Conversation: The conversation between human and AI assistant.
[|Human|] I have twins who was born after 31.5 week pregnancy by cesarean section. They stayed inside incubator for one month. They are 3 months old now, the second twin has started stretching her neck backward as result of colic or cramp as I note if there is another reason I don t know. The twins are fed by infant formula (artifitial milk) S-26. the second twins starts stretching her neck backward for 6 hours every day, crying as well, I want to know is this as result of lacking some digestive enzymes or there is another problems, I make her burp after feeding her, I used feeding bottle that prevents gas entering beside anti-colic medicine, but I don t see any results, what should I do?
[|AI|]  HI...by what you quote I feel that the infant is having severe form of GER (gastroesophageal reflux). The stiffening and stretching of neck backwards is called Sanders syn Chat Doctor.  Your daughter will need - 1. Antireflux therapy - Proton pump inhibitors + antiemetics2. Always make her lie down in a propped up position - as in the care seat. She should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small liquors.4. This type of GER is the root cause for the constipation she is having. She needs expert gastroenterology consultation. Regards -