. And that like all other babies, breastfed babies DO spit up, sometimes, quite a bit. Just in case you were wondering.
FYI my little (now big) guy who was the huge spitter is thin for his height. And I frequently am encouraging him to eat more! I had overproduction with All three of my kids, and they all gained rapidly in babyhood as a result, and they all leaned out later and are very healthy weights now, (at 11, 8 and 2. 5) no issues of being overweight. Of course there is more to it- we try to eat overall reasonably healthy as a family and they are athletic and active. But I certainly never have had to worry about them being overeaters or having over weight issues. Now, about offering the other side almost every feeding. If it turns put baby is gaining very rapidly, which you will see tomorrow, it is probably not necessary to keep doing this. Not that there is anything wrong with it, but if it is true that you have overproduction, then this practice may well not be needed. If baby WANTS the other side, baby is at the age baby can probably indicate that herself. If you need to nurse the other side due to feeling full, that is also a reason to offer. Frequent nursing might help with that as well. Q. I know it's typical for babies to spit up sometimes, but with my 6-week-old it happens all the time! She's still gaining weight, but is there some way to know if this isn't normal? A. Spitting upa common nuisance of infancyis usually more of a problem than a medical one. (Do you know any new parents who don't have spitup stains on their shirts? ) Most babies spit up due to their immature suck/swallow mechanisms and digestive systems. As these mature, regurgitation usually subsides. Picture what happens when babies eat and you'll better understand why they spit up: While sucking milk, a hungry baby often gulps down air.
The air settles beneath the milk in the stomach; when the stomach contracts, the air acts like a pneumatic pump, shooting the milk back up the esophagus. A basic remedy for minimizing regurgitation is to allow less air and milk to gather in the stomach and to let gravity do its part in keeping the milk down. Here's how to know when to worry and when not to worry, plus tricks for keeping baby's meals in her tummy where they belong. There are several signs that your baby's spitup is not something to stress about. First of all, she is gaining the normal amount of weight, which indicates that she's not spitting up excessively. What may look like a cupful of spitup is probably less than a tablespoon. Second, she doesn't seem to be suffering from colic or abdominal pain during the episodes (if she were, you would note her facial grimaces and the drawing up of her legs). As a general rule of thumb: If your baby's pediatrician isn't worried, then you don't need to worry. The most common medical cause of persistent regurgitation is gastroesophageal reflux (GER): The stomach acids are regurgitated up into the esophagus, irritating the lining and causing "baby heartburn. " Some babies with mild GER may still show reasonable weight gain. The main characteristic is abdominal pain, which is why GER is often misdiagnosed as colic. Another possible medical reason for spitup is pyloric stenosis, a condition in which the muscle at the end of the stomach is too large to let stomach contents pass easily. As a result, when the stomach contracts, the milk forcefully shoots up and out. Symptoms of pyloric stenosis include projectile vomiting (during or immediately after a feeding) and poor weight gain.
Yet another possibility is an allergy to formula or to dairy products or wheat in the mother's milk. Key allergy clues: abdominal bloating, gassiness, diarrhea, and a red rash around the anus. If you notice any of these symptoms, or if your baby has painful night-waking, there's cause for concern. Your pediatrician has likely considered all these medical possibilities, but it's still worth discussing on your next visit. * Feed your baby twice as often and half as much. This is my general rule for any digestive disturbance. Naturally, if the stomach is less full, the milk will be digested sooner, reducing spitup. * Burp your baby well during and after a feeding. moms: Burp before you switch breasts. Formula-feeding moms: Burp halfway through the bottle. * Keep your baby upright and quiet for 20 to 30 minutes after a feeding. Gravity will hold the food down. Jostling or laying your baby flat right after a feeding encourages spitup. One of the best ways to monitor a health concern and to differentiate between a nuisance and a medical problem is to keep a running diary. List the frequency and amount of spitup, and whether it's associated with any symptoms, such as abdominal pain or poor weight gain. If your diary reveals the occurrence of these or other worrying clues, report these to your baby's doctor. If, on the other than, your diary shows that her spitup episodes gradually decrease in frequency and volume, you have reason to relax. Fortunately there is an end in sight. You can expect the last spate of spitup between 6 and 8 months, when baby spends most of her time upright and her digestive system has matured.
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