New Babies Spitting up a LOT

Updated on May 07, 2010
A.K. asks from Minneapolis, MN
23 answers

Hi all. My sis-in-law has new baby girl twins and they are spitting up a lot. By a lot, I mean the volume of their spit up is enormous. Here's how it goes:

We feed them a bottle, burp at least halfway through (and they burp), then feed the rest and burp again. After awhile (sometimes right away and sometimes after we lay them down) they spit up SO MUCH. It seems like they spit up the entire bottle!!! After that, they're hungry and want to eat again.

So, what are we doing wrong? The spit up is not projectile, but it's a ton. Should we be concerned? Any tips?

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So What Happened?

Thanks everyone. We are trying to burp them more often. They are just one week old now. We have been using formula that is already mixed at room temperature. Would it make a difference if we warmed the bottles? We've been warming them more and that seems to be helping, but perhaps its just a coincidence.

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T.A.

answers from Minneapolis on

Are they fussy in between the feedings? If so it maybe reflux. They can have it as early as this age. My son would projectile spit-up and then be fussy till the next feeding. We put him on medication, still taking, at 4-6 weeks old. The medication was a miricle!
Good luck-

C.C.

answers from Dallas on

My twin girls did this-one worse than the other. I had to use Enfamil AI. I even tried to switch to regular Enfamil when they started sitting up and crawling and my one still spit up a lot. So I kept them on the AI til they switched to milk.

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J.R.

answers from Davenport on

They might just be taking too much at once, at only a week old, and being twins they may be smaller than a typical single baby, their tummies are VERY small, like the size of an apricot - stretch it too far by overfilling, and it will push all the food up and out. Burp every 1/2 ounce. Mine could only drink 2 ounces at that age, without spitting up alot. Of course, they drank about every 2 hours, only 2 ounces....and yes, like someone else said, keep them semi-upright for at least 20-30 min after they eat, in someone arms, in a swing or bouncy seat or a carseat carrier, with the handle all the way turned backward under the seat and locked in place to prop it up.

I definitely don't think warming the bottles will help or hurt on the spit-up issue. However, if I were you I would stick to room temp, much easier for travel etc. if you don't need to heat everything, keep them used to that. Mine would not drink room temp or cold breastmilk or formula, since they were used to nursing and that is HOT from the tap, LOL.

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C.L.

answers from Minneapolis on

I would recommend taking them to a chiropractor for an adjustment. The whole birthing experience for them is a lot and their little bodies and pushed and squeezed, its no wonder that things are not in the right place after they are born. I had some issues with my daughter too and I took her in for an adjustment and her diaframe was pushed up into her stomach, causing there to be no room for food, hence the spitting up. At the same time, we also stopped making her bottles with tap water and now we use filtered water (there is so much stuff in our tap water, its ridiculous). All of this worked and he hasn't spit up for 6 months!! (she was 3 months old at the time and now she is 9mo old.) It could also be the forumla. I dont' know what kind you are using, but Gerber Goodstart is the best. Its not foamy at all. I hope this helps. Good luck!

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C.O.

answers from Minneapolis on

Sounds like reflux. She should have a reflux study done. If this is ignored the babies could possibly suffer burns to their esophagus/larynx as happened to my nephew. She also should not lay them flat...get some reflux wedges or even use the carseats after eating. My first child had it so bad she "leaked" no matter how long after she ate if she was laid flat at all.... and she would lose full feedings easily. Good luck... they will grow out of it but it takes time (usually several months).

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S.B.

answers from Bismarck on

You didn't say how old the babies are just that they are new...anyway how about burping them more often...every ounce to start with...sometimes they are sucking more air than you think they are and even tho they give a good burp half way through...they will probably give a good burp after an ounce too.

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R.G.

answers from Milwaukee on

I know this is late - sorry! - but it sounds a lot like my daughter was and it turned out to be a milk protein allergy. Have you SIL try soy formula if she's formula-feeding, or eliminating all dairy (including whey, caesin, caramel color, etc - TONS of names/forms!) in her diet if she's nursing/pumping. If nursing, it can take up to 2 weeks for all traces of dairy to be eliminated from her system but she should start to see some improvement within a few days. Fortunately if it is a milk protein allergy the babies will most likely grow out of it by 18 months.

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S.C.

answers from Omaha on

Sounds like they have reflux. My son did when he was a baby and let me tell you....my washer and dryer got a work out. He would go through at least 20 bibs and 10 outfits a day. I would have to change at least 3 times because no matter how careful or how much I thought I could stay clear of the spit, I would get drenched in it. It is a rough rough rough thing to go through. I can't imagine it x 2! My son would cry when he burped and screamed when he spit up. Our ped. put him on Prevacid and the crying and screaming stopped but the spitting up never did. No medication can stop it......but they will help with the pain. Which made such a difference.
I'm not saying that they have reflux but just wanted to throw out that idea in case your sis-in-law wants to check with her ped.

M.L.

answers from Hartford on

It oculd be reflux. My daughter had it! Call Dr.

M.
http://www.WorkingGreenMoms.com

R.D.

answers from San Francisco on

Your sister in law may find that she is going to have to put them on a Soya Formula. It does sound quite like the formula they are on is not working on the little ones'. My son when he was 1mth old he started spitting up, the Dr. changed his formula, we went on to 3 formulas', even tried the Soya, it didn't work. I said to him, by this time my son was 4mths. old, let me just try regular milk. He was somewhat hesitant but nothing was staying down. It ended up that once I put him on regular milk I never had any more problems. Of course I gave him his baby vitamin drops to the book because I worried with the regular milk. He turned out to be a chubby little boy who is now a very healthy adult. Talk with your Pediatrician/Medical Dr. I am sure they will definetly lead you to a different formula and see how it works. Good luck and congratulations on the twins!!

