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Spitting milk baby
Hello dr
My babies are premature, born at 34 weeks, no nicu needed.
They spit milk curdled and creamy both from nose n mouth 3-4 times a day.
Why they do?
Aptami preterm first, now aptamil premium stage 1. With BM.
Do help me with this.
Answers (10)
I need to ask few more questions before answering your query.
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Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), FELLOWSHIP IN NEONATOLOGY ( Newborn and vaccination specialist )
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This is normal as the sphincter is still immature and is called gaate oesophageal reflux . Babies usually outgrow this. Until baby is active, gaining weight, feeding well despite spit ups, not irritable, spit ups are not yellowish greenish in colour , abdomen is soft, no abnormal postures you need not worry.
Feed in small quantities frequently, positioning and latching should be proper.keep the baby upright and burp after feeds for about 20-30 min.
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Mr. Bhalala lalji narshibhai
Pediatrician
8 yrs exp
Ahmedabad
In preterm babies (34 weeks), spitting 3-4 times/day is often due to immature lower esophageal sphincter and small stomach capacity. Curdled milk is partially digested reflux, creamy is immediate spit. Nose spitting occurs due to connection of nose-mouth when lying flat.
This is commonly physiological GER and improves with age.
Advise:
- Small, frequent feeds, avoid overfeeding
- Keep baby upright 20-30 min after feed, burp in between
- Use slow-flow nipple, prepare formula as per label exactly
- Continue breast milk, do not change formula without advice
- Sleep on back, not flat immediately after feed
Red flags - see doctor urgently if: forceful/projectile vomiting, poor weight gain, blood or green vomit, breathing difficulty/choking/bluish color during spit, excessive crying, fever, less urine.
Regular follow up for weight as per corrected age is needed for preterm twins.
This is educational info only, please consult your pediatrician for proper evaluation.
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Dr. Shabeena Jamal
Pediatrician
5 yrs exp
Greater Noida
Milk regurgitation is common in infants, particularly in preterm babies, due to immature gastrointestinal function. Curdled milk coming out of the mouth or nose may occur due to physiological reflux.
Next Steps
Give smaller, frequent feeds and burp the babies gently.
Keep them upright for 20–30 minutes after feeding while awake and supervised.
Always place them on their backs for sleep.
Health Tips
Seek urgent care for forceful or green vomiting, breathing difficulty, poor feeding, lethargy, or inadequate weightGive smaller, frequent feeds and burp the babies gently.
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
7 yrs exp
Rajkot
Normal
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Dr. Urvi Rameshbhai Kagathara
Pediatrician
9 yrs exp
Pune
It is quite normal. There are multiple reasons as gastric reflux, overfeed, aerophagia etc. Just monitor for proper weight gain. All you need to do is proper burping/tummy time.
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Dr. Tangade Vishal Bhanudas
Pediatrician
4 yrs exp
Pune
Burp properly
Next Steps
If then too spits ,visit physically to nearby pediatrician.
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings
It is common for late preterm babies to spit up curdled, creamy milk because their digestive systems are still maturing. This frequent spitting up through both the nose and mouth often resembles gastroesophageal reflux, a temporary food intolerance, or simple overfeeding as they transition formula stages. Keeping the infants upright for 30 minutes after feeding and offering smaller, more frequent portions can significantly reduce this backflow.
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Dr. Venkatesh Badugu
Pediatrician
9 yrs exp
Hyderabad
Do proper burping
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Spitting up curdled milk from the mouth and nose is common in premature babies, since the valve between the stomach and feeding tube is still immature at 34 weeks. The milk looks curdled because it is partly digested, and some comes up through the nose simply because the mouth and nose are connected inside. This usually settles on its own as your babies mature over the coming weeks.
Next Steps
Burp your babies often, during and after every feed, and keep them upright for 15 to 20 minutes afterward. Try smaller, more frequent feeds rather than larger ones, and continue the preterm formula and breast milk mix as currently advised.
Health Tips
See your paediatrician soon if either baby vomits forcefully, isn't gaining weight well, struggles to breathe during spit-up, or brings up green or yellow fluid.
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