Newborn Reflux / Spit-Ups
Overview
Reflux, or gastroesophageal reflux (GER), is common in newborns. It occurs when stomach contents flow back into the esophagus, causing spit-ups. Most cases are mild and resolve as the baby’s digestive system matures. Understanding normal versus concerning reflux helps parents manage it safely and avoid complications.
- Signs & Symptoms
- Frequent spit-ups after feeding
- Fussiness or irritability during or after feeding
- Arching of the back or crying during feeds
- Wet burps or small vomits
- Poor weight gain in severe cases
Causes & Risk Factors
- Immature lower esophageal sphincter in newborns
- Overfeeding or feeding too quickly
- Lying flat immediately after feeding
- Premature birth or low birth weight
- Certain medical conditions like reflux disease (GERD)
Managing Reflux at Home
- Feed smaller amounts more frequently: Helps reduce pressure in the stomach.
- Keep baby upright after feeding: Hold upright for 20–30 minutes to aid digestion.
- Burp frequently: Reduce swallowed air during feeds.
- Avoid tight clothing around the stomach: Prevents added pressure.
- Monitor growth: Most babies continue to gain weight normally despite mild reflux.
When to See a Doctor
Consult a pediatrician or a pediatric gastroenterologist if your newborn:
- Spits up large volumes frequently
- Shows poor weight gain or dehydration
- Has blood or greenish fluid in vomit
- Appears in severe pain or persistent irritability
- Gastroenteritis (Diarrhea & Vomiting) in Children
- Frequent Vomiting in Children
- Reflux / GERD in Children
- Constipation in Children
- Diarrhoea in Children
- Is My Baby’s Stool Normal? How to Identify Newborn Diarrhea
- Pediatric Gastroesophageal Reflux Disease (GERD)
- Irritable Bowel Syndrome (IBS) in Children
Frequently Asked Questions
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