Some older babies will start spitting up more after a period of time with little or no spitting up. My older baby just started spitting up more – what’s up? Newborns who projectile vomit at least once a day should be checked out by their doctor. It occurs 4 times more often in boys than in girls, and symptoms usually appear between 3 and 5 weeks of age. Although seldom seen in breastfed babies, regular projectile vomiting in a newborn can be a sign of pyloric stenosis, a stomach problem requiring surgery.Babies with Gastroesophageal Reflux Disease (GERD) usually spit up a lot (see below).Other things to ask yourself: is baby getting anything other than breastmilk – formula, solids (including cereal), vitamins (fluoride, iron, etc.), medications, herbal preparations? Is mom taking any medications, herbs, vitamins, iron, etc.? The most likely offender is cow’s milk products (in baby’s or mom’s diet). Food sensitivities can cause excessive spitting.Breastmilk oversupply or forceful let-down (milk ejection reflex) can cause reflux-like symptoms, and usually can be remedied with simple measures.If your baby is a ‘Happy Spitter’ –gaining weight well, spitting up without discomfort and content most of the time - spitting up is a laundry & social problem rather than a medical issue. Most babies have stopped spitting up by 12 months.Many babies outgrow spitting up by 7-8 months. Spitting up usually peaks at 2-4 months.
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