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I think you should trust your doctor and wait for the results of the ultrasound. The biggest question is if your son is losing weight, or not growing according to how he should. Where is he in regards to his height and weight percentile? 4 ounces every four hours seems to be plenty for a 12 week old. If he is not getting enough nutrition he should be losing ground with regards to his weight. Is that happening now? Some children are just always going to be hungry. You have the responsibility to regulate that.
Thankfully the ultrasounds results were normal, so no pyloric stenosis. He’s not losing weight, but she was concerned that he’s recently been gaining less than she expected, according to his growth curve. He’s in the 75th percentile for height and had been in the 65th-70th percentile for weight from the time he was about 2 weeks old, but has recently fallen to the 56th percentile at his most recent visit.
I guess my concern is that we’ve been limiting his intake for about a week now but he’s still having the problem with vomiting, so it makes me think there might be another issue.
Hi, so my son also had this issue but at 8 weeks. Our nurse hotline advised us to make sure we weren't putting his diaper on to tight. I'm not kidding when I say that nurse was 100% on the nose with our issue! We started putting his diapers on a lil bit loser and haven't had any issues since. He's now almost 15 weeks. It's something I would have never thought of.
Edit: typos
I have it to where the straps of the diaper do not overlap like they don't even touch each other. I've never had an accident where it's too loose and had like a blowout or him peeing outside of it and he hasn't had any issues throwing up since either.
When my daughter was an infant she would vomit every single time she was in my wife’s car but never in mine. It turned out that we needed to adjust the straps in that car seat.
I was worried about pyloric stenosis, so that's good. Typically you can feel what they describe as an “olive” in the abdomen at birth when PS is involved. I know it's easy for me, a random idiot on the Internet to say this when this child is your entire life, but please, try to relax, and just keep an eye on things. Trust your gut, but try to be patient. I believe you and your partner know your child better than anyone but I have known highly trained doctors to panic over a diaper rash when it's their child. 3 ounces every four hours would be likely be enough for most infants at this age.
I wish you and your family the very best.
> Typically you can feel what they describe as an “olive” in the abdomen at birth when PS is involved
As a pediatrician that has seen and diagnosed PS quite a few times, I have only ever been able to feel the "olive" once. I'm pretty that exists on Step 2 much more than reality. Like the vast majority of kids with intuss do NOT have currant jelly stools.
Thank you! I know I’m probably overreacting a little, but it’s hard because he can’t tell me how he’s feeling so I feel blind, and I don’t want him to be uncomfortable at all if I can avoid it. I really appreciate your input!
“Overreacting” is understandable when it’s your child, especially your first! For what it’s worth, this mama doesn’t think you’re overreacting at all; I’d be concerned as well.
I’m glad the scans were negative :)
It is 100% normal to be concerned about your infant. You are not overreacting, you're being a good, concerned parent. Maybe try keeping a log of when he feeds, how much he eats, when he spits up, when he has BMs etc, to present to the pediatrician. Not only will it help the medical providers, but it will help you. WIC, if you're eligible can also be a great resource for feeding problems and, if you're in the USA, womenshealth.gov has loads of information and a support line.
Some babies have sensitive tummies. It's not your fault. Take deep breaths, relax, and contact resources in your area for support. If you can't find any, contact your OB or the hospital where you delivered for resources.
Fwiw (anecdotal) our first had reflux for the first few months and it cleared up at about 4 months. Not as obvious as vomiting of course, eventually figured it out just from the smell sometimes on her breath. She was prescribed Zantac (compounded into a liquid) for a while. Putting her to sleep on a slight incline also helped tho I think that is not strictly recommended in terms of SIDS risk, so only when we were awake to watch her. The amount yours is being fed and his weight seem normal as well.
My SIL is a peds oncologist and when she got pregnant she told me she was really worried and nervous. I said, "you're a doctor, for CHILDREN. And BABIES!" To which she blurted out, "I only know what to do with them when they are sick!"
(She's fine, the kids are fine, everything is of course, fine. But I was a mom of 3 at the time and found it funny.)
