This article is for general information only and does not replace medical advice. If in doubt, contact your paediatrician or midwife.
Baby Reflux
Spitting up after feeds is extremely common in babies — over 50% spit up regularly. The sphincter between stomach and oesophagus is still immature. It's usually harmless ('happy spitter').
Possible Causes
- 1Immature lower oesophageal sphincter
- 2Liquid diet and lying position
- 3Drinking too fast or swallowing air
- 4Cow's milk protein intolerance (in severe reflux)
- 5Pyloric stenosis (severe projectile vomiting weeks 2-8)
What You Can Do
- Hold upright: 20-30 minutes after feeding
- More frequent, smaller feeds
- Burping — regularly during and after feeds
- Elevate upper body slightly (wedge under mattress)
- Anti-reflux formula (AR) for bottle-fed babies — on medical advice
When to See a Doctor
- Baby cries during/after feeds (painful reflux)
- Baby not gaining weight adequately
- Food refusal
- Breathing pauses or coughing when spitting up
- Greenish vomiting (bile → EMERGENCY)
Age-Specific Notes
Reflux usually starts in the first weeks, peaks at 4-5 months, and improves significantly from 6 months (when baby can sit). 95% of babies have no more reflux by 12 months.
Frequently Asked Questions
When is reflux dangerous?
Should I thicken the milk?
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This article is for general information only. It does not replace individual medical advice. If you have concerns, contact your paediatrician, midwife, or call emergency services.