Why does a baby spit up a fountain. Why does the child often spit up? Regurgitation in infants: treatment by position

regurgitation infants after feeding - the phenomenon is very common. Usually it is due to the weakness of the sphincter - the entrance to the stomach. The stomach of babies is also compared to a bottle without a cork, from which the contents pour out if it is transferred to a horizontal position.

It becomes clear why the baby spits up a fountain after feeding with breast milk or formula. This is a quick transfer of the baby to a horizontal position or active actions with his participation. By the second, we mean massage, gymnastics, changing a diaper, tossing a baby and other actions on the part of parents. Also here can be attributed laying out on the tummy. Or if the baby already knows how to roll over and does it immediately after eating.

Spitting up after a formula feed is due to the wrong feed (maybe it makes sense to change the formula), too large a hole in the bottle, causing the baby to swallow a lot of air while drinking, and overfeeding. Doctors advise mothers not to violate the recommended amounts of food and the frequency of feeding. The opening in the nipple must meet the requirements of "slow flow". It is very desirable to raise the baby in a column at least 1-2 times per feeding so that he releases the swallowed air. It will not be superfluous to raise part of the bed, about 30 degrees, so that the baby's torso is slightly elevated. After feeding, you need to keep the baby in a “column” for at least 20 minutes. If this is a newborn whose neck muscles are very weak, you can put his head on your shoulder. So it is more convenient for him and the parent. Make it a rule not to feed your baby when he cries. Since when crying and screaming, air is swallowed much more actively.

Similar recommendations are given for breastfeeding. Is that in addition to not overfeeding the child. Overfeeding with breast milk is almost impossible, because it is very well absorbed. Sometimes it happens that with a “column” position, a child experiences strong regurgitation, literally a fountain escapes from his mouth along with the air. If this phenomenon is not frequent - it should not scare you. If you are breastfeeding on demand, the baby will still pump everything that he burped up, or even more. But if a baby spits up after each feeding with a fountain, and at the same time he is on artificial feeding, then a problem is already looming ... After all, it is impossible to determine exactly how much the child burped. How much formula he needs to give and when to make up for that volume.

What to do when spitting up a fountain in children

First of all, you need to exclude serious illnesses and malformations gastrointestinal tract. Then neurological diseases. Do not forget to take the child for a routine examination to a neurologist at 1-3 months. If a child is 1 month old, and after feeding he spits up a fountain regularly, while his muscle tone is increased or decreased, there are cramps, twitches, etc., the underlying disease must be treated first. And against regurgitation apply drug therapy. Together with thickeners that are added to breast milk or anti-reflux formula. I would like to note that under no circumstances should breastfeeding be stopped. This will not help solve the problem, but will only aggravate it and entail new complications.

So, drug treatment may include taking the following groups of drugs.

1. Antacids. Those that adults take with hyperacidity stomach and heartburn. "Phosphalugel", "Maalox" and the like. Dosage: under the age of 6 months - 1 teaspoon after meals, from 6 to 12 months - 2 teaspoons. The drug is given for three weeks.

2. Drugs that stimulate gastrointestinal motility. The course of treatment is 10-14 days. They have many side effects, therefore, in the case of infants, they should be used only when strictly necessary. Least by-effect gives "Motilium". It is necessary to take drugs of this group at the rate of 0.25 mg per kg of body weight 3-4 times a day half an hour before meals.
The purpose of the drug is to speed up the passage of food through the stomach.

3. Blockers of H2 receptors. Used for non-passing profuse regurgitation, the risk of dehydration. Preparations - "Ranitidine" (5-10 mg per kg of weight) and "Famotidine" (1 mg per kg of weight). Possible duration of treatment - up to 3 months. Cancellation of the drug occurs gradually.

As far as non-drug measures are concerned, breastfeeding it is recommended to express a certain amount of milk before feeding and add the thickener "BIO-Rice water" to it. You can offer expressed milk with this supplement from a spoon, syringe or bottle. The latter option is the least preferable, as the child may refuse to continue suckling because of this. For a child older than 1-2 months, it is possible to use dairy-free rice porridge. It is added 1 teaspoon to milk (calculation for a full serving). Thanks to the use of a thickener, food stays better in the stomach.

