GOR – reassurance and position — RACP Paediatrics MCQ

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EasyGIGOR – reassurance and positionRACP Paediatrics

A 6-week-old breastfed infant has frequent regurgitation but is thriving, not distressed during episodes, and has no respiratory symptoms. Parents are worried. What is the most appropriate management?

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Correct answer: A — Positioning (left lateral/head elevation)

Physiological GOR in a thriving infant ('happy spitter') requires no medical treatment. Management is reassurance and positioning advice (upright position during and after feeds). GOR peaks at 4 months and resolves in most by 12-18 months. No investigation or acid suppression is indicated if the infant is well and growing normally.

Reference: RCH Melbourne – 2023 – GOR CPG; RACP Paediatric Curriculum – GI