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I'm so sorry you're going through this! I would ask your ped for a referral to an allergist.

Does your daughter have any other typical allergy symptoms, like hives or difficulty breathing (other than the choking on vomit, which I have been there with my daughter and still think of as one of the most terrifying moments of my life)? If it is just delayed vommiting, you might want to ask your ped/allergist about FPIES. What's her demeanor like after she's done vommiting? Is she pale and out of sorts for awhile?

I would also try to rule out a stomach bug or reflux before you go down the FPIES road. There are no tests for it like there are for ige allergies, so it's all trial and error, and sometimes it can take 6+ introductions for a reaction to show up.

My daughter had delayed vommiting twice after eating oatmeal when she was 7 months old. We never figured out if it was FPIES or not, but the allergist treated her as having it to be on the safe side. We were allowed to introduce her to milk and soy at the age of 2 (has your daughter been good with those? They, along with sweet potato, rice cereal, and oats, are the most common fpies triggers). My daughter did fine with milk and soy and is now eating an almost-normal diet, and we are now only avoiding oats. That's the good news about fpies- it is only seen in children,, and most kids outgrow it by age 3-5.

After the first two vommiting episodes and an allergist doing a skin prick to rule out a true allergy, we stepped way back with solids. Like got rid of everything besides pears and started over with strict trials of 1/2 tsp increments over the space of 12 days. It was exhausting and scary, but we are lucky she never reacted to anything besides oats.

Sorry this is rambling (writing on my phone). I hope your daughter is feeling better today and that you get some answers.

@LulaBee: This sounds similar to what my DD1 had, starting around 6 months old she would projectile vomit everything she ate, several times a day. We were referred to a pediatric GI and after running several tests she was diagnosed with EE (which later became EEE because she outgrew it.) We also had an allergist, however we were always told that babies have false positive/negatives so allergy tests are not really reliable at that age. I would be making a log of EVERYTHING your child eats/drinks and then when a reaction happens to see if you can see a pattern. And I would also show your doctor that if it continues and would ask for a referral to a ped GI, they were able to help us so much more.

@LulaBee: http://www.mayoclinic.org/diseases-conditions/eosinophilic-esophagitis/basics/definition/con-20035681

It's very rarely diagnosed in someone so young. The "easy" version that was described to me is what asthma is to the lungs, is what EE is to the esophagus, however because of the smaller airway, the risk of swelling is greater. We carried an epi pen with us at all times and avoided any triggers. Eventually by the time she was 13 months she just all of a sudden outgrew it and her allergies and now at 3 1/2 she's living a normal life!

She was failure to thrive, they kept saying she had awful acid reflux (so bad she actually lost weight) she didn't double her birth weight until she was over a year old. It was a very scary time, but I fought for the referral and so glad I'm did! It wasn't easy, she had to go "under" 4 times in 7 months, but we got answers and peace of mind.

@LulaBee: Does she keep her milk/formula down? is it only from food?

@LulaBee: I'm glad your ped isn't immediately jumping to an fpies diagnosis. It's actually very rare, and it caused us huge amounts of stress and extra work in making all our daughter's food from scratch for two years. I should have mentioned in my first reply that my son also had tons of vomitting after eating rice cereal at 7 months, two separate occasions. The difference between his situation and my daughter's is that I just assumed I had overfed him, held off on rice for a couple weeks, and went on with our lives, and everything was fine, whereas I requested an allergist referral with my daughter. I'm no doctor, but I also think that many babies just can't handle grains yet at that age, especially larger portions.

The fact that she's good with cheese is a great sign! As far as dairy and soy in breastmilk, I was told that it's not enough of the proteins to cause a reaction in most fpies babies. They have to eat "enough" of the food to get the typical delayed vomit reaction, at least for the initial exposures. I never removed dairy or soy from my diet, and my daughter never discernably reacted to any foods I ate, including oats. Again though, we never got a confirmed fpies diagnosis.

One thing that helped my sanity was that I would only feed her something we were trialing first thing in the morning right after she woke up. This allowed us to watch her for the 2-3 hours afterwards to make sure she didn't vomit before we put her down for a nap.

We experienced something similar when my daughter was 7 months. On 3 separate occasions, a few hours after she ate dinner, she started violently vomiting. It was terrifying. She's vomit until there was nothing in her stomach, and would get super pale and drained afterwards. She appears to have a fish allergy, but we haven't had her tested yet, and are just holding off on giving her any fish for now. We'll delve into it further when she's a year.

So scary! I'm sorry you're dealing with this.

My LO had a similar experience with egg yolks at around 7-8mos. She projectile vomited and immediately became very lethargic and sleepy. It was terrifying, because we were in the car & I was watching it all happen while driving down the highway. I tried to feed her them again about a month later, but the same thing happened, so she hasn't had egg yolks since. I feel like since it appeared to just be a sensitivity, not allergy, I'd like to try again sometime, but am reluctant. Fortunately we haven't found any other foods that have affected her this way.