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Gastro-oesophageal reflux — RACP Paediatrics MCQ

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EasyGIGastro-oesophageal refluxRACP Paediatrics

A 3-week-old has frequent possets after feeds but is gaining weight well along the 50th centile. There is no bile staining and the infant is otherwise well and feeding eagerly. What is the most likely diagnosis?

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Correct answer: B — Gastro-oesophageal reflux

Frequent effortless regurgitation (possetting) in a thriving infant is physiological gastro-oesophageal reflux (GOR), not disease. It peaks around 4 months and resolves in most infants by 12-18 months. No investigation or treatment is needed if the infant is a 'happy spitter' with normal growth.

Reference: RCH Melbourne – 2023 – Gastro-oesophageal Reflux CPG; RACP Paediatric Curriculum – Gastroenterology