Royce wrote:

Heather,  I distinctly remember Jack Newman saying that spit-up is a "laundry
issue  only."  Obviously he was NOT referring to the amount that would  be
associated with Pyloric Stenosis.  But it is appropriate in the  USA; moms
really do think there is a huge amount when it seems to be only  "normal baby
spit-up."
I had four out of five children who were spitters, definitely the  "laundry 
spitters" who were never bothered by spitting up, gained great amounts  of 
weight and were generally happy, healthy babies. Would my children be  diagnosed 
today as having reflux and needing medication? Probably.  Interestingly, the 
one who never relinquished a drop of her milk was my twin  daughter; she had 
eczema and showed some symptoms of allergy to something  which went away during 
infancy.
 
When I educate mothers about spitting up, I tell them the difference  between 
this probably "normal" spitting up behavior and the medically  significant 
projectile vomiting that is the hallmark of pyloric stenosis.
 
 
Mary-Jane  Sackett, RN, BSN, IBCLC, RLC 
Lactation Program Coordinator  
Berkshire Medical Center
Pittsfield, MA (In the Berkshire Hills of  Western Massachusetts, USA)




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