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


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