Reflux 3 month old

[MCMP13]

My baby is sick / spits up after he has been fed - he is breastfed. Tried breastmilk in bottles, still sick and gave him formula once in a bottle, he was still sick. We have had latch checked etc. He was prescribed Gaviscon by GP however that didn’t help so we have just been managing it feeding upright, keeping him up after feeds, lots of bibs and muslins etc. he is putting on weight and no concerns there.

However, he is never sick during the night feed. He spews after every single feed during the day and it’s quite a lot of sick, but when I feed him during the night, usually around 3-5am there isn’t any sick at all. I can’t figure out why and just wondering if anyone has any ideas or had anything similar.

thanks in advance x

I have been so desperate to find another way to keep my baby upright for half an hour because he won't sit upright or let me keep him held upright that I was searching and found your thread. This is my second reflux baby so you'd think I'd know more but this is by far worse than my first.

Are you laying down feeding during the night or is it a dream feed at all? I read that when babies aren't fully awake they tend to take in less air which means they're less refluxy during the night.

I did find a handbook on reflux & colic/tongue tie/feeding by Rockabye Hub (you can find info on insta or website online) and it was very informative about possible causes, not just accepting medication long term, whether medications are suitable for babies, etc.

Is the night feed the first feed for several hours? If you're putting him down at 8pm then feeding at 4am that's eight hours, so his tummy will be empty. Add to that if he's anything like my DD the night feed is rather small then it could just be that his stomach is less full after the night feed. Does he go to sleep straight to sleep after the night feed? Sleeping babies rarely bring anything up, air or milk.

Sorry about the daytime reflux, it sucks, but some babies are just like that. He's growing well so there's not much to be done but wait it out, unfortunately!

Movement and more calm feeding at night.
my baby, now 9 months, was shocking for reflux. It would pour out like a fountain and he is on allergy formula which is ridiculously thin and he would sick up constantly during the day but at night would drink larger amounts in one go and not a single bit would come back up.
During the day all the moving puts pressure on their stomach so it comes back up and also as pp said, at night they tend to feed a lot more calmly and smoothly so less wind is taken in to cause reflux when burping.
It does get better I promise. Usually when they can sit up unaided as it helps their core strength and also weaning helped keeps liquids down a lot. As long as he doesn’t seem in discomfort and is putting on weight fine, it’s just a laundry issue I’m afraid.

Have you ruled out CMPA? There could be fewer cow milk proteins in your milk if you have not eaten or drank anything with milk in it for your evening meal.

Not to much to add other than my DD is the same although she is formula fed and not on any medication (doctor didn’t recommend medication if she is not in pain and gaining weight and doesn’t think she has allergies). Lots of vomit during the day but none at night, either after her bedtime feed or night feed. She often vomits during the day when excited or playing so it could be the movement putting pressure on the stomach as PP says. She is 5 months now and I’m hoping it will stop soon! Sofa, floor and all my clothes are constantly covered in vomit.