### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My daughter is 16 months old and for about a month now, atleast once a day but sometimes more, she will vomit the majority of her meal back up after eating just a few bites to eating the entire meal. We feed her about 6 tablespoons of oatmeal in the morning and she typically cannot finish this (although she was always finishing this up to about a month ago) and/or she will vomit sometime during the meal. We feed her a 6 oz jar of a squash or sweet potato for lunch and same thing occurs that she may sometimes finish but other times will vomit halfway thru. After nap, she gets a 4 oz jar of fruit and a 4 oz can of yogurt and today she vomited after the fruit. For dinner we use to feed her a green bean and rice mix but gave up since she nearly vomited everyime we fed her this and sometimes it was after 2-3 bites in. She will not feed herself any feed that we are eating other than spaghetti and even then it is maybe 10 macoroni noodles. We are giving her about 18 oz of whole milk throughout the day and 6 oz of pediasure. She is also taking 1 mil of a vitamin each day, not sure the vitamin name but is smells really bad. Where do we go from here? Thanks.

### output:

Hi, By what you quote I feel that the kid is having a severe form of GER (gastroesophageal reflux). Your kid will need - 1. Antireflux therapy - Proton pump inhibitors + antiemetic 2. Always make the kid lie down in a propped up position - as in the care seat. The kid should not be sleeping completely flatly. 3. Avoid heavy feeding and feeding more times and in small liquors. Your kid needs expert gastroenterology consultation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 