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Baby spitting up
My son is 4-week-old (born at 34 weeks 2 days). I’m exclusively breastfeeding now after 3 weeks of Formula and Breastfeed.
Hr feeds roughly every 1–2.5 hours and usually takes one breast per feed for about 20–30 minutes. He feeds actively and often falls asleep after feeding.
My main concern is about spit-ups. He spits up quite frequently after feeds. The milk often looks curdled, and sometimes it happens even while I’m holding him upright (I usually keep him upright for about 15–20 minutes after feeds). He also very occasionally coughs or chokes briefly during feeds, but not very often and he recovers quickly.
After feeds, he sometimes cries when I lay him down and needs a bit of calming before settling. Otherwise, he seems okay — he passes urine and stools normally and seems relaxed/sleepy after feeds.
I just wanted to understand: Is this kind of spit-up pattern normal for his age (especially considering he was born a bit early)?
Is there anything I should be doing differently?
Answers (8)
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn and vaccination specialist )
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This is a normal pattern. Nothing to worry about usually if his weight is ok. Visit a pediatrician for check up and confirmation.
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Dr. Tangade Vishal Bhanudas
Pediatrician
4 yrs exp
Pune
It's normal
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Dr. Prathibha Reddy
Pediatrician
12 yrs exp
Hyderabad
Give small and frequent feeds
Avoid over feeding
Do burping after each feed for 15-20 min .
Give domstal drops 0.4mlthrice daily if required 15 min before feed .
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Dr. Mahak Arora
Pediatrician
10 yrs exp
New Delhi
As per your concern usually newborn spits curdy white after feed which is undigested milk and absolutely normal in newborns . But sometimes times due to mixed feeds parents do over feed so i would like to suggest you to maintain gaps between the feeds and burp properly after each feed this will help in digesting the milk easily to the baby .
Next Steps
In case excessive vomiting or whenever baby looks dull or not accepting feed in such case do visit the doctor..
Health Tips
Burp properly and avoid overfeeding
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
It's normal
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Dr. Sakthivel Namassivayam
Pediatrician
7 yrs exp
Puducherry
This is a normal thing seen in infants. We need to burp them after every feed for 5-10 minutes. If he is gaining 1 kg per month for the first 3 months, then no need to worry
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Frequent spitiup of feed is due to Gastric reflex. Use anti reflex medicine
Just give Drops Domstal 0.2ml thrice daily before 30mins to feed for 3 days
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.