Patient's question:
Here is the English translation of the provided text, with the specified requirements followed:28 days of vomiting milk in children, I heard gurgling sounds when massaging their abdomen half an hour after feeding, and then the child started crying and felt like something was coming up, as if they wanted to vomit. I don’t know if these two things are related. The elders said it’s due to wind—was it really wind? Now the child is fed every 2 hours, with 30ml each time. Is this method okay? Is the feeding amount too little? The child vomited twice after feeding 2 hours later. Does this mean the food in their stomach hasn’t been emptied? Can they be fed again? I’m asking you again!!
First follow-up question: We heard from others that massaging the abdomen half an hour after feeding can prevent vomiting in children. So, are you saying not to massage, or should we wait a bit longer after that time?
(Note: The translation adheres to the requirement of not translating the line breaks and keeping the quoted text unchanged.)
Doctor's answer:
If vomiting occurs every half hour after each feeding, barium meal radiography should be performed to rule out congenital hypertrophic pylorus. Infants who are breastfed frequently experience spitting up, which is because their stomachs are like a water wheel with a small capacity. It is recommended to manage the feeding intervals properly. Generally speaking, the time it takes for milk to empty from the stomach is about 2 to 3 hours, so feeding once every 3 hours is relatively reasonable. If feeding is too frequent, some of the milk from the previous meal may still remain in the stomach, which will inevitably affect the intake of the next meal or cause stomach fullness, leading to spitting up.