Question

My daughter is 4 months old and still vomits milk. She wakes up to vomit milk an hour after feeding. Sometimes I give her calcium acetate, but she doesn’t like it and ends up spitting out a large amount of milk. How should I handle this situation?

Answer

Generally speaking, a baby’s stomach is in a horizontal position, with a small volume and a poor closure effect at the esophageal sphincter, and a tight pyloric sphincter at the connection with the small intestine. Therefore, during feeding, babies often inhale air, which can easily flow back into the mouth, causing milk regurgitation. It is recommended that during and after each feeding, the baby should be held upright on an adult’s shoulder and gently pat the baby’s back. This action can expel air and reduce stomach pressure. After feeding, do not let the baby lie down immediately but keep them upright for a while and pat their back. When lying down, the baby’s upper body should also be elevated, ideally lying on the right side, which can reduce the reflux of stomach contents.