Possible Respitory Disease

If it's at all possible, I would ask to be referred to an allergist. I think the Alimentum still has some milk and soy in the formula (even though it's broken down). There are other formulas that an allergist can recommend, and your insurance may even cover it if the doctor writes a prescription for it. But it's important to find out if there is an allergy at play either to milk or soy or both, and the severity of it. If there is, an allergist can put you on the right path to avoid that allergen.
Take care and good luck with the doctor...

Is it possible that your feeding techniques are contributing to the reflux? Have you tried using a smaller nipple (slow flow) and feeding her only a few ounces at a time, and then burping (or even feeding her only a few ounces at a time and feeding more often e.g. 3 oz every 2 hours instead of 6 oz every 4)?

The acid from the reflux can cause irritation on the vocal cords that would explain the muted cry and coughing. It's unlikely to cause serious damage, but you can ask your ped to have a look (as he should anyways).
She is old enough to start teething as well, which might explain the drooling. The snoring could be a combination of both.

Last but not least it is cold season... so it may be totally unrelated to what's going on otherwise.

Write down all of your concerns and ask your doctor...good luck.

Hi M.,

Get her to a principled chiropractor as soon as possible. If you don't know one go to upcspine.com and find one in your area. I have seen reflux go away as quickly as two adjustments. The zantac is making it worse and causing the respiratory problems. She's bombarded with chemicals that is breaking down her immune system so her little body can't fight of the things it normally would.

If you want to take this further, you should detox your house as well as her little body. If you are interested in going that route, get back to me and I'll walk you through what I did. It was inexpensive the way I did it.

God bless!
M.

i'm so sorry my daughter had reflux with none of the other things you're going through, atleast that oart will be gone in a few months when she starts to sit and crawl...i hope thats the only probem, but my daughter had bad reflux and couldn't keep weight on til 7 months, and never had any of those symptoms, she screamed in pain constantly, but was happy when spitting up and eating, hopefully you find out whats wrong. i;d take her to the er, if you're that worried, possibly a childrens one?

A close friend had several children w/severe reflux. She found that really propping them up - even in the crib - helped. She elevated the head of the crib by putting a few books under both legs and frequently her children napped in the bucket of a car seat or a swing. Being vertical instead of horizontal reduced anything that she might spit up from her stomach and then aspirate into her lungs.

Not sure if you're already doing this, but thought I'd pass it along.

I'm sorry. Nicky was a reflux baby...Zantac didn't work for him. I had to change my diet to make sure the stuff i was eating wouldn't hurt him.

sounds like you need to take her to another doctor...

the drooling could be teething....

the snoring in an infant? To me? Not good.

Take her to another pediatric GI and tell them what you have told us. I would NOT up the Zantac, it's only masking the problem, that's my take. While I agree with Zantac to help, unless you can find the cause of the reflux, all it is doing is making it worse really because her tiny little body doesn't know how to fight it without the aide of Zantac..

Yes, vocal chord damage can done due to excessive coughing and vomiting..the acid is nasty stuff.