(((hugs))), it's not fun dealing with reflux, my ds had really bad reflux for 6 months where he would throw up 15x a day, had very poor weight gain, and that was on meds (we changed meds and it made a difference). I remember for burping the only way we could do it was as pp said, to lightly rub his back instead of patting it otherwise he'd throw up. We would do a rub from bottom to top (if that makes sense). All movements had to be very slow, no sudden movements, and never over the shoulder for burbs! Have you checked with your doctor about the reflux for meds?