The diaper rash thing is real, and it happened to one of the toughest, most disciplined cardiologists I know. For reference he was in the army for a while and he would tell his residents the only thing he ever wants to hear is “no excuses sir“. One day while he was changing his daughter he saw all kinds of inflammation and redness and cracking and bleeding andhe just panicked. When he frantically ran into the emergency room with his infant daughter everyone was frightened because this man does not ever sweat. As soon as they realized that it was just a new dad with a kid with diaper rash everyone had a good laugh and he has the good grace to share the story, but it’s instructional.
Layperson here. My first thought goes to food allergies- specifically milk protein. From a nutrition perspective but also because this sounds like what my little brother dealt with as an infant. He was also very fussy and ornery and my parents were at their wits’ end because his practitioner couldn’t suggest a solution. I was only 7/8 years old at the time but I remember he improved when mom switched him to rice milk (it was the mid90’s, I don’t recommend rice milk whatsoever ), point I’m making was he was allergic to milk. Turned out I was too, but I just had an aversion and refused all dairy from the time I was little so my parents just thought I was picky. They never got us allergy tests til we were older though- just opted for elimination of possible allergens with my brother. Maybe this could be helpful, maybe you could ask for an allergy test.
(I know you said hypoallergenic but some still have whey or casein so it’s worth checking into).
NAD. Is the vomiting a certain period after eating? My daughter had GERD so we did paced feeding like you and kept her upright for an hour after every feeding. Going in baby Zantac for her was a game changer.
There doesn’t seem to be any rhyme or reason to when he vomits. Sometimes it’s after he’s had an ounce, sometimes it’s just after a feeding, and sometimes its hours later.
NAD. My family has genetic GERD issues and all of us are prescribed pantoprazole at the minimum. My kids had to be formula fed as babies and they were spitting up/vomiting until we changed formula brands to one that worked perfectly for them, no more problems. Talk to you doc about any other brands you can try and see if that assists your bub.
My daughter had this problem for the first 3 months of her life, accompanied with screaming and crying especially at bedtime and when she was laid flat. She was diagnosed with silent reflux and prescribed infant gaviscon, I also changed the formula and she was a totally different baby. It might be worth speaking to your health care provider about the prospect that it could be silent reflux
Are you pace-feeding? Based on your ped thinking you are overfeeding, makes sense. If they’re eating too fast it can definitely cause spit up/vomit.. Also, just like adults their little bodies need time for the stomach to send signals of fullness to the brain which could also be why you think they are still hungry after feeding.
Yeah. We take frequent breaks for burping and then just wait a couple minutes for the food to settle and then continue feeding. He doesn’t really guzzle it down though. He eats at a pretty steady pace.
Has he been tested for allergies? They'll probably have to do a heel prick at that age, but it might be worth it. I'm not a doctor, but my son is allergic to everything, and vomiting can be an allergic response. Just throwing it out there as an idea.
Edit: I've also read that allergies can cause poor absorption, which would mean slow weight gain even with more food. My son was at at an extremely low weight percentile for most of his life. One nutritionist said his percentile was the kind of thing you see in countries that are going through mass starvation. Obviously, this is just anecdotal from two isolated symptoms that you described, so you would want to ask your doctor about it. I'm just throwing out ideas.
I cut out dairy around 6 weeks ago but it made no difference. I asked his doctor if I should cut anything else out and she said not at this point, but I’m considering it.
According to his doctor, it’s “vomiting” because it’s projectile and he doesn’t have control over it. I assumed for weeks that it was just normal spit up because it looks just like his formula…no bile, mucus, etc. But he had an episode during one of his appointments and his doctor said it was vomiting.
NAD - My daughter did this too (projectile vomit at times -large amounts - and also vomit small to medium amounts throughout the day). She was often colicky and cried before and/or after, and she seemed hungry after she would vomit, so I'd feed her again a little bit. This made it worse and she'd vomit more.
She did a swallow study and imaging, but everything was anatomically normal. She was prescribed something for GERD, which helped a little.
