How to deal with a 5-month-old baby constantly spitting up?

Patient's question:

Doctor, hello: My son is now 5 months old. When he was 1-2 months old, he sometimes vomited a little after eating milk, but it wasn't serious. After 3-4 months, he stopped vomiting milk, but recently he has started vomiting again. Now he usually eats milk every 4 hours (mixed feeding). Whether he just finished eating or after 3 hours, he occasionally vomits. The vomit looks like small tofu or like scrambled eggs, meaning it's not fully digested. When he vomits, I don't feel like he is uncomfortable. Also, his weight is increasing steadily. Now he weighs a little over 18 pounds, and his height is 68 cm. What could be the reason? I thought that after 3 months, vomiting milk would usually improve, but why is my son vomiting again at 5 months?
Additional question: How much milk should a 5-month-old child generally consume?

Doctor's answer:

Hello, baby vomiting milk is a normal physiological phenomenon. An infant's stomach is in a horizontal position, and the cardiac sphincter is underdeveloped. The stomach capacity is small, and food is prone to reflux. Improper feeding or overfeeding can easily lead to vomiting.
Mothers should pay attention to keeping the baby's head elevated while feeding. After feeding, hold the baby upright and gently pat their back to burp and expel air from the stomach. It is also important to observe whether the vomiting is due to a large nipple, excessive feeding amount, or milk aversion after adding complementary foods.
If vomiting is accompanied by poor, fever, crying, or abnormal bowel movements, it may indicate a digestive system disorder or other diseases. It is recommended to seek medical attention.

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