Is anything wrong if my infant vomits frequently after feeding?

Sam Pejham, MD
Infants spit up after feeding since the muscles that are suppose to keep the food from coming back up from the stomach haven't formed yet.  This along with the air that they swallow while feeding makes it more likely for them to spit up.  There is also a condition called Pyloric Stenosis (thickened Pyloric Sphincter) which can cause "projectile Vomiting".  This condition is more serious and requires medical/surgical intervention.
For routine spit ups, the treatment option is avoiding over feeding, burping frequently, proper positioning after feeding, if bottle feeding use the type that minimizes air swallowing, and avoiding gassy foods (bean, cauliflower, cabbage, etc.) for moms who are breast feeding to make sure babies don't get gassy.
Spit ups usually peak at 4months of age and start resolving after 6 months of age.  
If your infant is spitting up too much and/or not gaining enough weight, consult your physician. 

Infants spit up frequently, but if your child is vomiting forcefully after eating, consult your doctor. Frequent projectile vomiting can be a symptom of pyloric stenosis, a serious condition that must be treated with surgery. With pyloric stenosis, the opening between the stomach and the small intestine is blocked by an enlarged pylorus and food cannot get into the intestines.

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