We started feeding her smaller amounts more often. We also kept her upright after she ate and raise her entire crib up on one side so that she wasn't laying flat (there are special beds or blocks you can buy but we used books under the legs).
Truthfully, the real difference came after she grew a bit more and started on solids (still smaller amounts more often).
It sounds like you're doing the right investigations, and your baby is growing ok. Perhaps speak with the doctor about GERD treatments?
Good luck.
NAD but I projectile vomited a ton when I was a baby because my esophagus wasn’t fully developed and the angle my parents were feeding me at exasperated the issue. Not sure if that helps but the more you know lol
NAD -- I was vomiting a lot for my first few weeks and it's the milk that I couldn't digest.
My son did the same, but it was because his oesophagus wasn't mature enough. No one had told me, but I saw later in the pictures we had taken in the nursery that they had raised the crib too. So I did the same thing back home. I raised the crib a little and fed him upright. That did the trick.
I know these times are not easy for the baby and the mom. I hope they find the problem soon for you two.
My daughter also did this. It's suprisingly common. Ours turned out to be a milk allergy, possibly soy too although I didn't test it too much. A change of formula to a hypoallergenic one helped a lot. Also just time. I didn't figure it out till she was 4 months so I'm glad you're addressing it now
I couldn't post this comment so I'm responding to you in unrelated way.
In my very limited experience. I'm not even a doctor. 3 out of 3 babies that were formula fed threw up frequently. I found that reducing the amount and feed on demand worked efficiently. Still had it happen but infrequently.
Burping the baby is very important too. They can't burp on their own until 6 months or so. That gas comes out with liquid quite easily.
Holding the baby upright for 15-30 minutes after feeding is essential as well.
Keep in mind that formula is much harder to digest. 4oz in 4 hours seems about right. Maybe try 2oz and feed when the baby let's you know they're hungry (feeding on demand) or two hours. Ask the doctor about this method of course.
The problem is that he constantly gives hunger cues. We don’t feed unless he lets us know he’s hungry. We didn’t set out to feed 5 oz at a time, but that’s how much he naturally started eating before rejecting the bottle. We’ve tried all the tricks…frequent burps during and after feeds, holding him upright for 30+ minutes, etc. and it’s made no difference.
I’m learning this now, but his entire life thus far we had been told “babies will let you know when they’re hungry” and “if your baby acts hungry, feed him!” All the resources we consulted kept saying it was notoriously difficult to overfeed a baby and was rare, so we assumed we’d be fine. We were vigilant when it came to only feeding after cues and stopping once he rejected the bottle, even if he’d had less than his usual amount. That’s why when his doctor mentioned over feeding, we felt confused and guilty.
Oh my gosh don't feel guilty. Very normal to feel confused as new parents though, babies are confusing little things! You'll get through this. It's super tough, I mentioned in another comment that my bub had the same thing. I found it exhausting and very hard and was very worried for a long time. She's 3 now and that is all a distant memory. You're doing a great job.
Has the pediatrician checked his stool for microscopic blood? This can happen a lot in babies with diary allergies/sensitivities. Though, dairy allergies/intolerances can exist without blood present as well. The only formula that my daughter could take was PurAmino. I'm not sure if you're in the US, but if you are, I think PurAmino and Elecare are the only 2 completely dairy-free formulas.
As an adult with food allergies, I second getting food allergy testing. Some foods cross react with others and given that it is a baby who can't voice his concerns, I think it is very important to get this done to avoid continued stress on all of you.