Antireflux mixtures are sold with a thickener in the form of locust bean gum (Frisovom 2, Nutrilak AR, Humana AR, etc.) and rice starch (Samper Lemolak, Enfamil AR). Both of them are medical nutrition and should not be used for feeding children who do not suffer from profuse regurgitation.

If your infant spewed out a fountain after eating, but more than once, but this does not look like vomiting, do not rush to contact the pediatrician. Watch first. If the child feels well and sleeps, gains weight, grows, try to limit yourself to non-drug measures: change the diet, keep the child longer in vertical position, do not overfeed, introduce complementary foods according to age.

We're almost a month old. My baby has been vomiting for the second or third time after eating with a fountain. curdled milk or just milk. Maybe it's regurgitation, but it's painfully loud and forceful. No temperature. We are on GW. I ate a little ... After reading the article printed below, it seems to me that the reason may be the ingress of air during breastfeeding, she sucks several times and swallows air or a strong pressure of milk in her chest.

How to find out the cause and whether it is necessary to treat. Drink some water or rehydron? Call a doctor? We eat on demand, about every 3 hours.

What is regurgitation and vomiting in newborns? This is the reverse movement of the contents of the stomach into the mouth. In medicine this phenomenon It's called "Regurgitation and Vomiting Syndrome". As a rule, this is not a disease, but just a sign of some kind of disease. Let's learn more about regurgitation and vomiting in newborns.

Regurgitation in newborns.

Most strong sign diseases - vomiting. Vomiting can begin in any person, regardless of age, and is accompanied by profuse salivation, increased heart rate, nausea, cold extremities and a pale face. During vomiting, the abdominal muscles, the diaphragm and the center of the brain work. A signal is sent to the brain and the stomach pushes the food out, i.e. into the mouth.

Regurgitation is a type of vomiting that occurs in newborns and in children under one year old. Only the abdominal muscles are involved in regurgitation, allowing food to pass out passively. Often, regurgitation of newborns is considered normal, but sometimes it can be a manifestation of many serious illnesses. But vomiting cannot just start in healthy children. Remember this!

Distinguishing regurgitation from vomiting is easy. Gagging may continue for a long time, and regurgitation occurs only once immediately after eating or after an hour. During regurgitation, a child usually comes out with a small amount of milk or water, and when vomiting, bile is added to the contents and the color of the discharge becomes yellowish.

Regurgitation in healthy newborns.

According to statistics, regurgitation occurs in more than 70% of healthy and sick children. The most frequent regurgitation occurs in the first weeks of a baby's life and than older child, the less they become, and by the year they finally disappear.

Causes of regurgitation in newborns.

Here the reason lies in their anatomical features:

The shape of the esophagus of a newborn allows food to exit in the opposite direction, i.e., regurgitation occurs.
Often the exit from the stomach is closed, and the entrance, on the contrary, is open.

How to determine the rate of regurgitation in a newborn?

Throws are not big
Repeat no more than 2 times a day.
Pass without medical treatment.
No gagging
The newborn does not lose weight, but normally gains weight.

How do regurgitation and vomiting occur in children.

Regurgitation in newborns occurs immediately after eating or after an hour. They can also be copious or not, frequent or infrequent, and in some cases, accompanied by certain odors and hiccups. All this is considered normal. Although not, frequent and profuse spitting up in newborns can be harbingers of serious illness.

Some children spit up only at night. At such moments, there is a danger of food entering the respiratory tract, which can lead to the development of pneumonia.

As a rule, with frequent and profuse regurgitation and vomiting, dehydration occurs in a newborn. This is very dangerous for the life of the baby. Usually in such cases the child is hospitalized! In order to avoid a disastrous outcome, all parents, without exception, should be able to recognize dehydration of the body and, preferably, on the very early stage. To do this, it is enough to know the following:

The child constantly drinks water.
He is weak and sleepy.
Refuses to eat.
Low body temperature.
Rare urination, no more than 10 times a day.

If you find two or three symptoms from this list, immediately consult a doctor!

As mentioned earlier, regurgitation in newborns and vomiting are usually the result of an illness or pathology. Sometimes even the doctors themselves cannot identify their cause. I bring to your attention a small list of diseases and pathologies that cause regurgitation and vomiting in children.

