Vomiting in Infants After Feeding

Infant vomiting, usually known as spit-up, often concerns new parents. In general, occasional spit up from babies that are otherwise healthy (growing, active and alert) and happy is completely normal. Repeated vomiting, however, can be a symptom of a common medical condition.

  1. Cause

    • Infant vomiting is caused by gastroesophageal reflux (GER), a condition in which the esophagus allows food to come back up from the stomach.

    Symptoms

    • Aside from vomiting, infants with GER may experience any, all or none of the following: unexplained fussiness, coughing and difficulty eating.

    Occurrence

    • Most babies vomit after each feeding, and it is estimated that 50% of all babies have some degree of GER. It is usually mild and not cause for concern.

    Duration

    • Typical vomiting subsides in infants by age two. In many infants, it clears up by the first birthday or before.

    Home Treatment

    • For babies with mild GER, feed more often and for shorter periods of time. More frequent burping and an upright position after feeding also lessen the symptoms.

    Severe GER

    • Infants with severe GER may be unable to gain adequate weight due to the vomiting. They may also be uncomfortable or pained during feeding leading to a refusal to feed and trouble breathing.

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