4-month-old babies spit up like a fountain, if the phenomenon is physiological generally do not need treatment, such as pathological phenomena such as dyspepsia, gastrointestinal infections, congenital pyloric stenosis, cranio-cerebral diseases and so on need to be treated.
1. Physiological phenomenon: infant stomach is horizontal, small capacity, easy to spit up. If an infant spits up milk like a fountain once in a while, the baby’s spirit and eating well, it is a normal phenomenon and does not need treatment. After feeding, pay attention to burping, don’t let the baby eat too quickly, and avoid swallowing too much air.
2. Pathological factors:
(1) dyspepsia: If the spitting up is caused by dyspepsia, it can be improved by adjusting the diet, abdominal massage, oral medication such as compound pepsin to help digestion.
(2) gastrointestinal infections: for example, acute gastritis can cause babies to spit up like a fountain, and need to be given cimetidine and other acid-suppressing drugs for treatment. If the infection is bacterial, antibacterial drugs such as cefixime can be taken orally to fight infection, and oral rehydration salts need to be given to prevent dehydration in case of severe vomiting.
(3) Congenital pyloric stenosis: Congenital pyloric stenosis can also cause the above symptoms, which needs to be clarified by abdominal examination and abdominal ultrasound, and timely surgery and other symptomatic treatment.
(4) Craniocerebral diseases: for example, meningitis, babies often have fever, projectile vomiting and other symptoms, you need to go to the pediatrics department of the hospital in a timely manner, complete the blood routine, cerebrospinal fluid and other related examinations, give infection control, mannitol and other drugs to reduce intracranial pressure and other symptomatic treatment.
It is recommended that 4-month-old babies spit up like a fountain and seek medical attention. The above drugs should be used in accordance with medical advice.