Question about spit up/vomit?? no pics lol

Clarissa • Mama
My daughter is 2 months and is on a nondairy formula (nutramigen). She has reflux and we have to give her 2 doses of Zantac a day. She still vomits quite often and it's almost always chunky- like cottage cheese? It mostly happens immediately or during a feeding- so I assume it can't be curdling with acid (it wouldn't have time, right?). It's a concentrate formula so it isn't like powder clumps or anything like that.
Any idea of what this could be??

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