what’s next

so, we had our upper gi with maggie today. nothing. at least that they could see. she started to flux and choke in the hospital parking lot but couldn’t do it on the table *sigh* should have known. Cecilia didn’t do it either. am not sure what the next step is. she hardly slept at all today..was uncomfortable and hollering no matter where she was placed (in my arms, in bed, in swing, etc). After about hrs she passed out with hubby rocking her. I was crying in the shower. for cecilia, the switch to nutramigen and a month on zantac fixed most of her problems. she would only have a few “episodes” after that. I’m not sure what is going on with maggie now. Is is really just reflux? Maybe she has a slow bowel..she only goes every three to four days and screams for hours beforehand. I am going to request things from the ped, but am not sure all that I should ask for. Any suggestions? I am thinking a lower scope would be a good idea to rule that out. I just don’t want to throw her on reglan if I don’t have to and that is all that the ped here in small town america seems to know to do…zantac then reglan. but even he is loathe to put her on it. I am going to mention the ppi (any one recommend one over the other?) and take the dosing chart in with me. ugh..just get so tired of walking him thru all this. It was bad enough doing it for Cecilia’s allergies. How can I find out if maybe Maggie has allergies severe enough for something other than alimentum? I even asked the ped if there was something to try after that (meaning neocate/elacare) and he said no. My dad wants me to get a second opinion, but there is no one else in town and we aren’t moving until some time in Feb. *sigh* I’d just rather have all the testing done I can to make sure we didn’t miss something before they stick her under the umbrella diagnosis of “colic” w/some reflux. Thanks for any ideas or just letting me vent.