Patient's question:
After eating at night, the milk comes back up, but not during the day. Every time they finish eating, they pat them. Why do they vomit milk at night? Besides the child having green poop at night and yellow poop during the day, what's the reason for this? Is there a good solution? What kind of coordination...Doctor's answer:
The phenomenon of spitting up is relatively common because a baby's stomach is in a horizontal position, has a small capacity, and the cardiac sphincter near the esophagus is wide with poor locking effect, while the pylorus near the small intestine is tight. Additionally, babies often swallow air while feeding, making it easy for milk to flow back into the mouth, leading to spitting up. When a mother first witnesses her baby spitting up, she may feel worried and unsure of how to proceed. However, by paying attention to the following aspects, you can help prevent your baby from spitting up.1. Adopt the correct diaper-changing position: Try to hold the baby upright while changing the diaper, allowing the baby's body to be in a slightly downward 45-degree angle. This naturally allows milk in the stomach to flow into the small intestine, reducing the likelihood of spitting up compared to lying down.
2. Make sure the baby burps after changing the diaper: Hold the baby upright against your shoulder and gently pat their back to help them burp and expel the air swallowed while feeding. Then place the baby back in bed, which can help prevent spitting up.
3. Avoid letting the baby lie flat immediately after feeding. Instead, keep them in a semi-reclined position for a while before placing them on their stomach.
4. Avoid over-wrapping the diaper and changing it too frequently.
If your baby spits up and shows no other abnormalities, there is generally no need to worry, as it will gradually improve over time and will not affect their growth and development. The vomit may appear as cottage cheese-like curds, which is a result of milk reacting with stomach acid and is normal—no need to be concerned. However, if your baby frequently vomits, and the vomit is yellow-green or coffee-colored, accompanied by symptoms such as fever, nausea, or vomiting, it is important to seek medical attention promptly.
The above suggestions are for the issue of "babies spitting up at night but not during the day." I hope this helps, and wish you good health!