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Medical Author:

John Mersch, MD, FAAP

John Mersch, MD, FAAP

Dr. Mersch received his Bachelor of Arts degree from the University of California, San Diego, and prior to entering the University Of Southern California School Of Medicine, was a graduate student (attaining PhD candidate status) in Experimental Pathology at USC. He attended internship and residency at Children's Hospital Los Angeles.

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Medical Editor:

David Perlstein, MD, MBA, FAAP

David Perlstein, MD, MBA, FAAP

Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.

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Because spitting up is normal in infants, no treatment is required if the child is otherwise healthy and developing well. However, some changes in the feeding technique may help reduce the number of episodes or the amount of the spitting up.

The following feeding techniques may help with spitting up:

• Burp the infant frequently (after every 1-2 ounces) to prevent the build-up of air in the stomach.
• Feed more slowly to allow the stomach contents more time to empty into the intestines.
• Be careful not to feed too much at a time and to stop feeding when the infant seems full.
• Keep the infant upright after feeding for at least 15 minutes. This allows gravity to help prevent the stomach contents from coming up.
• Try to avoid significant activity immediately after feeds. Agitation of the stomach contents may result in more spitting up.

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