The most dangerous causes of regurgitation in newborns:

Pyloric stenosis.
Congenital narrowing of the esophagus.
Underdeveloped esophagus.
Short esophagus.
Acute intestinal obstruction.
Acute appendicitis.

Less dangerous causes of regurgitation in newborns:

Dispensation.
Long cry.
Incorrect feeding technique.
Flatulence.
Intestinal colic.
Intestinal dysbacteriosis.
Food poisoning.
Intestinal infection.
Pathology of the adrenal glands.
Tight swaddling.
Hypervitaminosis D.

If a child's regurgitation becomes suspicious, that is, frequent and profuse regurgitation, sometimes with a fountain or, even worse, with blood, then he must be examined in a hospital. More precisely, the child should be examined by a pediatrician, gastroenterologist, neuropathologist. Also, as necessary, it is desirable to conduct additional examinations: X-ray, ultrasound, FEGDS (examination of the esophagus and stomach with a thin tube that is inserted directly into the stomach), analysis of the acidity of the esophagus and analysis of feces for the presence of dysbacteriosis, etc. You may ask why A lot of everything? The fact is that there are a lot of reasons for regurgitation in newborns and in order to recognize them, you need to without fail conduct a thorough medical examination sick child.

How is regurgitation treated in newborns and children under one year old?

During regurgitation and vomiting, the child loses a lot of fluid and in order to avoid dehydration of his body, it is necessary to replenish the wasted water reserves in a timely manner. Therefore, in addition to food and breast (artificial) milk, additionally give the child a drink. Suitable here not only pure water, but also soothing teas, for example, chamomile tea, compotes and fruit drinks. Also, you can buy special ready mix in a pharmacy, which contributes to the retention of fluid in the body due to special components: rehydron, citroglucosolan and glucosolan. Dissolve the mixture according to the instructions.

Let the child drink it in small sips with breaks of 5-10 minutes and immediately after vomiting or spitting up about 50 ml. If the baby is very small and you can’t get him to drink, then use a pipette and drip into his mouth yourself.

If necessary, for example, with frequent regurgitation in a newborn, doctors sometimes prescribe therapeutic mixtures, for example, Nutrilon Antireflux and Frisof. They contain locust bean gum. It is gum that helps food pass into the stomach and does not allow it to return back. These mixtures begin to be given to a sick child, first in small doses (a couple of spoons) and gradually increase the volume, up to a positive effect. By the way, "Nutrilon antireflux" and "Frisof" can be given to children with difficult "stool".

However, medicinal mixtures do not always help, and then to baby food add Nutrilon OMNEO-2 or Lemolak. Or rather, they give instead of food. The first mixture is suitable if the child has regurgitation, intestinal colic, allergies and constipation. The second mixture - only with loose stools and regurgitation. Therefore, carefully read the instructions so as not to make mistakes in the mixtures. Otherwise, your mistake will only worsen the condition of the baby.

Again, if neither one nor the other helped you healing mixture, and the baby still has regurgitation, medication is prescribed. Remember - in no case, do not treat it yourself! All medicines can be given only after the permission of the doctor! Do not play with your child's health!!!

So, usually doctors prescribe antiemetics, vitamin A, B vitamins and other drugs, depending on the diagnosis.

What moms need to know when spitting up a newborn.

I can only say one thing - properly feed your child. After all, very often regurgitation in children begins just because of this reason, and you “wind” it around hospitals. Therefore, if the baby began to spit up, first of all analyze how you feed him. But this is only if his regurgitation is not frequent and not abundant !!! Here it is better to immediately consult a doctor.

What should mommy do if her baby is spitting up:

Before feeding, lay the newborn on the tummy at an angle of 45 degrees.
Don't feed your baby if he's crying. Let first calm down.
Try not to overfeed. It is better to feed more often, but in small portions.
Do not feed your baby in a horizontal position. Better half-sitting, sitting, but not lying down.
Make sure that the newborn does not swallow air along with the milk. If the child is artificial, then the bottle should be with a small hole, and even better if the nipple is with a special valve. Most often, regurgitation occurs just for this reason.
If you have too much pressure breast milk Express a little before feeding.
After feeding, hold your baby upright for 10-15 minutes until he burps air. This is a must!
Try to do all dressing, bathing, swaddling before feeding, and not after. After eating, children should not be twirled, twisted, and much more. Otherwise, you will definitely provoke regurgitation.
If the child is on artificial feeding choose your mixture carefully. It is desirable that it contains thickeners, for example, gum, starch or a high percentage of casein. Casein quickly curdles in the baby's ventricle and turns into flakes that slow down the reverse course of food. Also, you can thicken the mixture yourself. Rice powder will help you with this. Add it in the proportions of 1 tbsp. l. for 60 ml. For older children from 3 months, the mixture can be diluted with rice groats.

