Brief Answer: Paediatric gastroenterologist for management Detailed Answer: Thank you for asking! Allamentium and elecare are both nutritional formula milks and they leading to reflux and indigestion might be the wrong techniques feeding. It would have been friendly if baby's age was mentioned. Age of less than a year needs every 3 hourly feed with no more than 50 to 60 ml in one feeding as stomach can not compensate for more than that. Reflux occurs when you over flow the gut, as milk has to go some where so it get back to mouth. Next is the posture of feeding, keep the baby at minimum 45 degree and keep and at that position even after feed for at least an hour. Lets suppose there is no problem and technique is good then we need to discuss the gut anatomy and structural or functional compromise and for that some work up would be necessary to sort out probable causes for this reflux with hiatal hernia on the top. Reflux babies usually present with the following Typical or atypical crying and/or irritability Apnea and/or bradycardia Poor appetite; weight loss or poor growth (failure to thrive) Apparent life-threatening event Vomiting Wheezing, stridor Abdominal and/or chest pain Recurrent pneumonitis Sore throat, hoarseness and/or laryngitis Chronic cough Water brash Sandifer syndrome (ie, posturing with opisthotonus or torticollis / neck andd trunk posture troubles ) Signs and symptoms in older children include all of the above plus heartburn and a history of vomiting, regurgitation, unhealthy teeth, and halitosis / fowl breath. some work up to see what the cause is behind this needs to be looked for by Esophageal manometry Esophagogastroduodenoscopy Upper gastrointestinal imaging series Gastric scintiscan study Esophagography Intraesophageal pH probe monitoring Intraluminal esophageal electrical impedance Get the baby to a paediatric gastroenterologist for detailed work up and follow the guidelines and tips mentioned below meanwhile. Providing small, frequent feeds thickened with cereal Upright positioning after feeding Elevating the head of the bed Prone positioning (infants >6 months) Older children with gastroesophageal reflux may benefit from the following: Diet that avoids tomato and citrus products, fruit juices, peppermint, chocolate, and caffeine-containing beverages Smaller, more frequent feeds Relatively lower fat diet (lipids retards gastric emptying) Proper eating habits Weight loss It needs a detailed history and a thorough physical examination and a complete clinical correlation. Let it turn out to be in the best interest of the baby. Take good care of the baby and please close the discussion. Regards

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Brief Answer: Needs to find the cause, not just blind treatment Detailed Answer: Thank you for getting back to me! All classic presentation of the kid. No way just three times feeding for 3 months. every third hour with 50 to 60 ml feeding. All the medicines are for symptomatic management.It needs work up to sort out the cause for reflux. In children it is always fixable with some surhical correction of hernias or some fundoplications. These medicines wont treat at all.They will just manage.Time to go invasive and get a a pediatric surgeon with hepatobiliary specialty and correct the cause after finding it.The procedures i mentioned in detail above will help. Take care

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Brief Answer: Elecare Detailed Answer: Thank you for asking! As i mentioned both are baby formula milks with elecare having an edge of hypoallergenic and easy availability. Mothers like this formula and recommend it.So does pediatricians.But there is not much difference in composition except brand one. The issue of reflux is not connected with formula milk nature.Please consider it. Rest if you still want to insist on feeding formula type, i would say elecare is better. But get the reflux worked up for and sort out why it is having. There will be an evil definitely and it needs to be nipped from the bud. Thats It. Take care

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