Frequent regurgitation in the newborn, in infants- fountain, after feeding

Update: October 2018

  • Aerophagia

The cause can also be aerophagia – swallowing air in
food process. This can happen in some cases: uncomfortable
the position of the baby during the meal, the excess milk (for example, in
the nipple of the bottle cut too big a hole), baby
incorrectly captures the breast, the child is too excited;

  • Flatulence

To provoke regurgitation can and increased gas formation,
especially if the baby is breastfed (see reasons
flatulence in adults), as it leads to periodic
increase abdominal pressure. To avoid this, mom
pay attention to your diet. Products causing
flatulence should be excluded from her menu – black bread, legumes,
fresh apples, cabbage. It is allowed to use stewed color
cabbage and baked apples.

  • Constipation

Delayed stools can also provoke frequent regurgitation.
infant baby. In this case, there is also an increase
pressure in the abdominal cavity. This decreases the rate of advancement.
food along the gastrointestinal tract and increases significantly
the likelihood of belching food.

  • Indiscriminate feeding can contribute to abundant
    spitting up.
  • If the child is in an upright position, the air
    the bubble that forms in the stomach can push some
    the amount of food out of it.

Prevention of physiological regurgitation

There are plenty of effective ways to prevent this.
Attentive mother, watching the baby, easy to install, why
they appear, and first of all eliminate negative phenomena. AT
help her we give a list of the most common methods
prophylaxis:

  • It’s great to have baby and mommy before feeding
    would be at rest. You can put the baby on the tummy,
    or stroke the baby’s tummy with a palm, make a light massage in
    navel area. Make sure the head of the baby was not
    thrown back, and his nose breathed freely. It is important. Since when
    stuffy nose baby forced to gasp for air, and this will
    accompany the subsequent regurgitation;
  • If the baby eats her mother’s milk, it is necessary
    control that he took the breast correctly. Baby should
    grab the nipple along with the areola, and its lower sponge
    at the same time it has to be turned out a little;
  • If the child is an artificial artist, it can be useful to use for
    feeding anti-colic nipples and bottles that impede
    ingestion of excess air. It is useful to learn how to keep
    feeding bottle: milk should cover the base of the nipple,
    the angle of inclination of the bottle is 40 degrees (for a baby in a lying
    position) and 70 degrees (for the baby sitting on the hands);
  • Do not pull the baby immediately after feeding, do not swaddle him
    tight. To facilitate regurgitation help cautious slapping
    baby’s back. The baby must be seated on its knees. One hand
    hold it, and the second lightly slap on the back;
  • If the baby is susceptible to frequent regurgitation, put it in the crib
    on the flank. This will help to avoid vomiting of airways.
    masses If the baby burped on his back, lift him up and
    turn face down;
  • If regurgitation is caused by overfeeding, you should try
    reduce feeding time. And to determine whether the baby is enough
    I eat, you can weigh it before and after taking
    food;
  • For the correction of regurgitation in babies effectively use
    antireflux mixture. This is an indigestible fruit supplement.
    carob tree. It consists of natural fibers that
    hitting the baby’s ventricle form a clot preventing
    spitting up.

AT большинстве случаев функциональные срыгивания легко поддаются
correction, and then pass themselves. Moms and dads should not
worry especially if the child feels
normal and confident weight gain. If burping
occur due to pathology, then the unusual behavior of the baby, his
ill health will prompt that urgently needed medical
consultation.

When to seek medical care

  • Milk regurgitation does not stop after six months of life;
  • If there is an abundant regurgitation of “fountain” more often two times
    day;
  • Signs of dehydration appear – refusal to eat, low
    body temperature, rare urination, or, conversely, more often 10 times
    per day, weakness, drowsiness
  • Accompanied by fever;
  • The baby does not gain weight appropriate to his age;
  • Emetic masses have the appearance of sour milk, an unpleasant smell,
    changed color.

Pathological regurgitation in infants

Most children are prone to regurgitation syndrome, causes
which are different. It is not always normal and acceptable.
a phenomenon. Иногда обильное и частое срыгивание  появляется по
the cause of abnormal fetal development of the child
pathological pregnancy of the mother (intrauterine infection).

  • Perinatal encephalopathy

This collective diagnosis is often made to a newborn, his
the cause may serve severe pregnancy and childbirth
mothers. ATключает он в себя нарушение работы ЦНС, которое может
manifest abundant regurgitation, including the fountain,
sleep disturbance, the baby may be restless, maybe tremor
chin or limbs. Risk of perinatal encephalopathy
increases significantly with prolonged hypoxia during
pregnancies, as well as in children who at birth had less than 5
Apgar scores or there was a short stop
breathing.

  • Hydrocephalus

This disease also has very abundant
belching food, almost all the milk eaten
fountain, baby crying, restless, during sleep can
tilting the head back. These children may have a delay.
mental and physical development, increased muscle tone in
limbs, the delay in the appearance of the step reflex. Read
More on the symptoms of hydrocephalus in children.

  • Other central nervous system pathologies

In case of birth injuries, circulatory disorders of the brain
or underdevelopment of the central nervous system due to
prematurity occurs regurgitation of undigested milk or
the mixture, usually after each feeding, is accompanied by
belching.

  • Pathologies and anomalies of the gastrointestinal tract

Diaphragmatic hernia or pyloric stenosis can cause
frequent, persistent regurgitation. When pyloric stenosis symptoms appear
already on the second day after birth. Chewing on curds can
talk about this pathology. The child loses weight because food is not
passes beyond the stomach and is not absorbed. Also missing chair
baby, even after enema.

  • Infections – food poisoning, sepsis, hepatitis, meningitis
    different etiology

They are accompanied by a rise in temperature, lethargy, pallor
or yellowness of the skin of a child. Regurgitation with mucus
may indicate the presence of an infection of the gastrointestinal tract or
intestinal dysbiosis (see symptoms of intestinal dysbiosis,
list of probiotic drugs).

  • Hereditary pathology – adrenogenital syndrome,
    phenylketonuria.
  • Renal failure is often accompanied by episodic
    regurgitation after eating.

Regurgitation fountain in infants

This may indicate a serious pathology of the head.
brain or problems in the gastrointestinal tract. it
may be a symptom of serious poisoning. With a similar process
It is necessary to contact a pediatrician immediately. So how is it
threatens the child with dehydration and weight loss, which may
lead to very terrible consequences.

ATажно отметить, если у ребенка наблюдаются обильные отрыгивания
or a fountain, that is, there is a great risk that in a dream, in the supine position
back baby can choke. Therefore, even with single
regurgitating, putting him to bed needs only to the side and
fix position with rollers.

If a child suffering from abnormal regurgitation is
on artificial feeding, then you need to pick up
special mixture (antireflux mixture). Give the mixture to children
breastfed cannot be.

Автор: Ревус Олеся Григорьевна врач-невролог

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