In such cases, do not immediately rush into a panic, it is better to carefully observe the child for several days. You should pay attention to:
- in what time interval after ingestion there is regurgitation;
- in what quantity;
- what is the consistency of milk after regurgitation;
- how often a day your baby spits up;
- how he feels during the day.
Only after you have answered these questions, you can begin to draw conclusions.
So, the problem of regurgitation is inherent mainly in children in the first year of life. The reasons why babies regurgitate after childbirth somewhat.
The first and most common is overeating. This situation is typical for moms who have a lot of milk, and also in cases when the baby has an increased sucking activity. As a rule, regurgitation occurs immediately after a meal, not curdled with milk. The volumes of regurgitated milk are small, about 2-3 tablespoons. In these cases, the child's well-being does not practically change, he is cheerful, active and adds weight well. Mummies to avoid such regurgitations are advised to adjust the feeding regime, make shorter intervals between feedings and control the amount of sucked milk, by weighing before and after feeding.
The second reason is aerophagy. Occurs when your baby swallows air while feeding. The causes of ingress of air into the child's gastrointestinal tract can be:
- incorrect feeding technique;
- if the child eats greedily with a wide open mouth.
Regurgitation, which is the cause of aerophagia, can be avoided by adhering to several rules:
- before each feeding the child should be laid out on the tummy;
- when breastfeeding, make sure that the baby does not rest against the breast with a spout;
- if the child is on artificial feeding, then you should watch for the nipple to be completely filled with milk;
- feeding should be done in a semi-vertical position;
- after each feeding, keep the baby upright, until all the air is released from the baby's food path;
- It is also necessary to exclude a tight swaddling causing excessive pressure in the abdominal cavity.
The third reason is the immaturity of the baby's digestive system. As a rule, at the time of the birth of a child, his digestive system was not fully formed, many organs have not yet accepted the position and form characteristic of an adult, and this can also cause regurgitation. In infants:
- A short esophagus, reminiscent of a funnel pointing upward, with smoothed constrictions;
- weakness of the lower sphincter of the esophagus and sphincter at the entrance to the stomach;
- small volume of the stomach and its form in the form of a ball, almost vertical arrangement; immaturity of muscles responsible for promoting food through the esophagus;
- not conforming to the norms of the composition of the digestive glands.
Most often this cause regurgitation in children is not a cause for concern and itself passes with time, because the digestive system is constantly being improved.
The fourth reason is various pathologies. To pathologies of the digestive system of the infant, causing regurgitation are:
- narrowing of the esophagus into the stomach;
- moving part of the abdominal organs into the thoracic cavity.
In these cases, the absence of an independent stool is often associated with regurgitation. These pathologies are removed surgically. The cause of regurgitation is a food allergy, both in children on artificial feeding, and in infants. If the mother feeding the baby will adhere to the hypoallergenic diet, and the mothers of the artificial persons will use hypoallergenic mixtures, everything will be normalized. The allergic cause of regurgitation is associated with the immaturity of the digestive glands and the imperfection of the immune system. Only strictly adhering to medical recommendations can defeat this disease. Also, there are pathologies of the nervous system associated with severe childbirth and pregnancy or impaired blood circulation in the brain of crumbs. Such children are characterized by:
- trembling of the chin and pens;
- general anxiety;
- other deviations of neurological characteristics.
In the case of the neurological nature of regurgitation, you need a consultation of a pediatric neurologist who will prescribe the treatment and give a series of recommendations that must be strictly observed. Infectious diseases that occur in a child in utero or during a mother's pregnancy can also cause frequent regurgitation. Hereditary changes in metabolism, such as galactosemia, phenylketonurie, adrenogenital syndrome, can lead to pathological regurgitation. The pathology of the kidneys, most often it is characteristic of boys, manifests itself approximately 2-3 weeks after delivery. With the animotic nature of regurgitation, the child experiences discomfort, he is moody, often not very active, slowly arriving in weight, and sometimes even losing weight.
That's actually all the main reasons why the baby belches after giving birth. If you notice that the regurgitation is repeated from feeding to feeding, they have a pronounced character, you need to be alert, as this can lead to the development of anemia, hypertrophy, aspiration pneumonia, reflux esophagitis (ingestion of gastric juice on the esophagus walls is very frequent comorbidity in children with an increased number of regurgitations). In children with a persistent syndrome of regurgitation, a lag in physical development, increased susceptibility to viral and respiratory infections, frequent diseases of the gastrointestinal tract.
Often, there are no reasons for anxiety in moms, but if you notice that the baby is uncomfortable, loses weight, regurgitates from half to the full part of everything eaten, regurgitation occurs frequently (up to half of the feedings), then you should not go slowly to the doctor.
Your baby is just beginning life in this difficult world for him, and you parents should help him overcome all difficulties, be attentive to your crumbs.