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Spitting Up, Reflux

Feed Smaller Amounts:
- Bottlefed: Give smaller amounts per feeding (at least 1 ounce less than you have been). Keep the total feeding time to less than 20 minutes (Reason: overfeeding or filling the stomach to capacity always makes spitting up worse).
- Breastfed: If the mother has a plentiful milk supply, try nursing on 1 side per feeding and pumping the other side. Alternate sides.
Longer Feeding Intervals: Wait at least 2½ hours between feedings, because it takes that long for the stomach to empty itself. Don't add food to a full stomach.
Loose Diapers: Avoid tight diapers. It puts added pressure on the stomach. Don't put pressure on the abdomen or play vigorously with your child right after meals.
Vertical Position:
- After meals, try to hold your baby in the upright (vertical) position. Use a front-pack, backpack, or swing for 30 to 60 minutes.
- Reduce time in sitting position (e.g., infant seats).
- After 6 months of age, a jumpy seat is helpful (the newer ones are stable).
Expected Course: Reflux improves with age. Many babies are better by 7 months of age, after learning to sit well.
IF your child becomes worse: Review Should I Call? recommendations.