In babies that are spitting up at 4 months but gaining weight beutifully I tell the parent to do nothing (I empathize about the extra laundry, the only negative to the situation I can see). Most babies outgrow refuls by about one year and if the baby is having no ill effects, what is the big deal?????? -- **************************************************** * Deena Zimmerman MD MPH * * Department of Pediatrics * * UMDNJ-Robert Wood Johnson Medical School * * 1 RWJ Place * * New Brunswick, NJ 08903 * * * * phone (908) 235-7248 * * fax (908) 235-7345 * * email [log in to unmask] (internet) * ****************************************************