Why do babies who are one month old choke while breastfeeding

Patient's question:

Three days after birth, I didn't know if it was my throat or nose that made a slightly stuffy sound.
I was discharged from the hospital.
Fifteen days after birth, the sound worsened, and I occasionally choked on milk while coughing.
I went to the Central Hospital, where I was diagnosed with mild pneumonia and hospitalized for five days before being discharged.
At home, the sound still persisted, and sometimes I made snoring sounds while sleeping.
I also made squeaking sounds while playing in bed or sleeping.
I frequently choked on milk while feeding, and I occasionally coughed during the day.
I also frequently sneezed, had nasal mucus, and made loud exhalation sounds.
Three days later, I went for a follow-up checkup, and the doctor listened to my chest and back.
He said there was still phlegm in my lungs and prescribed Amoxicillin dispersible tablets, one tablet divided into ten doses, taken twice a day.
No X-ray examination was required.
After taking the medicine, I still choked on milk, sneezed, and coughed.
The squeaking sounds while lying in bed worsened.

Doctor's answer:

Some children have the problem of spitting up after birth. By the second month, they still spit up frequently. Some spit up shortly after feeding, while others spit up about 20 minutes after feeding. What could be the reason for this?
It turns out that the human stomach has two openings: the upper opening is called the cardia, and the lower opening is called the pylorus. The cardia muscle is relatively loose, while the pylorus muscle tends to spasm. The milk that the child spits up has a consistency like tofu pudding, which is the result of milk protein forming curds under the action of gastric acid.

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