Parenthood is full of joys and… feeding challenges! It’s completely normal for babies to go through phases of being fussy or having trouble with their milk. Understanding the root cause is the first step to a happier, healthier feed.
Here are some of the most common baby feeding issues, along with practical, pediatrician-approved solutions.
1. Refusing Milk (Baby Not Drinking Milk)
When your baby turns their head or won’t finish a bottle/breast feed, it can be stressful. This is often called a “feeding strike” or baby not drinking milk.
| Problem | Cause | Solution (Feeding Troubleshooting) |
| Feeding/Nursing Strike | Illness (ear infection, stuffy nose, sore throat), teething pain, or a stressful change in routine. Older babies may be easily distracted. | Check for signs of illness or teething. Feed in a quiet, dimly lit room to reduce distractions. Try different feeding positions. If bottle-feeding, check the nipple flow—it might be too slow or too fast. |
| Bottle Refusal | May be a preference for the breast or an aversion to the bottle’s nipple type or temperature of the milk. | Try different bottle brands, nipple shapes, and flow rates. Have a non-primary caregiver offer the bottle, as the baby may associate you with breastfeeding. Ensure the milk is at a consistent, warm temperature. |
| Sudden Fussy Feeder (3-4 months old) | Often a developmental milestone, as babies become more aware of their surroundings and are easily distracted during feeds. | See “Feeding/Nursing Strike” solutions above. Try “dream feeding” (feeding a sleepy baby). |
| Low Milk Supply (Breastfeeding) | Baby isn’t getting enough milk to feel satisfied, leading to fussiness at the breast. | Consult a lactation consultant. Increase frequency of feeds/pumping. Ensure you are well-hydrated and eating adequately. |
2. Spitting Up and Reflux (Infant Reflux Remedies)
Spitting up (gastroesophageal reflux or GER) is extremely common in infants because the ring of muscle between the esophagus and stomach (Lower Esophageal Sphincter) is still weak.
| Symptom | Cause | Solution (Infant Reflux Remedies) |
| Frequent Spitting Up/Wet Burps | Overfeeding, air swallowing, or the weak lower esophageal sphincter muscle. | Feed Smaller, More Frequent Amounts: Don’t let your baby get overly hungry and gulp air. Keep Upright: Hold your baby upright for 20-30 minutes after a feed. Avoid immediately putting them into a bouncer or car seat. Burp Often: Burp your baby frequently—before, halfway through, and after a feed. |
| Distress During/After Feeds | Milk coming back up causes a burning sensation (known as GERD – Gastroesophageal Reflux Disease). Symptoms include: Arching the back, excessive crying, fussiness, or refusing to eat. | Elevate Sleep: Elevate the head of the crib mattress (under the mattress, do not use pillows or positioners in the crib) if recommended by your pediatrician, or simply keep baby upright longer after feeds. Check for Food Sensitivities: If breastfeeding, talk to your doctor about eliminating common allergens like dairy or soy from your diet. |
3. Gas and Colic Issues
Swallowed air is the primary culprit behind gas and fussiness after feeds. These require attentive feeding troubleshooting.
| Problem | Cause | Solution (Feeding Troubleshooting) |
| Excessive Gas/Wind | Swallowing air while feeding, a forceful letdown (breastfeeding), or crying. | Check Latch/Nipple Flow: Ensure a deep latch or use a slow-flow nipple on bottles to prevent gulping air. Effective Burping: Burp your baby in different positions (over the shoulder, sitting up, or tummy-down across your lap). “Bicycle” Legs: Gently move your baby’s legs in a bicycling motion or massage their tummy clockwise to help move gas through. |
| Colic (Inconsolable Crying) | Unknown, but may be related to digestive discomfort or gas pain. | The 5 S’s: Swaddling, side/stomach position (only when held), shushing, swinging (gentle), and sucking (pacifier). Change in Diet: Consult your pediatrician about trying gas drops or changing formula (if applicable). |
When to Call the Doctor
While many feeding problems are common and resolve on their own, consult your pediatrician if you notice any of the following:
- Poor Weight Gain or weight loss.
- Signs of dehydration (fewer wet diapers).
- Forceful or projectile vomiting.
- Vomit that is green, yellow, or bloody.
- Blood in the stool.
- Persistent, inconsolable crying and distress during or after every feed.
Medical Disclaimer
This blog post provides information for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your pediatrician or other qualified healthcare provider with any questions you may have regarding a medical condition or before making any changes to your child’s care. Never disregard professional medical advice or delay in seeking it because of something you have read here.