What should I do if my baby keeps choking on breast milk while breastfeeding in a holding position?

When breastfeeding, if a baby frequently chokes on milk, appropriate management can be selected based on the underlying cause. Common causes are generally divided into non-disease factors and disease-related factors, with the latter typically including vitamin A deficiency, pneumonia, etc.

I. Non-disease Factors

Choking may result from prematurity or underdeveloped swallowing reflexes, improper feeding techniques, feeding too quickly, or swallowing air. It is recommended to adopt correct feeding practices and burp the baby after feeding to reduce the occurrence of choking.

II. Disease-related Factors

1. Vitamin A Deficiency

Vitamin A deficiency can lead to atrophy and keratinization of the epiglottic epithelial cells, impairing the epiglottis from fully closing during swallowing and thus failing to cover the trachea. This may result in choking. As directed by a physician, treatment may include fish liver oil, Liuhe Multivitamin Pills, or vitamin AD capsules to improve vitamin A deficiency and relieve associated symptoms.

2. Pneumonia

Pneumonia can reduce digestive capacity, causing milk to remain in the stomach after feeding and leading to reflux and choking. Under medical guidance, medications such as amoxicillin capsules, amoxicillin-clavulanate potassium dispersible tablets, or injectable ampicillin sodium may be used to eliminate inflammation and restore gastrointestinal digestive function.

In addition, conditions such as tracheoesophageal fistula may also be responsible. Medical treatment as advised by a healthcare provider is recommended.