No less important is the very behavior of the parents when the child begins to spit up. So, if the baby burped, immediately raise him to a vertical position. This will help move the remaining food out of your mouth and prevent it from entering your airways. Many doctors often recommend putting the baby on the tummy for prevention. That's right, but never leave him alone at such moments. Unfortunately, more than half of child deaths are due to this.

And now a little about prevention.

To prevent frequent regurgitation in a newborn, follow the above feeding rules, feeding regimen, choose the right mixture, treat diseases such as dysbacteriosis, intestinal colic, constipation in a timely manner, liquid stool etc.

Every nursing mother has experienced such a phenomenon when their child spit up milk after breastfeeding, and if the child is on the IV, then after taking the mixture . Basically, this is a normal physiological process in the development of a child, which does not particularly bother him and with which the baby, developing physiologically, copes with it in the future. In rare cases, regurgitation is a symptom of a disease, which a specialist will help to establish. Of course, young parents are worried about the reasons why the child is spitting up, so we will try to figure it out.

Regurgitation is the process of expelling milk from the stomach through the mouth. Is it normal for a baby to spit up milk? It turns out not always.

Reasons for regurgitation

The most common cause of regurgitation in baby- overfeeding. Milk, which turned out to be superfluous, naturally removed from the child's stomach;
The cause of regurgitation after eating may be a violation of the intestines. For example, constipation or colic, which create obstacles to the normal passage of food;
Incorrect breastfeeding technique and, as a result, incorrect nipple grip, leading to the swallowing of air along with milk, which, being in the stomach below milk, literally “shoots” it back (See);
Also, this may be due to underdevelopment muscles of the esophageal sphincter. This valve is needed by a person so that food does not flow from the stomach into the esophagus. In adults, everything is the same, the valve works fine. In infants, this sphincter is underdeveloped, it finally begins to function only by the age of one;
Do not forget about the environmental reasons for what is happening. IN modern conditions life in an infant may occur allergic reaction on the product that adults consider natural. In fact, the fresh fruits and vegetables we buy are not always organic;
Wrong behavior of parents who, immediately after feeding, begin to turn the newborn from side to side, squeeze, swing in the stroller, etc.;
In severe cases, the cause of regurgitation may be various diseases baby's digestive system, central nervous system or other pathological changes in organism.

Fountain regurgitation

This kind of regurgitation should alert mom. There may be several reasons for this:

prematurity of a child who digestive system works in slow motion;
unsuccessful transition from breastfeeding to artificial;
intestinal colic, which prevents food from moving normally through the intestines;
deformation of internal organs.

But not always regurgitation with a fountain means the presence of some kind of pathology. Abundant regurgitation can also occur for completely avoidable reasons.

However, if your child is spitting up frequently and suddenly, see a doctor.

When breastfeeding

In the case when the baby spits up breast milk, you need to examine the stain. If the child burped up curdled milk or the mass resembles cottage cheese, you can calm down. It's not vomit. Pour a teaspoon of water next to the stain. If the spots are about the same size, everything is normal. You need to worry and consult a doctor if the baby spit up a lot.

Stop overfeeding your baby if you do (Related article:). With a well-established breastfeeding process, the baby will eat as much as he needs. Feed on demand and don't breastfeed when the baby doesn't ask. Also make sure you have a good grip on your chest. If the baby swallows air, then regurgitation is inevitable.
Closely monitor the condition of the baby's abdomen. It shouldn't be bloated. soft belly and calm child- a guarantee that everything is in order.
The chair also matters. Remember when he was last time. With these observations, you can exclude the presence of constipation and colic in the baby. (See article about).

When formula fed

If your baby spit up after the mixture, the reasons for this may be the same as in breast-fed children.

