🩺 Health · From birth to 1 year

🤮 Acid reflux or just normal spit-up?

Most uncomplicated spit-up improves with growth; persistent pain or poor growth needs medical advice.

Telling the Difference

Small effortless spit-ups can be normal when baby is comfortable, feeding well and growing.
Crying, arching or disturbed sleep alone do not diagnose reflux disease or silent reflux.
Persistent pain, poor feeding or growth concerns need a clinician’s assessment.

1. Feeding comfort
Ask about feeding technique and volumes. Hold upright while both of you are awake if helpful; do not prop bottles or add thickener without professional advice.
2. Sleep flat
Always use a firm, flat infant sleep surface with baby on their back. Do not elevate the mattress or use wedges/positioners for reflux.
3. Seek care
Green or bloody vomit, forceful vomiting, breathing problems, dehydration, poor feeding or poor growth requires prompt assessment.

A local detail, or your own experience with this guide? Write to the team