Relax, mamma - doodh naak se aana (milk coming out of baby's nose) is very common and usually completely harmless! This happens because your baby's mouth and nose are connected at the back of the throat. Almost every baby experiences this at some point, especially during or right after feeds. It looks alarming, but your baby is typically fine.
Why Does This Happen?
Watch: Always look for this early hunger cues.Do you feed your baby only after they start crying?
When babies feed, milk travels down from the mouth through the throat to the stomach. But because the passages to the nose and throat are connected, sometimes milk takes a detour and comes out through the nose. This is called nasal regurgitation.
Main Causes
1. Baby is Still Learning (0-3 months)
Newborns are learning to coordinate sucking, swallowing, and breathing
This is a developmental skill that improves with time
By 4 months, most babies get much better at this
2. Fast Milk Flow (Forceful Letdown)
Maa ka doodh sometimes flows too fast
Baby can't swallow quickly enough
Excess milk finds its way out through the nose
3. Overfeeding or Gulping
Baby drinks too much too quickly
Small stomach can't hold everything
Common with bottle feeding if nipple flow is too fast
4. Feeding Position
Lying flat while feeding increases nasal regurgitation
Milk pools at the back of throat
Easily fixed by adjusting position
How to Prevent Milk Coming Out of Nose
For Breastfeeding Mothers
Step 1: Position Baby Correctly
Hold baby at 45-60 degree angle
Head should be higher than tummy
Try laid-back or reclined feeding position
Never feed with baby lying completely flat
Step 2: Manage Your Letdown
If you have fast milk flow:
Hand express a little before latching
Let the initial spray go into a cloth
Feed in reclined position (baby on top of you)
Unlatch when letdown starts, relatch after spray slows
Step 3: Take Feeding Breaks
Let baby pause every few minutes
Watch for signs of fullness
Don't push baby to feed longer than needed
For Bottle Feeding
Step 1: Use Correct Nipple
Choose slow-flow nipple for newborns
Baby should take 15-20 minutes to finish a bottle
If finishing in 5-10 minutes, nipple flow is too fast
Step 2: Practice Paced Feeding
Hold bottle horizontally, not tilted down
Let baby draw milk (not pour into mouth)
Take breaks every 2-3 minutes
Watch for baby's cues
Step 3: Don't Overfeed
Offer smaller amounts more frequently
Newborn stomach is only walnut-sized!
Stop when baby shows fullness signs
After Every Feed
Burp thoroughly - Over shoulder, sitting, or on lap
Keep baby upright for 20-30 minutes
Avoid bouncing or tummy time immediately after feeding
Don't lay flat right after feeds
What to Do When It Happens
Stay calm - Baby picks up on your stress
Sit baby upright - Helps clear the nose
Let baby cough/sneeze - Natural clearing reflex
Gently wipe - Clean outside of nose only
Don't insert anything into nostrils
Continue feeding if baby is still hungry
Tips for Success
Keep muslin cloths handy during and after feeds
Dress baby in easy-to-change clothes for feeds
Track if certain positions cause more problems
Ensure good latch - poor latch causes air swallowing
Stay relaxed - tension can affect your letdown
Common Mistakes to Avoid
Feeding baby lying flat - Always keep head elevated
Using fast-flow nipples for young babies
Forcing baby to finish bottle or breast
Putting baby down immediately after feed
Panicking and stopping the feed abruptly
Inserting anything in baby's nose to clean it
When to See a Doctor
Seek Immediate Care If:
Baby turns blue or struggles to breathe
Prolonged choking that doesn't resolve
Baby seems in pain during feeds
Milk coming out is greenish or has blood
Baby has fever with feeding problems
Baby is not gaining weight
Schedule a Consultation If:
Happens with every single feed
Getting worse over time instead of better
Baby refuses to feed or is very fussy
Continues beyond 6 months of age
You're worried about baby's breathing during feeds
Frequently Asked Questions
Q: Mera baby har baar feed ke baad naak se doodh nikalta hai - kya ye normal hai?
A: Occasional nasal regurgitation is normal. However, if it happens with every single feed and in large amounts, consult your pediatrician. Check your feeding position first - this is the most common fixable cause.
Q: Will this affect my baby's breathing?
A: Babies have natural protective reflexes. They will cough, sneeze, or gag to clear milk from airways. If baby seems to breathe normally between episodes and isn't turning blue, it's usually fine. Always supervise feeds and keep baby upright.
Q: Should I switch from breastfeeding to formula?
A: No! Maa ka doodh is not causing this - it's about swallowing coordination and feeding technique. Breastfed babies often have LESS spit-up than formula-fed babies because breast milk is easier to digest.
Q: Kya naak mein doodh jaane se infection ho sakta hai?
A: Milk in the nasal passages occasionally is unlikely to cause infection. The nose naturally clears itself. However, chronic nasal milk exposure could theoretically increase ear infection risk, so keeping baby upright during feeds helps prevent this.
Q: When will my baby stop doing this?
A: Most babies significantly improve by 4-6 months as their swallowing coordination matures. If baby is otherwise healthy and gaining weight, be patient - this phase will pass!
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This article was reviewed by a pediatrician. For persistent concerns, please consult your healthcare provider.
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