I'm a first time mommy of 4 week old Brinley...she has been a "spitter" from day one but it has become progessively worse over the last 2 weeks. She is spitting larger volumes more frequently and is doing this up to 3 hours after she's finished her bottle. My ped advised me to switch to soy formula which has not really helped as far as the spitting up is concerned. She also put us on Zantac 3 times a day and I'm not seeing much relief from that either. I know spitting up is normal with infants, but is it normal 3-4 hours after they eat? She's eating like a champ and gaining weight very well so I'm unsure if this is just an inconvenience for us or if there's something more serious going on.

Welcome, thanks for joining the boards, I hope we can offer some support and answers for you and your daughter.

Usually when ever an infant spits up it's reflux related but that doesn't mean it's anything to be concerned about. Whether it's serious or just an incovenience is best determined by you and your daughter's quality of life. If she is completely happy and spits up from time to time I wouldn't be concerned, the spitting up will stop in a few months. Although as someone who has been cleaning puke for almost four years, I can sympathize with how frustrating it is sometimes. The zantac will not help with the spitting up at all, it's not meant to do that. Zantac is used to reduce the amount of acid in the stomach so that what is coming up is not acidic, burning and causing pain and damage.

If on the other hand, your daughter is experiencing painful, inconsolable screaming episodes frequently and for long periods of time then seek more aggressive treatment for sure.

If she's still throwing up three to four hours after eating, mention it to her pediatrician but in the mean time why not try some of the lifestyle modification mentioned on the main website (if you haven't already that is), for example, feeding her smaller but more frequent meals, keep her propped up, this is not as hard as it sounds once you get used to it. If after making some of these changes you see no difference, you may want to ask the ped about a motility agent to help move the food out of her tummy faster...the different types of these are also on the main site (http://www.infantrefluxdisease.com) under treatments so I won't go into detail here.

I hope that helps and look forward to getting to know you.