constant spit up what to do 😭😭😭

Haley
Okay so my son now 19 weeks has had real issues with spitting up 
breast milk he would choke on
Normal similac he spit up a ton
Similac sensitive was next and no improvement
Soy was then next with improvement on ready to feed but god awful spit up on powder
Similac Alimentum hypoallergenic is what they switched him to 2 days ago and now it's just lots of clear liquid spit up! 
What should I do 😭😭😭😭😭
He is also on meds 2x a day for acid reflux 

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