How is the three-month-old baby spitting milk?

Spitting milk is a common phenomenon in infants, which is caused by two reasons: one is the symptom of systemic or gastrointestinal diseases; Second, the anatomical and physiological characteristics of the baby's gastrointestinal tract are easy to spit milk. Generally speaking, spitting milk caused by the second reason is more common. Feed milk

First of all, it is necessary to find out whether the baby spits milk or overflows milk. The meanings of the two are different, and the reasons and treatment methods are also different. The amount of spitting milk is relatively large, which can happen soon after feeding, or half an hour later. Before spitting milk, the child has a painful and uncomfortable expression. Spilling milk is a small amount, usually just after eating milk, and usually stops after spitting for a couple of minutes. The milk eaten by the mouth first passes through a tube called esophagus and then enters the stomach. The stomach has two doors, one is called cardia, which is connected with esophagus, and the other is called pylorus, which is connected with intestine and is the outlet of the stomach. Infant esophageal muscle tension is low, which is easy to cause slow expansion and peristalsis, so food is easy to deposit. The cardia is loose and not tightly closed, and it is easy to be washed away by food. A little more food in the stomach can open the cardia and return to the esophagus. The pylorus is closed and easily stimulated by food, which makes the outlet resistance greater. Food passes slowly or difficultly, and food flows back from pylorus to cardia, breaking the door. In addition, the baby's belly is not vertically downward like older children and adults, but horizontal. This can reduce the capacity of the stomach, store less food and return to the cardia easily. Because of the above factors, even under normal circumstances, because of eating too much, lying flat immediately after eating milk, milk is easy to burst the cardia and return to the mouth through the esophagus, resulting in spitting milk. Children occasionally spit milk, and their spirits are also very good, so they may not be sick. If you vomit several times in a row, you should pay attention to whether the child has a fever, how the stool is, whether the spirit has changed, and so on. It may be that there is something wrong with the gastrointestinal tract itself, or there may be something wrong with other systems. Children should be taken to the hospital for examination. In traditional Chinese medicine, spitting milk and overflowing milk are all caused by stomach cold. [ 1]

job operation

Most of the milk spillage is because the baby inhaled air when nursing. After air enters the stomach, because the gas is lighter than the liquid and located above, it is easy to rush out of the cardia, and it will also bring out some milk, resulting in milk overflow. Therefore, when feeding, let the child's mouth cover the whole nipple, leaving no gap to prevent air from taking advantage of it. When feeding with a bottle, let the milk completely fill the nipple. Don't be afraid that the milk only reaches half a nipple, so it is easy to breathe in air. After feeding, it is best to let the child lie on the shoulders of adults and pat the child's back with his hand to let the sucked air escape. After feeding, pick up and put down the baby with less movements. I'm shaking too much to feed.

It's easy to spill or spit milk. The amount of milk spilled is generally very small, which will not have much impact on the growth and development of children. As you get older, you will naturally get better. Children tend to vomit milk during or just after breastfeeding. The solution to this situation is: first, don't be too eager to eat milk, pick up the child in the middle of eating milk and burp, and then eat milk, so that it is not easy for the child to spit milk immediately after eating milk. In addition, if the child vomits milk seriously, if you feed the child with milk powder, you can take anti-galactorrhea milk powder. Now several major brands of milk powder have this variety. The most common situation of milk overflow is physiological milk overflow, because the baby's stomach is horizontal and it is easy to inhale. After eating milk, the gas is pressed out, and when the gas is removed, the milk will also flow out. To solve this situation, don't be too hasty in feeding for the first time. After feeding, let the child stand up and burp for two to three minutes at a time. If the child's hiccups are not discharged well, it can be taken after ten to twenty minutes, which can reduce or prevent the milk from overflowing. In addition, children with severe milk spillage can lie on the right side after breastfeeding. Because lying on the right side can make milk flow out of pylorus and reduce spitting. The baby's nasal cavity is not fully developed, so it is relatively narrow and prone to nasal congestion, so it is normal to appear at night after cleaning in the morning, so don't worry. If the nasal congestion is serious, it is necessary to clean the nasal scab in time, generally before breastfeeding and before going to bed, let the children eat well and sleep well. Because children can't breathe when their noses are blocked when they are breastfeeding, they are very upset when they are breastfeeding, and their noses are blocked when they sleep. Babies can't breathe through their mouths, so it's enough to clean the nasal scab before feeding and before going to bed.