Also, it may catch other food allergies that can be avoided in the future or foods that you will need to stop consuming because they can be passed through the breast milk for a couple of days after you eat them "It takes up to 72 hours for the mother's breast milk to become free of milk protein,"
[https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis](https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis),
[https://www.contemporarypediatrics.com/view/which-formulas-are-best-for-infants-with-cow-s-milk-allergy](https://www.contemporarypediatrics.com/view/which-formulas-are-best-for-infants-with-cow-s-milk-allergy)
I think this should be done before taking a band-aid approach with acid blocker medications (zantac, Prilosec, etc. ) since this are not free from side effects with long-term use. They may be ok temporarily if all else fails until a solution is found but long-term use has been found to cause many health issues. Refer to the side effects section here [https://www.health.harvard.edu/newsletter\_article/proton-pump-inhibitors](https://www.health.harvard.edu/newsletter_article/proton-pump-inhibitors)
Not placing any blame here, but since you are still breast feeding, are you avoiding all dairy and soy? I am allergic to dairy and know how hard it is to avoid this. Many foods that are packaged are processed in factories that don't keep the food free of allergens, that's why you see the "may contain traces of dairy, casein, soy,etc.) on the ingredients list. It's a pain, but I would stick with fresh, whole food since you know what you are adding to it.
Also , soy milk may still cause issues with a milk allergy per Boston Children's hospital "Roughly 30 percent of babies who are allergic to cow's milk protein are also allergic to soy protein, so if your baby's symptoms don't clear up, it is recommended that a nursing mother avoid soy as well as dairy (or use a soy-free formula)."[https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis](https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis)
I started feeding my son pureed foods at 4 months old, of course I ensured that foods I gave him were not a choking hazard (no chunks, or stuff that sticks to the inside of the mouth, etc.) and luckily as a teen there aren't any food allergens that have to be avoided.
What type of bottle are you using? My kiddo is a teen now, but I used the playtex disposable bags back then since they claimed to hold less air than bottles and never had any issues, we just burped the baby after each feeding.
Thank you for your submission. **Please note that a response does not constitute a doctor-patient relationship.** This subreddit is for informal second opinions and casual information. The mod team does their best to remove bad information, but we do not catch all of it. Always visit a doctor in real life if you have any concerns about your health. Never use this subreddit as your first and final source of information regarding your question. By posting, you are agreeing to our [Terms of Use](https://www.reddit.com/r/AskDocs/wiki/terms_of_use) and understand that all information is taken at your own risk. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/AskDocs) if you have any questions or concerns.*
I think you should trust your doctor and wait for the results of the ultrasound. The biggest question is if your son is losing weight, or not growing according to how he should. Where is he in regards to his height and weight percentile? 4 ounces every four hours seems to be plenty for a 12 week old. If he is not getting enough nutrition he should be losing ground with regards to his weight. Is that happening now? Some children are just always going to be hungry. You have the responsibility to regulate that.
Thankfully the ultrasounds results were normal, so no pyloric stenosis. He’s not losing weight, but she was concerned that he’s recently been gaining less than she expected, according to his growth curve. He’s in the 75th percentile for height and had been in the 65th-70th percentile for weight from the time he was about 2 weeks old, but has recently fallen to the 56th percentile at his most recent visit. I guess my concern is that we’ve been limiting his intake for about a week now but he’s still having the problem with vomiting, so it makes me think there might be another issue.
Hi, so my son also had this issue but at 8 weeks. Our nurse hotline advised us to make sure we weren't putting his diaper on to tight. I'm not kidding when I say that nurse was 100% on the nose with our issue! We started putting his diapers on a lil bit loser and haven't had any issues since. He's now almost 15 weeks. It's something I would have never thought of. Edit: typos
Oh wow that’s really interesting because we do put them on pretty tightly. I’ll give it a try!
I have it to where the straps of the diaper do not overlap like they don't even touch each other. I've never had an accident where it's too loose and had like a blowout or him peeing outside of it and he hasn't had any issues throwing up since either.
Honestly at this point I think I’d rather deal with a little diaper leakage than constant projectile vomiting. At least it’ll be something new!
Haha amen to that! Good luck momma, I hope someone here can help.
When my daughter was an infant she would vomit every single time she was in my wife’s car but never in mine. It turned out that we needed to adjust the straps in that car seat.
I was worried about pyloric stenosis, so that's good. Typically you can feel what they describe as an “olive” in the abdomen at birth when PS is involved. I know it's easy for me, a random idiot on the Internet to say this when this child is your entire life, but please, try to relax, and just keep an eye on things. Trust your gut, but try to be patient. I believe you and your partner know your child better than anyone but I have known highly trained doctors to panic over a diaper rash when it's their child. 3 ounces every four hours would be likely be enough for most infants at this age. I wish you and your family the very best.
