my 4 month old spits up all the time!!!

Erin - posted on 02/05/2010 ( 14 moms have responded )

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Im breastfeeding and giving her 1 bottle of formula a day for a supplement cause she was under weight. we have tried different formula and the only one that doesnt make her throw up as much is nutramigen. her doc says she's healthy but this throwing up thing is jut so messy. can anyone help me figure out whats up???

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Tarah - posted on 02/05/2010

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my son had been throwing up since the day he was born he is 3 mths not and still doing it after every meal and in between meals he is EBF he has reflux but the doc said as long as it doesnt hurt him when he does it he is fine. but its still very annoying being covered with spew all day every day.

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Lisa - posted on 02/23/2010

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I found this on a parenting site, I noticed my son doing what i call baby crunches around the time he started spitting up alot too! So I did some research, hope it helps ;)

"Since the 4-month-old infant is more active, spitting up is common at this age, so have a good supply of absorbent bibs to protect your baby's skin and clothing from being constantly wet"

Erin - posted on 02/06/2010

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I breast feed and she is supplemented with Enfamil Nutramigen for her milk protien allergy but lately i havent been giving her formula cause she seems to be doing good with baby cereal. Thank you for all your advise and hopefully she grows out of it!!! I am going to mention it to her Doc again so we can keep an eye on it.

Ana - posted on 02/06/2010

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reflux talk to your doctor so you can try different formulas and right after feeding wait 40 min before putting her down, the bouncy chair was my best allied with my litle one. he had horrible reflux... best of luck ...

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Hi my son had a bit of reflux and i did try the reflux formula but found they were too thick and he couldn't get any thing through. I used Karicare food thickener that way i could still use my usual formula but control how thick it got. By thinkening the formula it will hopefully will allow some of the milk to stay in the stomache. It may not stop it completely but it should help. I found that with my son half the amount suggeted on the tin was enough to lessen the amount he bought up. But even if you speak to a clinic nurse or the chemist they may be able to help

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Both my kids had reflux from birth until they were about 6 months old. If they are arching back after a feed, it is a typical sign of reflux. Of course there is a difference between spitting up and throwing up/vomiting. Vomiting might be more of reaction to a formula or could be a more serious medical condition...on the other hand spitting up from reflux is less of a concern and most kids will grow out of it at some point. In regards to reflux, my pediatrician says some babies spit up and it does not bother them (he calls them happy spitters), while other babies arch back cry etc. from the discomfort. My first child was a happy spitter and my second an unhappy spitter. With my first child, we just put her on some thickened formula call Enfamil AR. With my second child, because he was so miserable we tried, the AR formula and he still spit up. We also tried giving him zantac, which did not help either. So we ended up thickening Similac Ailmentum with rice cereal just slightly - like a 1/2 teaspoon to 4 oz or as much as 1 1/2 teaspoon to 2 teaspoons to an 8 oz bottle (we also had to use a 6+ month nipple as a thickened formula will clog the younger nipple size). We figured out that the AR was making him really gassy and complicating the reflux. The Alimentum (which is much easier to digest and less gassy) was expensive, but well worth the cost to make him comfortable, plus you can get it online a lot cheaper than at stores. Both kids also got Mylicon (simethicone) with there bottles if they got gassy, because I found the gassiness can make matters worse. Anyway, the messiness is frustrating, and I ended up putting bibs on both my kids for most of the time they were awake and changing the bibs frequently...the laundry seemed endless. Now at 7 months with my second child, he is pretty much outgrown it. He is now eating solids. We no longer thicken his formula and he is no longer spitting up. Ask your pediatrician at your next checkup what to do. I also heard breastfeeding is better for reflux because breastmilk digests much more quickly...I unfortunately did not breastfeed, although I had wanted to. Hope this helps!

Lisa - posted on 02/06/2010

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What Kekua Makana said - My son had the flap between the esophagus and stomach that was underdeveloped at birth. I had one heck of a time keeping formula down him, as it could come back up at anytime, even within a 4-5 hour period. The doctor was happy with his growth, and yes, he was small at birth (4lbs, 9 oz.). But around 6 months, the flap must have completed his growth, because everything was normal after that. But I definitely would take her to the doctor; they did a test on my son, a x-ray of him drinking, and that proved what it was. This was my situation, but it COULD be a number of other things. If you're scared about it, like I was, let the doctor know that.

Erin - posted on 02/06/2010

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im trying to stop giving her formula but its super hard cause now it doesnt seem like she is satisfied with the breast and like my milk isnt there like it was. we were only giving her 8oz a day. she likes to nurse but is fighting me on it as well. any tips?? as far as the spitting up it sucks but hopefully she grows out of it. im glad to know im not the only mom dealing with this. lol. thanks guys!!!!:)

Kekua - posted on 02/05/2010

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it's really really normal. babies spit up a LOT until around 6 months because the place where the esophagus meets the stomach is open. the flap that closes it off doesn't hasn't grown large enough to cover it until around 6 months.
and as Andi said don't worry so much about the weight as long as she's growing. if the dr says she's healthy then you probably don't need to supplement anyway.

Sonya - posted on 02/05/2010

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Hi Erin
My little boy (6 weeks) projectile vomits as well. Sometimes i think he spits up his whole feed but he is growing ok. It is very messing and we go through lots of washing. I am tring to breastfeed as well as use NAN Gold as a top up as he is always hungry. I think sometimes babys just spit up. Hope you get some help here but as i said i think some babies just spit up.

Rachel - posted on 02/05/2010

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She could have a reflux. My oldest daughter had really bad one. I had to use cereal in her bottle to keep her from projectile vomiting. The doctor actually told me to try it. I do know that he have formulas for refluxes. And I do know that there is a conditions that makes baby's throw up because the opening where the food goes into the intestins is to small and keeps the food in the stomach. It is called pyloricstanosus, this is usually hareditary. I would just keep checking with your doctor, somthing is bound to work I am sure.. Good Luck!!

Andi - posted on 02/05/2010

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First off, I would ask the doctor if, despite being underweight, her growth is progressing at a healthy rate. Both of my kids were underweight, and at 6 and 4 still are. I breastfed both of them exclusively because their growth followed a smooth healthy pattern despite being underweight. Just to give you an idea, my daughter at 6 months wasn't even on the charts. Now she is in kindergarten and right in line with her peers height wise. The advice that I was given by my ped was as long as they are growing there is nothing to worry about and no need to suppliment.

Now if that isn't the case, I would check with your ped about allergies. Maybe a soybased formula would be more beneficial. Or even a geletin solution since you are only using it to suppliment breast feeding. If it isn't an allergy issue, it might be a reflux that she will outgrow with time.

Good luck. I hope you find what works for both of you.

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