What to do with the vomiting baby

Frequent vomiting in infants and children can sometimes give an idea about important diseases. Professor of Child Health and Diseases from Emsey Hospital. Dr. Abdullah Ceylan gives clues to help you distinguish between vomiting, a sign of disease, and vomiting that should be considered normal in the development process.


How can vomiting types be distinguished?
Mothers and fathers should be able to distinguish between vomiting requiring urgent intervention. For parents who cannot distinguish between vomiting, the first months when the baby often vomits can be quite challenging and stressful. In these months, besides normal vomiting, vomiting may also occur, indicating the disease and requiring intervention. If the baby is vomiting with blood, vomiting is accompanied by severe abdominal pain, swelling in the abdomen, high fever, it should be intervened immediately.

What can be done to prevent vomiting?
Not feeding the baby immediately after feeding and keeping it as upright as possible will prevent vomiting significantly. It is important not to feed the baby too much since it will cause vomiting if it is satiated too much; instead, frequent but underfeeding will be much healthier. Since breastfeeding while crying will cause the baby to swallow air, it is necessary not to breastfeed the baby without crying to prevent vomiting.

If the baby is vomiting, what should be considered?
Babies can remove the food left in their mouth during feeding. This decal is not in the form of vomiting, but rather in the form of leakage. These extractions, which occur in the form of leaks, heal spontaneously before the baby turns 1. The most important factors that distinguish a normal vomiting from a vomiting sign of disease are; the severity, time and amount of vomiting. In newborns, where the valve between the esophagus and the stomach is not fully developed, extra food is excreted from the body by vomiting. This type of vomiting will disappear as the baby’s age progresses.

Can gushing vomit be a sign of disease?
Severe vomiting seen in the first 48 hours in newborn babies may indicate a disease related to the digestive system. Nausea and rashes may also occur in infants who vomit with difficulty. Squirting vomiting usually occurs with forced vomiting. In addition to the digestive system disorders, shortness of stomach can also spur, causing vomiting.

Can there be signs of vomiting reflux in infants?
Although reflux is thought to be an adult disease, it can also occur frequently in children under 1 year of age. The fact that the valve that provides the passage of food to the stomach is not fully developed and that babies are fed in a lying position causes the formation of reflux. In healthy babies, they should not return after the food passes through the esophagus, but reflux disease causes the food to return to the esophagus. Reflux is often not considered a disease and usually does not cause any discomfort other than vomiting. In babies fed with breast milk, reflux is much less likely to occur. Therefore, the baby should be fed with breast milk as often as possible but little. Feeding with the bottle is beneficial not to be preferred because it can trigger the reflux by causing the baby to swallow air. Symptoms may disappear when the baby starts feeding with solid food and sits upright. When most babies reach the age of 1, they get over reflux.

Unless the doctor gives, no medicine should be given to the baby to prevent vomiting. The main thing is to eliminate the cause of vomiting. In cases of severe vomiting, the baby should be taken to the doctor by trying to keep the airway open.

In which position should vomiting babies be deposited?
Some parents may not lay their babies on their back because of the fear of drowning the baby with vomit. Parents with this view may choose to lay their babies face down. However, it should be known that in the supine position, the baby has a very low risk of vomiting and the risk of sudden infant death syndrome is much higher in the prone position. The babies can be laid face-to-face during the day, and their head and body can be turned in different directions. However, a supine is recommended as a position during sleep hours. Babies who are more vulnerable than adults; it can swallow vomit, breast milk or water quickly and cough it back. For this reason, parents may have great anxiety about their baby’s vomiting choking. In the first 3-4 months of infants, there may be a risk of drowning with vomit. However, this risk gradually decreases from the 3rd month. Experts advise parents to lay their babies on their back and side positions to minimize this risk in the first 3 months.

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