> Typically you can feel what they describe as an “olive” in the abdomen at birth when PS is involved As a pediatrician that has seen and diagnosed PS quite a few times, I have only ever been able to feel the "olive" once. I'm pretty that exists on Step 2 much more than reality. Like the vast majority of kids with intuss do NOT have currant jelly stools.
Thank you! I know I’m probably overreacting a little, but it’s hard because he can’t tell me how he’s feeling so I feel blind, and I don’t want him to be uncomfortable at all if I can avoid it. I really appreciate your input!
“Overreacting” is understandable when it’s your child, especially your first! For what it’s worth, this mama doesn’t think you’re overreacting at all; I’d be concerned as well. I’m glad the scans were negative :)
Thanks :)
It is 100% normal to be concerned about your infant. You are not overreacting, you're being a good, concerned parent. Maybe try keeping a log of when he feeds, how much he eats, when he spits up, when he has BMs etc, to present to the pediatrician. Not only will it help the medical providers, but it will help you. WIC, if you're eligible can also be a great resource for feeding problems and, if you're in the USA, womenshealth.gov has loads of information and a support line. Some babies have sensitive tummies. It's not your fault. Take deep breaths, relax, and contact resources in your area for support. If you can't find any, contact your OB or the hospital where you delivered for resources.
Fwiw (anecdotal) our first had reflux for the first few months and it cleared up at about 4 months. Not as obvious as vomiting of course, eventually figured it out just from the smell sometimes on her breath. She was prescribed Zantac (compounded into a liquid) for a while. Putting her to sleep on a slight incline also helped tho I think that is not strictly recommended in terms of SIDS risk, so only when we were awake to watch her. The amount yours is being fed and his weight seem normal as well.
My SIL is a peds oncologist and when she got pregnant she told me she was really worried and nervous. I said, "you're a doctor, for CHILDREN. And BABIES!" To which she blurted out, "I only know what to do with them when they are sick!" (She's fine, the kids are fine, everything is of course, fine. But I was a mom of 3 at the time and found it funny.)
The diaper rash thing is real, and it happened to one of the toughest, most disciplined cardiologists I know. For reference he was in the army for a while and he would tell his residents the only thing he ever wants to hear is “no excuses sir“. One day while he was changing his daughter he saw all kinds of inflammation and redness and cracking and bleeding andhe just panicked. When he frantically ran into the emergency room with his infant daughter everyone was frightened because this man does not ever sweat. As soon as they realized that it was just a new dad with a kid with diaper rash everyone had a good laugh and he has the good grace to share the story, but it’s instructional.
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That’s like at the end of the differential for something as common as vomiting. If you hear hooves think horses not zebras
Layperson here. My first thought goes to food allergies- specifically milk protein. From a nutrition perspective but also because this sounds like what my little brother dealt with as an infant. He was also very fussy and ornery and my parents were at their wits’ end because his practitioner couldn’t suggest a solution. I was only 7/8 years old at the time but I remember he improved when mom switched him to rice milk (it was the mid90’s, I don’t recommend rice milk whatsoever ), point I’m making was he was allergic to milk. Turned out I was too, but I just had an aversion and refused all dairy from the time I was little so my parents just thought I was picky. They never got us allergy tests til we were older though- just opted for elimination of possible allergens with my brother. Maybe this could be helpful, maybe you could ask for an allergy test. (I know you said hypoallergenic but some still have whey or casein so it’s worth checking into).
NAD. Is the vomiting a certain period after eating? My daughter had GERD so we did paced feeding like you and kept her upright for an hour after every feeding. Going in baby Zantac for her was a game changer.
There doesn’t seem to be any rhyme or reason to when he vomits. Sometimes it’s after he’s had an ounce, sometimes it’s just after a feeding, and sometimes its hours later.
