Colostrum vomiting

Clinical assessment and risk stratification

  • Colostrum feeds within the first two days of life can produce bright yellow vomit shortly after feeding.
  • The colour will be similar to that of the mother’s milk.
  • Obviously this will not occur in bottle-fed infants and the child will remain well.

Colostrum-stained vomit
Image caption: Colostrum-stained vomit

  • Reassurance is all that is required.
  • Parents should be advised to return if:
    • Persistently projectile, haematemesis or bilious vomiting
    • New concerns (marked distress, feeding difficulties or faltering growth)
    • Persistent, frequent regurgitation beyond the first year of life
  • If there are any doubt the patient should be referred for a surgical opinion.