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Ask an Expert Dr. Bryan Vartabedian is an assistant professor of pediatrics at Baylor College of Medicine and serves as an attending physician at Texas Children’s Hospital, America’s largest children’s hospital.

He is a Fellow of the American Academy of Pediatrics and is certified by the American Board of Pediatrics in both general pediatrics and pediatric gastroenterology and nutrition.
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RealSavvyMom 8/5/2008
12:36 am
My seven week old son is exclusively breast fed but spits up a ton

  My seven week old son is exclusively breast fed but spits up a ton. This happens not only right after a feeding but also several hours after a feeding. It is usually chunky like spoiled milk. He is also very fussy all the time. I've tried keeping him elevated during feedings are for an hour after but it doesn't seem to help the spit-up or fussiness at all. I also burp him after each breast. He is gaining weight. During several feeding perday, he will nurse well at one breast and then burp. But when I try to offer the second he screams and arches his back. He will refuse the second breast and cry inconsolably for 30 min to an hour until he finally takes the second (I try offering multiple times during this). Nothing seems to sooth him. The spitting-up also causes a lot of gagging and choking (he is my third breastfed child). Any suggestions?
RealSavvyMom 8/5/2008
12:50 am
Re: My seven week old son is exclusively breast fed but spits up a ton

Sarah. I’m sorry that you have been experiencing so much difficulty with your son. The fact that you have continued to breast feed despite these road blocks demonstrates your determination as a mom. The symptoms of feeding difficulty and arching that you describe seem consistent with reflux esophagitis. I have described this pattern as a ‘chaotic feeding pattern’ and it occurs when the pain of swallowing creates a real dilemma for a baby. Feeds can carry on for up to an hour. Often times babies like your son gain weight appropriately and may be overlooked as normal. Be sure to talk t.... Read More signin
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