Patient's question:
Just three months old, he often spits up milk, and recently occasionally coughs a few times. Hello, what's going on? In the past month, sometimes when holding him or putting him to bed, his head keeps shaking, as if it's itchy and he can't scratch it with his hands. Such... what kind of coordination...Doctor's answer:
It might be due to physiological reflux. Currently, if there is burping or coughing, it could be a symptom triggered by a fever. Frequent reflux might also lead to lung infection and coughing.First, treat the fever. Currently, it is recommended to start with anti-inflammatory treatment. The fever may alleviate the symptoms of reflux.
Additionally, be aware that the child's cardiac orifice function has not yet fully developed. Therefore, after feeding, vigorous movement or coughing may cause vomiting again. Avoid overfeeding. After feeding, it is best to have the child lie on an adult's shoulder and gently pat their back to help expel the air they swallowed. When lifting and putting down the child after feeding, be gentle and minimize movement. Avoid excessive shaking.
During naps, ensure the child sleeps on their side. During vomiting, quickly lower the child's head to help them spit out the milk. If not attended to promptly, it may come out through the nose. This can easily lead to choking, respiratory tract aspiration, recurrent pneumonia, or even breathing difficulties that could be life-threatening.
Care Tips: Physiological reflux will gradually improve on its own around 4-6 months.