04:54am Wednesday 08 April 2020

Loyola primary care physician talks about reflux in babies

“One of my most important jobs as a pediatrician is to be an advocate for parents. Every child is different and it’s important for parents and physicians to be able to discuss concerns. There really are no silly questions,” said Josephine Dlugopolski-Gach, MD, pediatrician at Loyola University Health System and assistant professor in the Department of Pediatrics at Loyola University Chicago Stritch School of Medicine. “When it comes to spit-up I am an expert on this topic since all three of my children had reflux and spit up after just about every feeding. I had to do lots of laundry but they eventually grew out of it,” she said.

Babies are rapidly changing and growing. Like everything else, baby’s stomach is small and can tolerate only small amounts of food. As the baby gets bigger so will his or her stomach and spitting up will become less common. 

Also, mechanisms throughout their bodies are developing including the esophageal sphincter, the flap that keeps stomach acid from going into the esophagus. This immature function is completely normal and causes the milk to come back up. 

“Babies typically outgrow spitting up by 6 months. This is when the stomach muscles and the flap that keeps food in the stomach matures. Also, when babies start eating more solid foods and sitting up, spit-up become less frequent,” said Dlugopolski. “There are medications to help reduce the discomfort of frequent spitting up but they usually do not help with how often the child is spitting up. Your pediatrician can help decide if the medication is right for your child.”

Dlugoposki gives some tips to help ease spit-up after a feeding.


  • Burp the baby after every 1-2 ounces or 5-10 minutes of breastfeeding
  • Hold the baby upright for several minutes after feeding
  • Put the baby in a car seat or swing for 30 minutes after feeding


Though spit-up is normal for babies it also can be a warning sign of a bigger problem. Here is what to look for:


  • Poor weight gain
  • Vomiting bile (green) or blood
  • Crying all the time and inconsolable
  • Lethargy
  • Decreased amount of urine
  • Projectile vomiting


Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children’s Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola’s Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

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