The primary reason is overeating. In a bottle-fed child, the amount of food eaten is much easier to regulate. The amount of mixture in the bottle should strictly correspond to the age of the child.
Also check the hole in the nipple. It shouldn't be too big. In the process of feeding, it is important to avoid swallowing air, and for this the nipple must be constantly filled with the mixture.
Perhaps the baby is spitting up the formula because it does not tolerate it well. Try to find something different with your pediatrician. Now there are milk formulas on sale that help prevent it from flowing out of the stomach. () .
You need to check the tummy according to the same principle as with natural feeding.

Video: Why does the baby "spit up" after feeding? Baby 1 month old:

Answers the question: pediatrician Smirnova L.A.

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First aid

If the baby burps while lying on his back, there is a high chance of a blockage respiratory tract and subsequent development of pneumonia. In this case, it must be immediately turned over on the tummy or picked up. So the baby can get rid of the remnants of food.

For correct operation intestines can be given to children motilium, from spasms - riabal. But we give the drugs to the baby only after consulting with a specialist. You don't know the exact cause of the spitting up.

Prevention measures

If your baby is spitting up a lot, there are a few time-tested tricks that can help you minimize the chance of spitting up.

Before feeding, give the baby the opportunity to lie on his stomach a little. It only takes a few minutes.
During feeding, the baby's body should be in a reclining state with a raised head. We also help to properly capture the breast or control the fullness of the nipple.
If the baby spits up after feeding, he should be held upright for a while. This will allow the air to escape. No activity immediately after feeding. We allow the baby only calm games and do not touch him unnecessarily.

When do we need a doctor?

Regurgitation is a process that almost any mother can handle on her own. But in some cases medical assistance is still necessary.

If the baby is constantly spitting up or the mass that you observe after the process has changed volume, smell or color, you need to contact specialists. First of all - to the pediatrician. Then he can refer you to a neurologist, gastroenterologist and surgeon.

Also, you should not delay the visit to the doctor if the baby spits up a lot, and then cries or bends. This behavior may mean that the child's esophagus is irritated.

Close attention requires regurgitation with a fountain after each feeding, a rise in temperature after regurgitation, or its similarity to vomit. Show the child to a specialist, do not take risks in vain.

Spitting up after the baby reaches the age of one year should also be alarming. By this age, this whole unpleasant process should pass on its own. Otherwise, this means a pathology in the child's body, the nature of which can only be determined by doctors.

Signs of normal regurgitation

Every mother worries about the health of her newborn child, tries to protect him from all troubles. Parents have to deal with many problems, one of which is spitting up after formula feeding. Many mothers face this problem even in the hospital. And then they wonder why the child is spitting up and how to prevent it.

Why is the baby spitting up?

Regurgitation is the involuntary ejection of the contents of the baby's stomach through the mouth. It is a normal physiological process. According to statistics, about 80% of babies under the age of 4 months spit up regularly. After 4 months, regurgitation becomes less frequent and completely stops by 9 months. Frequency, intensity are individual and depend on the conditions of the birth of the child (weight, degree of prematurity), weight gain, the presence of congenital or acquired diseases.

For the most part, regurgitation with a fountain after feeding should not cause concern, but in some cases they may indicate the presence of a disease, and the baby should be shown to the doctor.

So why does the baby spit up? The main reasons may be:

1. Binge eating. Excess food is removed from the stomach naturally. It is this reason that most often occurs in children who are bottle-fed. To eliminate this cause, increase the time intervals between feedings or reduce the dose of the mixture.
2. Aerophagia. When a baby is fed from a bottle, he swallows air along with the mixture. If you hold the baby vertically after eating, then the air from the stomach will come out in the form of a burp. If the child is in a lying position after feeding, then the air will come out along with a small amount of the mixture eaten.
3. Weak muscles of the food sphincter. Between the esophagus and the stomach is a special valve that prevents the return of food from the stomach back into the esophagus. In infants, this valve is poorly developed, so part of the food flows from the stomach into the esophagus and out through the mouth.

