Question

My baby is three months old. She used to spit up frequently when she was a newborn, but not much. At around two months, she started spitting up several times a day. Before spitting up, the baby feels uncomfortable and needs to spit up within a few seconds. Most of the spitting up occurs during the day, and it’s rare at night.

Answer

Common causes of infant vomiting include:

  1. Incorrect feeding, such as swallowing milk too quickly, swallowing more air during feeding, or turning the baby over after feeding;
  2. Various infections, such as vomiting caused by upper gastrointestinal infections;
  3. Neurological diseases caused by vomiting, which generally involve spasmolytics;
  4. Surgical conditions, such as congenital pyloric hypertrophy;
  5. Stomach mucosal irritation, which makes infants who take drugs like rifampicin and sulfonamides more prone to vomiting;
  6. Gastroesophageal reflux. Prevention methods for infant vomiting:
  7. Pay attention to feeding position. When using a bottle for artificial feeding, ensure the bottle is full of milk to minimize air intake while the baby is suckling.
  8. After feeding, gently hold the baby upright, with the head resting on the mother’s shoulder, and gently pat the baby’s back to allow the air inhaled during feeding to slowly be released.