In citing the quote about spitting up being "just a laundry problem" I did not intend it to be taken that it should always be ignored. Specifically, WHEN ALL ELSE SEEMS OK AND BABY IS NOT DISTRESSED is when it may not be a medical problem. There is a difference between vomiting and what might better be called "spilling up". What I'm talking about is the milk that spills out shortly after a feeding with little or no force behind it and looking basically the same as when it went in. "Fresh" milk should not be irritating. However, when it has been mixed with digestive enzymes and has curdled or partially digested, then, yes, it can be irritating to the lining of the esophagus and should be looked into further. Also any spitting that is projectile needs further evaluation. The concern I have, and judging from various posts, I think others share it, is the tendency of some HCPs to treat anything that comes back out of the baby's mouth as a serious situation and tend to immediately assume something needs to be "corrected" about the nursing or the milk itself. Just as we have discussed about weights, stooling patterns, and other assessments, each is only one aspect of the overall picture. To assume an immediate problem when what one sees is outside what one assumes as normal is to shortchange the patient/client. Individual symptoms need to be a trigger to look at the overall picture, not to jump to an immediate conclusion. Winnie *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html