A 3 month old boy is brought to the GP with concerns about poor weight gain and frequent vomiting after feeds. He has episodes of arching of his back ...

Question

A 3 month old boy is brought to the GP with concerns about poor weight gain and frequent vomiting after feeds. He has episodes of arching of his back and irritability but is otherwise well and thriving just below the 25th centile. According to NICE GORD guidance, what is the most appropriate initial management?

Accepted Answer

Start thickened feeds and provide feeding advice

Answer

Start a proton pump inhibitor immediately

Answer

Order an urgent upper GI endoscopy

Answer

Start long term H2 receptor antagonist

Answer

Refer urgently for surgical fundoplication

uk-plab-1 MCQ (SBA): Infant gastro oesophageal reflux conservative management