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Gastro-oesophageal Reflux — RACP Paediatrics MCQ

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EasyGastroenterologyGastro-oesophageal RefluxRACP Paediatrics

A 4-month-old infant presents with persistent posseting and irritability after feeds. He is gaining weight appropriately along the 50th centile. There is no haematemesis, respiratory symptoms, or feeding refusal. What is the most appropriate management?

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Correct answer: A — Thickened feeds and parental reassurance

This infant has uncomplicated gastro-oesophageal reflux (GOR), which is physiological and common in infants. In the absence of red flags (poor weight gain, haematemesis, respiratory complications, feeding refusal), management is conservative with parental reassurance, positioning advice, and thickened feeds if formula-fed. Acid suppression is not indicated for physiological GOR.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Gastro-oesophageal Reflux