Newborn Map
Spit-up vs vomit
Spit-up is common. Call now for bilious (green/yellow-green) vomit or persistent projectile vomiting. No reflux treatment on this page.
We are not pediatricians. This is not medical advice. Your pediatrician knows this baby.
Many newborns spit up. A wet burp on a cloth is not automatically reflux disease. We will not treat from here. We will tell you which call-now signs are not “just a spit.”
Spit-up (often)
- Small to medium milk that dribbles or comes with a burp
- Baby is otherwise waking, feeding, and making wet diapers
- Happens more after a fast bottle — pace before you buy a wedge
Positioners and inclined sleepers are not a home reflux treatment. FDA / AAP: do not use. Sleep stays flat and back.
Call now (not a wait-and-see thread)
- Bilious vomit — green or yellow-green. That is a same-day / emergency conversation.
- Persistent projectile vomiting — forceful, repeated, not one lucky arc after a burp. Especially if it is getting worse.
- Blood in vomit
- A baby who will not wake, looks limp, or is working to breathe
- 100.4°F (38°C) under 3 months
- Fewer wets than you were told, or a weight plan you are missing — enough milk
If you are not sure which column you are in, call. That is what after-hours is for.
What we will not do
- Diagnose GERD
- Start a thickener, a wedge, or a formula ladder
- Tell you to elevate the crib