Intestinal dysfunction. In case of violation of the stool (constipation), increased gas formation(including with colic) the process of moving food towards the intestines slows down. To prevent this problem, you need to spread the baby on the tummy more often (especially before feeding), give him massages, and apply a warm diaper. To solve the problem of colic, you can drink the baby dill water, fennel seed tea, special children's drops based on simethicone (Espumizan, Infakol, Sab Simplex, Bobotic, etc.), sold in a pharmacy.
Wrong mix selection. In baby stores, you can buy a special mixture that will reduce colic and prevent spitting up.
Ecology. The current environmental situation can also be a reason frequent regurgitation baby. The baby may have an allergy. If a child is surrounded by a smoking person and the smoke from cigarettes enters the lungs of the baby, then he may begin to lack oxygen, spasm of the esophagus, resulting in a gag reflex.
The innate threshold is the most dangerous reason. It can be a narrow passage between the stomach and intestines, or between the esophagus and stomach. With these problems, a consultation with a surgeon and subsequent surgical intervention may be necessary.

Many parents are concerned about the question, why is the child spitting up a fountain? Spitting up a fountain can scare any parent. But if this happens periodically and in small quantities, then there is nothing to be afraid of, especially if the baby is gaining weight well, he has normal stools and urination. If this happens often, a lot, then the reason may be an unsuccessful transition from breast milk to formula. If the child was born prematurely, then he will spit up a fountain due to the slow work of the digestive system.

When to see a doctor?

If Small child often spit up in small portions, while he is calm, not capricious, feels good, then there is no reason for concern. If the baby bends, cries during regurgitation and even feeding, this may indicate irritation of the walls of the esophagus.

A mandatory visit to the doctor is required when, in addition to spitting up, the child has dehydration and fever body.

If the baby has difficulty breathing, the skin begins to turn blue, and he loses consciousness, then you need to urgently call an ambulance.

Mandatory treatment to the doctor requires cases when the child burps a lot, strongly (fountain) after each meal, feels hungry after that, eats greedily.

If the baby began to spit up after the performance of 6 months, whereas before they were not there, or if the child is already a year old, and he continues to spit up after feeding, these cases are also not the norm, they require diagnosis, treatment.

Before making a diagnosis, the pediatrician will issue directions for tests (urine, feces, blood), ultrasound, x-rays and fibrogastroduodenoscopy.

Spitting up or vomiting?

When spitting up due to natural and non-dangerous causes, the amount of food returned is small. If it exceeds 3 tablespoons, then, most likely, we are already talking about vomiting, the causes of which may be:

Poisoning the body with viruses. Accompanied by dehydration, so parents should give the baby water as often as possible.
Intolerance cow's milk or other products. In this case, the baby will lose weight.
Food poisoning.
Intestinal dysbacteriosis.
Allergy

Basically, these problems can be encountered during the introduction of complementary foods.

Prevention of regurgitation

In order to get as little air as possible into the baby’s stomach, you need to feed him so that the head is higher than the tummy. It is better that during the meal he was almost in a horizontal position. After feeding the child, it is necessary to vilify the column for about 15 minutes, waiting until the collected air comes out in the form of a normal burp.

The nipple hole on the bottle should not be too big or too small. In the process of feeding, the bottle must be tilted so that the nipple is constantly filled with the mixture so that the child does not swallow air. You should try not to overfeed your baby. After eating for the next 30 minutes, you should not arrange active games.

If the baby burped while lying on his back, he must be urgently turned over on his stomach or put in a column so that he does not choke.

To strengthen the muscles of the whole body of the baby, including the muscles of the gastrointestinal tract, you need to walk with the child every day, bathe him often, visit the pool, gymnastics and massage courses.

Although it is useful to periodically lay the child on the tummy, it is better that he does not fall asleep in this position. Sleeping on your stomach, as well as with a padded pillow or cushion, significantly increases the risk of sudden infant death syndrome. If the baby often spits up, then under his mattress you need to put a flat pillow so that the child does not lie flat, but at an angle of 30 degrees, and his head, respectively, is higher than the stomach. It is desirable that in a dream the head does not lie flat, but is slightly turned to the left or right side. In this position, even if the child burps at night, he will not be able to choke.

Your baby's health is priceless. If it seems to parents that something is bothering the child, it is better to go to a specialist once again, albeit in vain, than to regret your inaction later.

