Gerd

2. Gerd

• • Common in the first 6 months (50% of infants)
  • Usually resolves by 12-15 months
  • Symptoms: non-projectile effortless vomiting, poor feeds, feeding reluctance, back arching, crying at feeding times
  • Rule out overfeeding (>150ml/kg/day if <6 months)

Management 

• Use conservative measures before moving to the below treatment: positioning during & after feeding, and preventing overfeeding Breastfed: Infant Gaviscon trial for 2 weeks
• Bottle-fed:
  1. Anti-reflux formula for 2 weeks
  2. Consider thickened formula (Carobel) for 2 weeks
  3. Stop the thickened formula and try the Infant Gaviscon trial for 2 weeks
• DO NOT prescribe thickeners or antacids with anti-reflux formulas.
• Secondary care referral if no improvement