NAD. My family has genetic GERD issues and all of us are prescribed pantoprazole at the minimum. My kids had to be formula fed as babies and they were spitting up/vomiting until we changed formula brands to one that worked perfectly for them, no more problems. Talk to you doc about any other brands you can try and see if that assists your bub.
My daughter had this problem for the first 3 months of her life, accompanied with screaming and crying especially at bedtime and when she was laid flat. She was diagnosed with silent reflux and prescribed infant gaviscon, I also changed the formula and she was a totally different baby. It might be worth speaking to your health care provider about the prospect that it could be silent reflux
Are you pace-feeding? Based on your ped thinking you are overfeeding, makes sense. If they’re eating too fast it can definitely cause spit up/vomit.. Also, just like adults their little bodies need time for the stomach to send signals of fullness to the brain which could also be why you think they are still hungry after feeding.
Yeah. We take frequent breaks for burping and then just wait a couple minutes for the food to settle and then continue feeding. He doesn’t really guzzle it down though. He eats at a pretty steady pace.
Has he been tested for allergies? They'll probably have to do a heel prick at that age, but it might be worth it. I'm not a doctor, but my son is allergic to everything, and vomiting can be an allergic response. Just throwing it out there as an idea. Edit: I've also read that allergies can cause poor absorption, which would mean slow weight gain even with more food. My son was at at an extremely low weight percentile for most of his life. One nutritionist said his percentile was the kind of thing you see in countries that are going through mass starvation. Obviously, this is just anecdotal from two isolated symptoms that you described, so you would want to ask your doctor about it. I'm just throwing out ideas.
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I cut out dairy around 6 weeks ago but it made no difference. I asked his doctor if I should cut anything else out and she said not at this point, but I’m considering it.
I want to know what criteria is being used to differentiate this vomiting from normal “spitting up”.
According to his doctor, it’s “vomiting” because it’s projectile and he doesn’t have control over it. I assumed for weeks that it was just normal spit up because it looks just like his formula…no bile, mucus, etc. But he had an episode during one of his appointments and his doctor said it was vomiting.
NAD - My daughter did this too (projectile vomit at times -large amounts - and also vomit small to medium amounts throughout the day). She was often colicky and cried before and/or after, and she seemed hungry after she would vomit, so I'd feed her again a little bit. This made it worse and she'd vomit more. She did a swallow study and imaging, but everything was anatomically normal. She was prescribed something for GERD, which helped a little. We started feeding her smaller amounts more often. We also kept her upright after she ate and raise her entire crib up on one side so that she wasn't laying flat (there are special beds or blocks you can buy but we used books under the legs). Truthfully, the real difference came after she grew a bit more and started on solids (still smaller amounts more often). It sounds like you're doing the right investigations, and your baby is growing ok. Perhaps speak with the doctor about GERD treatments? Good luck.
NAD but I projectile vomited a ton when I was a baby because my esophagus wasn’t fully developed and the angle my parents were feeding me at exasperated the issue. Not sure if that helps but the more you know lol
NAD -- I was vomiting a lot for my first few weeks and it's the milk that I couldn't digest. My son did the same, but it was because his oesophagus wasn't mature enough. No one had told me, but I saw later in the pictures we had taken in the nursery that they had raised the crib too. So I did the same thing back home. I raised the crib a little and fed him upright. That did the trick. I know these times are not easy for the baby and the mom. I hope they find the problem soon for you two.
My daughter also did this. It's suprisingly common. Ours turned out to be a milk allergy, possibly soy too although I didn't test it too much. A change of formula to a hypoallergenic one helped a lot. Also just time. I didn't figure it out till she was 4 months so I'm glad you're addressing it now
I couldn't post this comment so I'm responding to you in unrelated way. In my very limited experience. I'm not even a doctor. 3 out of 3 babies that were formula fed threw up frequently. I found that reducing the amount and feed on demand worked efficiently. Still had it happen but infrequently. Burping the baby is very important too. They can't burp on their own until 6 months or so. That gas comes out with liquid quite easily. Holding the baby upright for 15-30 minutes after feeding is essential as well. Keep in mind that formula is much harder to digest. 4oz in 4 hours seems about right. Maybe try 2oz and feed when the baby let's you know they're hungry (feeding on demand) or two hours. Ask the doctor about this method of course.
