<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi I have a 1 month old daughter she was diagnosed with reflux since day4. She was put on meds at 2 weeks and I have decided I want to stop her meds bc she is still throwing up while on them so whats the use. She is a happy baby not fussy not colicy but she saounds like she is having difficulty breathing all the time is this the reflux? It reminds me of while I have a panick attack. She is breastfead sometimes she sounds like she is choking while nursing. I am worried its something else going on sound I get a 2nd opinion?  <response>: Hello, Thank you for your query. Yes please get a second opinion. I believe that the parents instincts are always right.What tests did they do to confirm reflux? does she turn blue while nursing? what color is her vomit? When does she throw up after feeds, how long after? Is it a forceful kind of vomiting? Based on her symptoms, I would like to rule out pyloric stenosis tracheoesophageal fistula. This is an abnormal connection between her food pipe and wind pipe. It could just be reflux, but it is better to confirm with proper imaging and tests. I recommend-please get a pediatric surgeons and gastroenterologist opinion.- a series if x-rays after swallowing a special contrast dye.- an endoscopy if required.- blood tests complete blood count, electrolyte levelsHope she recovers soon, please let me know if there is anything else I can help you with. 