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C.M.

answers from Minneapolis on

Try to keep them upright for at least 20 minutes after feeding before laying them down. It sounds like they might have reflux and that is what works better than anything at this age. If they continue to have a problem, then talk to your doctor about reflux meds

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R.T.

answers from Orlando on

My first born was a spitter upper. I just figured that's the way it is with babies because he was my first born. By child #3 when I got some things figured out (and thanks in great deal to a book called Secrets of the Baby Whisperer that changed my life!), I now think that the reason my firstborn spit up so much is because I overfed him. Practically every time he cried I popped a bottle or boob in his mouth. Of course he happily ate (which made me think I was right that he had been crying because he was hungry), but I now know he was just content with the sucking to soothe him, regardless of their being milk involved. He was likely often crying from being tired, overstimulated, understimulated, too hot, too cold, etc. But since he had recently spit up (probably just because his belly was too full!) I assumed the next time he cried it was because he must be hungry since he had spit up what seemed like half of what he'd just eaten! Anyway.... they could be having a reaction to the type of formula they are drinking, but more than likely they are simply being overfed. As long as they are gaining weight instead of losing, no need to worry

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A.M.

answers from Chicago on

I have twins, and I nursed them, however I did pump and supplemented 1 with formula occasionally. I found that whenever I bottle fed them, as opposed to breast, they both spit up a LOT...like I'd say throw up the whole bottle, like you're describing. For us, it was definitely over feeding. Not so much that we were giving them too much, but rather they were getting it too fast because the nipples on the bottles weren't right for them. We were using newborn bottle nipples, but because they were smaller babies (not horribly small, but 5lbs 7oz and 6lbs 1oz) they needed a "tighter" nipple that required more work. Often, the opposite is true...they might not have as strong of sucking skills if they're small babies...but it wasn't with ours. It may have been, in my case, that they were used to nursing, but changing nipples did help us immensely. I can't remember what brand I used, but it was one that the hospital lactation consultant recommended (have her call and ask to speak to one). If they are strictly formula fed, you could be in need of another type (soy? I'm not a formula expert), in which case her pediatrician could probably make a recommendation. Either way, if she's concerned, and the spitting up is so frequent, check with the doctor. It never hurts to ask.

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A.H.

answers from New York on

my neice spits up a lot too.. but she is gaining weight.. they just changed her formula at 7 months old.. to something that is a little less thick.. she is still spitting up.. but at 9 months now.. she is 24 lbs.. so she is healthy.. very healthy..

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S.M.

answers from Madison on

Are you giving them formula? If so, maybe they need to change the type of formula. My daughter had to drink soy.

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D.N.

answers from Chicago on

My son, a triplet, did this for the first month or so. I was able to improve it after a few weeks by giving an ounce, burping, waiting a minute, and giving another ounce. He got breastmilk mixed with formula and formula was not the issue. As he grew, it did improve.

P.W.

answers from Dallas on

Are they drinking bottles or breast fed? Could be an allergy to the formula. Also could be reflux. Talk to the pediatrician

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R.L.

answers from Milwaukee on

After the feedings are over lay them in a more up right position. Examples: car seat,bouncy chair,table swing. It could be a case of acid reflux. Also the formula may be too strong for them. Similias alimentum wa
s the 3rd and final formula I used with my last baby. She had the same problem. The doctor gave me two different medications. Acid reflux and some lactose meds. I decided against medicating my child. :-) if none of these work at 8 weeks I started to put infant cereal mixed in with her bottle. I made it quite thick. That completely solved the problem. I myself had to start formula at only 2 weeks old because of my stomach flap. There is nothing wrong with starting a little early. Neither of my kids are obese from the formula they are appetites are awesome. Does this help?

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C.D.

answers from Omaha on

I think they might be eating too much and the spitting up is the result of having too much in their stomache or they are not being burped enough. You say they are newborn so I would suggest burping more often, usually after every 1/2 ounce to ounce of food they take.

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S.B.

answers from Sioux City on

Your sister-in-law should probably consult the pediatrician, who will probably change their formula.
My daughter had a similar problem with her first baby. Except the vomit was projectile. When the baby started losing weight, the dr. put her in the hospital until they found the right formula.
So, don't wait until it gets to that point. Call the doctor.

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S.T.

answers from Des Moines on

our daughter was similar. she drank so fast, we ended up having to burp her every ounce, instead of just halfway through. also, don't lay them down right after feeding them. that tends to make them spit up. if you have a boppy pillow, prop them up with that, and it should help them.

T.W.

answers from Milwaukee on

Hi Amy! It sounds alot like Acid Reflux. I am the local Rep for the Snuggle Me Cushions that are awesome for Acid Reflux by propping them up safely and still keeping them comfortable. Here is the website for them... www.simplymommyonline.com

I have a sale on them right now for Mothers Day that ends on the 15th of May. 20% off the entire order. Email me at ____@____.com if you would like to see it in person.

Hugs,
T.

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J.M.

answers from Boston on

Some kids are just spitters. Both of my kids were. I used receiving blankets as burp cloths, no joke. As long as the kids aren't crying or seeming uncomfortable, I wouldn't worry about it. I also doubt that they're throwing up anywhere near the whole bottle. Someone suggested to me to take 3 tablespoons of milk and pour it on the table - it looks like a _ton_ but I knew it was only three tablespoons (so probably not even a whole ounce). That made me feel better about how much they were spitting.

I also wouldn't worry if sometimes it's a little chunky - it just means that's made it into their bellies before coming back up.

My only real advice is to feed them more often at smaller amounts, but that might not help if they're really hungry for the amount they're eating now. My other advice is to get lots of burp cloths and learn to arm yourself : )

Good luck.

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