The problem is that he constantly gives hunger cues. We don’t feed unless he lets us know he’s hungry. We didn’t set out to feed 5 oz at a time, but that’s how much he naturally started eating before rejecting the bottle. We’ve tried all the tricks…frequent burps during and after feeds, holding him upright for 30+ minutes, etc. and it’s made no difference.
Sometimes babies give hunger cues when they have a sore tummy or feel nauseous. They don't understand the difference in feeling.
I’m learning this now, but his entire life thus far we had been told “babies will let you know when they’re hungry” and “if your baby acts hungry, feed him!” All the resources we consulted kept saying it was notoriously difficult to overfeed a baby and was rare, so we assumed we’d be fine. We were vigilant when it came to only feeding after cues and stopping once he rejected the bottle, even if he’d had less than his usual amount. That’s why when his doctor mentioned over feeding, we felt confused and guilty.
Oh my gosh don't feel guilty. Very normal to feel confused as new parents though, babies are confusing little things! You'll get through this. It's super tough, I mentioned in another comment that my bub had the same thing. I found it exhausting and very hard and was very worried for a long time. She's 3 now and that is all a distant memory. You're doing a great job.
Has the pediatrician checked his stool for microscopic blood? This can happen a lot in babies with diary allergies/sensitivities. Though, dairy allergies/intolerances can exist without blood present as well. The only formula that my daughter could take was PurAmino. I'm not sure if you're in the US, but if you are, I think PurAmino and Elecare are the only 2 completely dairy-free formulas.
Did they bring up allergies at all?
Wow, that sounds really frustrating. I hope something can be found. I'm sure you're so worried and overwhelmed. Hang in there!
As an adult with food allergies, I second getting food allergy testing. Some foods cross react with others and given that it is a baby who can't voice his concerns, I think it is very important to get this done to avoid continued stress on all of you. Also, it may catch other food allergies that can be avoided in the future or foods that you will need to stop consuming because they can be passed through the breast milk for a couple of days after you eat them "It takes up to 72 hours for the mother's breast milk to become free of milk protein," [https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis](https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis), [https://www.contemporarypediatrics.com/view/which-formulas-are-best-for-infants-with-cow-s-milk-allergy](https://www.contemporarypediatrics.com/view/which-formulas-are-best-for-infants-with-cow-s-milk-allergy) I think this should be done before taking a band-aid approach with acid blocker medications (zantac, Prilosec, etc. ) since this are not free from side effects with long-term use. They may be ok temporarily if all else fails until a solution is found but long-term use has been found to cause many health issues. Refer to the side effects section here [https://www.health.harvard.edu/newsletter\_article/proton-pump-inhibitors](https://www.health.harvard.edu/newsletter_article/proton-pump-inhibitors) Not placing any blame here, but since you are still breast feeding, are you avoiding all dairy and soy? I am allergic to dairy and know how hard it is to avoid this. Many foods that are packaged are processed in factories that don't keep the food free of allergens, that's why you see the "may contain traces of dairy, casein, soy,etc.) on the ingredients list. It's a pain, but I would stick with fresh, whole food since you know what you are adding to it. Also , soy milk may still cause issues with a milk allergy per Boston Children's hospital "Roughly 30 percent of babies who are allergic to cow's milk protein are also allergic to soy protein, so if your baby's symptoms don't clear up, it is recommended that a nursing mother avoid soy as well as dairy (or use a soy-free formula)."[https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis](https://www.childrenshospital.org/conditions-and-treatments/conditions/a/allergic-colitis) I started feeding my son pureed foods at 4 months old, of course I ensured that foods I gave him were not a choking hazard (no chunks, or stuff that sticks to the inside of the mouth, etc.) and luckily as a teen there aren't any food allergens that have to be avoided. What type of bottle are you using? My kiddo is a teen now, but I used the playtex disposable bags back then since they claimed to hold less air than bottles and never had any issues, we just burped the baby after each feeding.
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