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Infant Reflux and Spitting Up

Question of the Week

By Vincent Iannelli, M.D., About.com

Created: October 17, 2004

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Q. I have a 2 month old, that has recently been having difficulty breathing or gasping for air. He then will have thick mucus like stuff come out of his nose and mouth, he will arch his back when this is happening. Would you have any idea what would be causing this? He is a premature twin born at 30 weeks gestation. Thank you for any advice you can give me. Danielle, Boonville, NY

A. Because he is having difficulty breathing and is so young, a visit to your Pediatrician would be a good idea.

One common thing that could cause symptoms like this is gastroesophageal reflux.

And that would mean that he is simply spitting up the breastmilk or formula that he is drinking. This is especially likely if it is happening more often right after his feedings.

When infants spit up, it is not uncommon for it to come out of their nose, so this may be the 'thick mucus like stuff' that you are seeing. And many infants arch their back when they spit up and some do choke or having trouble breathing.

Unlike the typical 'happy spitter' baby, who has reflux, but is feeding well, is gaining weight, and is not fussy, choking or having trouble breathing, if your child is frequently choking, then he might require treatment with an acid reducer. If your Pediatrician agrees that it is reflux, some of the typical 'lifestyle changes' for treating reflux might also help. See our guide to reflux for more information.

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