Reduce spitting milk

Vomiting and galactorrhea are one of the most common symptoms in neonatal period. The newborn's stomach is small, the esophagus is slack, the stomach is horizontal, the pyloric sphincter is well developed but the cardia sphincter is poorly developed, and the nerve regulation function of intestinal peristalsis and the functions of endocrine, gastric acid and proteolytic enzymes are poor. These physiological characteristics are the reasons why newborns are prone to vomiting. intestinal tract

Neonatal vomiting can be physiological, for example, a normal newborn can vomit 1-2 times a day; It may also be the main manifestation of digestive dysfunction or digestive tract obstruction. Feeding too fast, feeding too much or too little, changing the formula of milk powder frequently, adding complementary food too early, crying for a long time before feeding, swallowing a lot of air at the same time, standing up and patting the back after feeding or changing the posture too much after feeding, such as changing diapers, can all cause vomiting. But frequent vomiting, or accompanied by abdominal distension, diarrhea, fever and other symptoms, should consider whether there is a pathological condition. Common diseases include gastroesophageal reflux, infection and pyloric spasm. However, there are yellow bile-like substances in the vomit, so the surgical conditions should be considered. Vomiting caused by improper feeding will be improved after improving feeding methods and avoiding some of the above influencing factors. Newborns with gastroesophageal reflux should look up to 30-degree prone position or 60-degree supine position after feeding, and feed several meals of thick milk. At present, motilium and cisapride are used clinically as drugs to treat gastroesophageal reflux, which has certain curative effect. However, frequent vomiting with bile, blood or feces, or accompanied by symptoms such as abdominal distension and fever, should be sent to the hospital for further examination and treatment.

Seven rules to reduce spitting.

1. Feed in moderation, not in excess. 2. Eat more rice to relieve the pressure on the stomach. 3. During and after feeding, let the baby lie upright on the shoulders of adults and pat the baby's back. This action can expel the air swallowed into the stomach to relieve the pressure on the stomach. 4. Don't be too anxious or too fast when feeding, and pause for a while to make the baby breathe more smoothly. 5. The opening of the bottle should be moderate. If the opening is too small, you need to suck hard, and air can easily be sucked into your mouth from the corner of your mouth and then into your stomach; If the opening is too large, it is easy to be submerged by milk, which hinders the passage of the respiratory trachea. 6. Don't let the baby lie flat immediately after feeding. Sit up straight for a while and pat it on the back. When lying flat, the baby's upper body should also be raised, preferably lying on the right side, so that the food in the stomach is not easy to flow out. 7. After feeding, don't make your baby excited, and don't shake or shake your baby at will.

Emergency treatment

Because the opening of the esophagus and the opening of the trachea are connected in the throat, what I am most afraid of when spitting milk is that when the milk suddenly flows back from the esophagus to the throat, it just accidentally enters the trachea, which is called choking milk. When the amount is large, it will cause the treatment of tracheal vomiting.

Blockage, breathing can not be carried out, and immediate oxygen delivery will be life-threatening. When the amount is small, it can be directly inhaled deep in the lungs to cause aspiration pneumonia. Slight milk spilling and spitting, usually the baby will adjust his breathing and swallowing movements, so there is no danger of inhaling into the trachea. Parents only need to closely observe his breathing and skin color. If the baby vomits a lot, please handle it as follows:

side

If vomiting occurs when lying flat: turn your baby's face to one side quickly to prevent vomit from flowing back into the throat and trachea due to gravity.

Wrap your finger in a handkerchief or towel and put it in your mouth.

Even at the throat, spilled milk food will be cleaned up rudely and quickly to keep the respiratory tract unobstructed and not hinder breathing. At this point, cleaning the mouth is more important than the nasal cavity! Therefore, you should always carry a small handkerchief and towel with you in case of emergency (you can clean your nostrils with a small cotton swab).

Pat the back

If the baby is found to be holding his breath or his face becomes dark, it means that the vomit may have entered the trachea. Immediately let him lie on the adult's knee or bed (hard bed), and beat his back hard four or five times to make him cough up.

Foot gusset plate

If all these steps are done, but the baby still doesn't respond, immediately stimulate (or pinch or pinch) his soles, so that the baby can breathe because of the pain. At this time, the most important thing is to let the baby inhale, and oxygen can enter the lungs to avoid hypoxia. At the moment of choking and saving lives, the most important thing is to gain time to send air (oxygen) into the lungs, instead of wasting time thinking about how to take out foreign bodies. This concept is very important. During the above treatment, the baby should be transferred to a hospital or clinic at the same time, so that professional pediatricians can do further treatment or examination, so as to be completely at ease. If the baby breathes smoothly after suffocation, it is best to find a way to make him cry hard again (crying is a lot of breaths), so that you can observe the inhalation and exhalation movements of the baby when crying to see if there are any abnormalities (such as weak tone sandhi, sleepy inhalation?