Babies may projectile vomit occasionally, but if it happens after every feed, see your doctor right away as it may be due to a blockage caused by thickening of the muscle at the outlet of the stomach.
Spitting up is not serious and doesn't interfere with normal weight gain. Occasional vomiting may occur during the first month. If it appears repeatedly or is unusually forceful, call your pediatrician. It may be just a mild feeding difficulty, but it also could be a sign of something more serious.
Feeding your baby smaller amounts, more frequently might help. Take time to burp your baby. Frequent burps during and after each feeding can keep air from building up in your baby's stomach. Put baby to sleep on his or her back.
Forceful vomiting or vomiting that comes with fever (temperature 100.4°F [38°C] or higher) can be signs of a more serious problem. If your baby has these signs, they should see a health care provider right away. Possible causes include: Pyloric stenosis – Pyloric stenosis is a blockage or narrowing of the stomach.
When fed too much, a baby may also swallow air. This can produce gas, increase discomfort in the belly, and lead to crying. An overfed baby also may spit up more than usual and have loose stools. Although crying from discomfort is not colic, it can make crying more frequent and more intense in an already colicky baby.
Breastfed Babies - Reduce the Amount Per Feeding:
If vomits once, nurse half the regular time every 1 to 2 hours. If vomits more than once, nurse for 5 minutes every 30 to 60 minutes. After 4 hours without throwing up, return to regular nursing. If continues to vomit, switch to pumped breastmilk.
How much spit-up is normal? It may look like a lot when it's on your shirt, but the amount of liquid your baby spits up isn't as much as you think. Usually, it's just 1 or 2 tablespoons at a time.
This usually causes discomfort and crying in your baby, whereas spitting up doesn't bother them. GER can involve spitting up and/or occasional vomiting. But if your baby is mostly vomiting rather than spitting up, that could be a sign of GERD or another condition.
In formula-fed babies, vomiting may happen after overfeeding, or because of an intolerance to formula. Physical obstructions that prevent the normal passage of food through the digestive tract may cause vomiting.
Red flag symptoms that should prompt referral for urgent evaluation include hematemesis (especially with the first episode of vomiting), hematochezia, recurrent bilious emesis, clinical dehydration, evidence of shock, focal neurologic changes, abdominal distention, and absent or tympanic bowel sounds.
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