How do I tell the difference between vomit and reflux in a 3 month old? DS has just done 2 big spews about 20 minutes after he finished feeding.

He fell asleep on my shoulder while I was trying to wind him, then when I went to lay him down to wrap him for bed, it started to come out so I quickly sat him up and it just gushed out of his mouth! So after we got that cleaned up, I wrapped him up again and was giving him a cuddle and reading a bedtime story and he just opened his mouth and even more came out and it even came out of his nose!! Poor little fella, it just seemed like sooo much.

He wasn't forcing it out and he wasn't crying. In fact he was pretty calm about it and when he finished he did a big sigh (of relief?). Now he is sleeping. I keep checking on him and he seems ok, maybe just ate too much? I've never seen him spew so much before.

So, when is it vomit and when is it reflux?