About one-third of infants regularly spit up with burping after feeding. This is normal if the baby is growing well and does not seem to be in pain. Always have a burp cloth ready to protect yourself. Babies who have pain with feeding, spitting or burping, and those who are not gaining weight well, may have gastrointestinal reflux disease (GERD). Tell your provider about the symptoms, and he or she will discuss ways to help. These may include holding your infant upright for 30 minutes after feeding, slowing down the feed and thickening the breast milk or formula with infant cereal.