Melissa,
We are having a lot of babies here diagnosed as "Reflujo  " and being told to
quit breastfeeding or pump and give the baby a bottle with breastmilk mixed with
all sorts of things - from cereals, to vegetables.  Some of the cases are baby
"spitting up the overfill" but others are throwing up so badly that they
aspirate and stop breathing (one of our moms ran out to a neighbor MD - by the
time she got to him the baby "was black").

So I would not easily ignore the mom who says her baby is throwing up - even
though my second was a regular "overfill" baby.

One of the things I do suggest - while she is waiting for her appointment with
the pediatric gastorenterologist, is to breastfeed the baby only at one breast
for three hours, then switch to the other side for three hours.  This means that
if baby wants to bf at 1:00, 1:45,2:25, 3:15 - baby gets to feed from one
breast.  At 4:00 we switch to the other breast.  Of course this should only be
done if baby is wetting enough diapers, etc.  This method has helped many moms
as it helped me, with those babies who "overfill".

I highly recommend they get an opinion of a pediatric gastroenterologist as I
find that they are much less likely to advise against breastfeeding, whereas the
pediatricians almost always do (except, of course, the three I work with).  Some
try medication (reglan, tagamet), others suggest babies will outgrow it and tend
not to medicate at all.  Don't know enough about each case and their x-ray and
lab results to understand the differences in treatment (or is it that some moms
are more hysterical and want a "cure', whereas others are willing to watch and
wait as long as they know the baby isn't starving to death).

All these babies should be placed in a more vertical position - especially after
those early AM feeds when mom's milk really shoots out - I used to put Alex in
the car seat for 30 min or so.(Next to my bed, of course.)then put him to bed
with me.  They usually outgrow it by 3 months or so - although today a
breastfeeding mom called to tell me "she" has reflux!

Jeanette Panchula, BSW, LLLL,IBCLC,RN