Question

A 4-month-old with persistent regurgitation and poor weight gain is suspected to have gastro-oesophageal reflux disease (GORD). Despite thickened feeds, symptoms persist. What is the next recommended step in management?

Accepted Answer

Trial of a proton pump inhibitor

Answer

Immediate endoscopy

Answer

Add domperidone

Answer

Advise a lactose-free diet

Answer

Perform 24-hour pH study immediately

Practice question

A 4-month-old with persistent regurgitation and poor weight gain is suspected to have gastro-oesophageal reflux disease (GORD). Despite thickened feeds, symptoms persist. What is the next recommended step in management?