 Hi there, my name is Dr. Ravi Swami. I'm one of the consultant and neonatologist at Manipal Hospital in Whitefield. So the common symptom which I see when babies come to the follow-up is the parents tell that baby has been vomiting and the milk will come through the mouth and the nose. So what is this? So most of times from the first six months the babies have something called as gastroesophageal reflux. The reason why babies under six months have this is because there is a muzzle just at the junction of your foot pipe and the stomach which is very weak in babies in the first six months. As a result, the milk keeps coming back. So irrespective within sometime after half an hour, sometimes after two hours, a curdled milk. All these things come and it can come from mouth or nose. So nothing to worry about this and as I told the main reason is that the muzzle is very weak. So symptoms you will see is that the baby keeps vomiting. As a result, baby does not gain weight. They keep frequently coughing. They sometimes aspirate the milk into chest and they get repeated chest infections and so on. So it's a normal process. So whenever you're worried that baby is excessively fussy and you are not able to know what is happening, please come and visit us or any of the local doctors which you can see and the treatment involves very simple things. Just keep the baby 20 to 30 degree inclined when the baby sleeps so that you are reducing the reflux because of the gravity. And of course, if it's still persisting, please see any of the nearest doctors or come to us at Manipal Hospital Whitefield and we will assess the baby depending on the weight loss, depending on the chest symptoms. We will decide on the medical management. So just remember that positing is a normal phenomena in the first six months and most of babies do not require treatment. Some of them do and we can decide which of those babies who will require this treatment.