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Why Does My Baby Spit Up So Much?

Published in Baby Digestion 2 mins read

Your baby likely spits up so much because their digestive system is still developing.

Spitting up is very common among healthy babies and typically doesn't affect their growth or development. The primary reason for this is the immaturity of your baby's digestive system. Specifically, the baby's digestive system is so immature, making it easier for their stomach contents to flow back up into the esophagus. (24-Apr-2018)

Here's a more detailed look at why this happens:

  • Immature Esophageal Sphincter: Babies have a weaker lower esophageal sphincter (LES). The LES is a muscle that acts as a valve between the esophagus and the stomach. When it's not fully developed, it can easily open, allowing stomach contents to flow back up.

  • Liquid Diet: Babies consume a mostly liquid diet (breast milk or formula), which is easier to regurgitate than solid foods.

  • Shorter Esophagus: Babies have shorter esophaguses compared to adults, making it easier for stomach contents to travel upwards.

Here's a summary in table form:

Factor Explanation
Immature Digestive System The baby's digestive system isn't fully developed, making reflux more common.
Weak LES The lower esophageal sphincter (LES) is not strong enough to prevent stomach contents from flowing back up.
Liquid Diet Breast milk and formula are easier to regurgitate.
Shorter Esophagus The shorter esophagus makes it easier for stomach contents to travel upwards.

While spitting up is usually normal, contact your pediatrician if you notice any of the following signs:

  • Forceful vomiting
  • Poor weight gain
  • Refusal to feed
  • Blood in the spit-up
  • Irritability
  • Breathing difficulties

These symptoms could indicate a more serious problem, such as gastroesophageal reflux disease (GERD) or pyloric stenosis.

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