How to Spot Reflux vs Normal Spit-Up (And When It’s Time to Call the Doctor)
(The no-panic guide that actually tells you what’s normal)
Your baby spits up after every feed and you’re wondering if it’s just “cute baby stuff” or something worse.
You’re Googling “reflux” at 3 a.m. with a wet shirt.
Take a breath.
Most spit-up is normal — but reflux needs a second look. Here’s exactly how to tell the difference.
The Normal Spit-Up Signs (Green Light)
- Happens 1–2 times a day
- Small amounts (1–2 tablespoons)
- Happy after, eating well
- No pain or crying
Quick science: 50–70 % of babies spit up due to immature lower esophageal sphincter — it seals up by 6–12 months with no harm.
(Source: American Academy of Pediatrics Reflux Guide)
“My little guy spits up a teaspoon after every bottle. He giggles right after — totally fine.”
— Mom in r/NewParents
The Reflux Red Flags (Call the Doctor)
- Spits up forcefully or projectile (more than a foot)
- Multiple times an hour
- Arching back or crying during/after feeds
- Refuses to eat or loses weight
- Wet burps with blood or green tint
- Wakes from sleep choking or gagging
Quick science: Gastroesophageal reflux (GER) becomes GERD when it causes pain or poor growth — affects 1 in 300 infants and needs monitoring for esophageal damage.
(Source: National Institute of Diabetes and Digestive and Kidney Diseases)
“We ignored the arching for 2 months. Doctor found silent reflux and started meds. Wish we’d called sooner.”
— Dad in r/BabyBumps
What Actually Helps (Try These First)
- Keep baby upright 20–30 min after feeds
- Smaller, more frequent feeds
- Burp every 2–3 oz (or mid-breast)
- Elevate head of crib mattress 30° (under mattress, not on top)
- Avoid tight clothes or overfeeding
Gear That Made a Difference for Parents
- Reflux wedge (under crib mattress) “Stopped the choking at night.”
- Boppy nursing pillow “Kept him upright post-feed without me holding him.”
- Dr. Brown’s anti-colic bottles “Cut spit-up in half.”
Your Reflux vs. Spit-Up Checklist
- Small spit-up + happy = normal
- Forceful + crying = call doctor
- Upright after feeds 20–30 min
- Burp mid-feed
- Elevate sleep surface if needed
- Track weight + symptoms
You’ve got this.
One burp, one dry shirt, one healthy baby at a time. ❤️
