Simple Tips to Help Your Baby Spit Up Less


It's totally normal for babies to spit up! Since their bodies are still developing, the muscle between their esophagus and stomach (called the lower esophageal sphincter) isn’t strong enough yet to keep food down consistently. Until this muscle matures, spitting up can happen—especially when your baby’s tummy is on the fuller side
. While it’s usually not a big deal, it can be messy and a little frustrating. The good news? There are a few easy things you can try to help your baby.

Here are some simple, parent-friendly tips:

1. Hold Your Baby Upright During Feedings

Feeding your baby in an upright position makes it easier for milk or formula to go straight to their tummy. Avoid feeding them in a car seat or any other slouched position—it can make spitting up more likely.

2. Keep Things Calm

Babies are sensitive to their surroundings. Try feeding them in a quiet, calm spot with fewer distractions. If they’re crying or overly hungry, they might gulp air, which can lead to spitting up.

3. Check the Bottle Nipple

If you’re bottle-feeding, make sure the nipple flow is just right. A nipple that’s too slow can frustrate your baby, while one that’s too fast might make them gulp or gag. Adjust the nipple size until the flow feels comfortable for your little one.

4. Burp Often

Don’t forget to burp your baby! Do it during natural pauses in the feeding and again when they’re done. If they don’t burp after a few tries, no worries—just try again later.

5. Watch the Tummy Pressure

Tight clothing, snug diapers, or leaning against your shoulder when burping can put pressure on your baby’s stomach, making spitting up worse. After feeding, avoid putting them in a car seat or any position that presses on their belly.

6. Take It Easy After Feedings

After your baby eats, hold them upright for about 30 minutes and avoid bouncing or vigorous play. Let gravity help keep the food down where it belongs!

7. Don’t Overfeed

Sometimes, babies spit up simply because they’ve eaten too much. Try offering smaller amounts of milk or formula during each feeding and see if that helps. Smaller, more frequent meals might be the key.

8. Talk to Your Pediatrician About Formula

If your baby spits up a lot, they might have a sensitivity to their formula. Chat with your pediatrician—they might suggest trying a hypoallergenic formula to see if it makes a difference.

When to Call Your Doctor

Most of the time, spitting up is normal and nothing to worry about. But if it seems excessive or comes with other symptoms, don’t hesitate to check in with your doctor. They’ll help you figure out what’s going on and how to help your little one.

By making a few small changes, you can help reduce the mess and make feedings more comfortable for your baby. Remember, every baby is different, so don’t stress if it takes some time to find what works best for you.

 

References

Mountsinai, (July 31, 2024), Spitting up - self-care https://www.mountsinai.org/health-library/selfcare-instructions/spitting-up-self-care                                                         Hackensackmeridianhealth, (March 14, 2023), How to Reduce Your Baby’s Spit-up and Heartburn https://www.hackensackmeridianhealth.org/en/healthu/2023/03/14/how-to-reduce-your-babys-spitup-and-heartburn                                   Healthwise, (October 24, 2023), Spitting Up https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=sig54847spec

Kidshealth, (September 2024), Breastfeeding FAQs: Spitting Up, Gagging, and Biting

https://kidshealth.org/en/parents/breastfeed-spitting-up.html

by Vincent Jim – January 12, 2025

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