<Oxytocin, both during pregnancy and lactation causes relaxation of
the stomach, and closes off the pyloric sphincter so that the gut
becomes more efficient and absorbs more of the available food. It is
also associated with CCK and I think some other gut hormones which
tend to cause nausea. So this possibly explains morning sickness as
well.>

Very thought provoking reply to Gonneke's post, Joy. Made me wonder if
position might also come into consideration due to some degree of hiatal
hernia/relaxation of the cardiac sphincter/reflux.

This might be a factor if she were lying down during the feeding,
especially if she had taken the suggestion to eat something before
nursing.

Suggestions for conservative management of HH (smaller, more frequent
feedings, but don't lie down within 3 hours after eating, even then, keep
shoulders elevated, avoid caffeine (and nicotine), troublesome spices,
etc.) can't harm a thing, and might help.

Jean
**************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA
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