Newborns and breast babies need attention and care. They require some care, because developing children's body is not yet strong and cannot independently and fully perform all necessary processes vital activity. One of the signs of the emerging digestive system in infants is regurgitation. It usually happens after feeding and does not depend on the product consumed - whether it is breast milk or formula. Regurgitation is considered normal if it occurs in children under the age of 6 months. If its frequency does not decrease after this age, the child needs to consult a doctor.

Reasons for regurgitation

Belching of the contents of the stomach after feeding in infants is different nature. It can have both weak intensity and come out under pressure (fountain) and resemble vomiting. This process is due to a number of factors, which we will now try to find out.

Regurgitation may be physiological (normal) or may indicate a disease. Natural regurgitation occurs the following reasons:

If the child swallowed a lot of air during feeding. This is possible with breastfeeding, when the mother incorrectly attaches the baby to the breast, or when there is not enough milk in the mammary gland. In such cases, the baby often and widely opens his mouth, performing sucking movements, which captures air. With artificial feeding, the cause of regurgitation is a large hole in the nipple. How more baby swallowed air, the more powerful will be the pressure of vomit after feeding.
When the baby has eaten a lot of formula or breast milk. The children's stomach has a certain size, and if the baby has consumed too much with appetite, it will definitely come out.

Also natural and not indicative of diseases is regurgitation after eating in infants as a result intestinal colic and excessive gas production. Inner surface The small and large intestines of the newborn crumbs are sterile, there are no bifidus and lactobacilli on it, which would contribute to the digestion of food. For their cultivation in required quantity and the full functioning of the intestinal tract takes from 3 to 5 months - this is a natural process, and it is simply impossible to move its time frame. One has only to wait, the baby will grow up - and everything will pass on its own.

Another crumb can spit up after eating, if before that he was actively playing, overexcited or overtired. These activities can be managed and avoided before meals.

But it happens when regurgitation with a fountain after drinking milk or formula in a baby is the result of diseases or pathologies. Such an eructation of the contents of the stomach may have the following etiology:

disease of the gastrointestinal tract;
pathology of the development of the digestive system;
allergic reactions;
diseases of the nervous system.

How not to confuse vomiting with regurgitation?

A mother should be attentive to her child, as well as regularly visit a children's consultation in order to distinguish natural from symptomatic regurgitation in time:

Vomiting in a child can occur throughout the day, regardless of feeding. The regurgitation happens only after eating.
General well-being also plays an important role. When spitting up, the baby remains calm and cheerful, as it was before him, and when vomiting, his mood changes, he becomes lethargic, weak, exhausted, and an increase in body temperature is not excluded.
It is worth sounding the alarm if regurgitation began after the age of six months or continues after a year - they can be a signal of some kind of disease. After all, before this period, the baby's digestive system matures and should work smoothly.
The most important sign of pathological regurgitation or vomiting in infants is the lack of weight gain, when the weight of the child does not increase in the proper order every month, but stands still or even decreases.

Prevention of regurgitation by a fountain in a child after feeding

It is unrealistic to completely remove food burping from the life of a crumb, but there is always the opportunity to reduce its intensity and frequency:

Before feeding the baby, he must be calmed so that he does not cry and is not overexcited.
To prevent bloating, which also pushes the contents out of the stomach, it is recommended to lay the babies on the tummy before eating. In this position, the gases are better removed, and they no longer overwhelm the intestines after eating.
Proper breastfeeding ensures minimal air entrapment in the mouth during feeding.
If the baby is bottle-fed, it is necessary to choose the right nipple for his age and not increase the required amount of formula for feeding unnecessarily.
After eating, the child must be held in a column - vertically, for 15-20 minutes, so that he can burp the absorbed air.
It is not recommended after feeding to force the crumbs to active movements or games. You should not press it tightly, throw it up, sharply pick it up and press on your stomach, and also change clothes.
A good prevention of regurgitation with a fountain can be a massage of the tummy. It can be performed during a general firming massage. To do this, it is enough to stroke the area with light movements. abdominal cavity clockwise with slight pressure.

Do not worry too much when the baby spits up a fountain after eating. He will outgrow, his digestive system will mature, and this unpleasant phenomenon will disappear. If the crumbs have a good appetite, sleep, stool and weight gain - this is not a cause for concern. When the baby cries often, his condition worsens - you need to urgently consult a doctor.