Doc if the baby spit up and possibly still left in the esophagus or nose can cause the baby to shortness of breath? How to handle it. Thank you
All blockages in the airway at all ages, especially if the blockage is large / many / dense can certainly cause breathing difficulties. Milk in the esophagus (esophagus) does not make it tight, because the esophagus is the digestive tract leading to the stomach. Shortness will occur if milk enters the throat (trachea - respiratory tract) or when the remaining milk dries over the nostrils. Fluid that enters the lower respiratory tract (lungs) can cause aspiration pneumonia.
Spitting up in a baby is different from vomiting. In spit up milk can come out by itself without the effort to vomit. Factors causing spit up are:
Excessive milk volume compared to the capacity of the stomach of the baby
The function of the valve under the baby's throat is not perfect
The position of breastfeeding is not right so that the baby swallows a lot of air when feeding, enters the stomach so that the stomach volume is insufficient, eventually the air comes out when spit up along with the milk that is drunk
Milk that comes out of the baby's digestive tract (stomach - esophagus) can enter the respiratory tract, especially if the baby spit up in a lying position. Therefore it is highly recommended to always hold the baby upright in the chest (while supporting the baby's neck) after breastfeeding, pat gently on the baby's back, until the baby burps and even spit up, so the baby's position minimizes milk entering the nose or throat (respiratory tract ). Avoid laying down the child immediately after breastfeeding.
Spit up can occur up to children aged 4-5 months, along with the increase in gastric volume and also the strengthening of the valve muscles under the esophagus.
If spit up occurs every time you breastfeed even though the baby is getting older plus a growth disorder marked by weight gain that is difficult to gain, the mother should be vigilant and bring the child to be examined by a doctor.
Shortness of breath with a respiratory rate> 50 times / minute, there is nasal lobe breathing, chest wall pulling, baby looks bluish (easily observed on the lips), is a danger sign that requires the mother to immediately bring the child to the doctor. Thus the explanation from me, hopefully useful.