It is hard to give a complete answer to this question without knowing more details, such as how baby is fed (breastfed or formula-fed), weight gains, other symptoms (such as rashes), what bowel motions are like, etc. If baby is otherwise reasonably content and thriving, the vomiting may be excess milk and it is a breastfeeding management issue. A call to the Australian Breastfeeding Association Helpline on 1800 686 268 could help clarify that.
True reflux in babies can be a symptom of food allergy or food intolerance. The most common food causing this is cows'-milk protein. Dietary investigation can be useful to resolve the reflux and avoid mediations or weaning (in the case of a breastfed baby). The simplest step to check this is to try a dairy-free diet. If the mother is breastfeeding that means she goes dairy-free, strictly, including label-reading for ingredients in foods that are from dairy, not just avoiding milk, yoghurt and cheese. If effective, improvement may be seen within days or it might take up to about 3 weeks.
While dairy-free, the mother may need to take a calcium supplement once a day to make sure she is getting enough calcium. If she decides to remain dairy-free, it is still worth testing out the baby's tolerance every few months, as babies usually grow out of this problem.
If the baby is formula-fed, that means switching to an extensively-hydrolysed or elemental formula. Soy formula is generally not recommended for babies younger than 6 months, partly due to concerns over phyto-oestrogens in soy products and partly as individuals who react to cows'-milk protein often develop sensitivity to soy protein as well.
If a breastfeeding mother finds that avoiding only dairy is not effective, she might like to consult an Accredited Practising Dietitian with an interest in babies as well as food allergy/intolerance for help to further investigate her diet as a cause of the symptoms.
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