A 2-month-old boy spits up after feeds but gains weight well. He has no bilious vomiting, blood in stool, respiratory distress, or feeding refusal.

Question

A 2-month-old boy spits up after feeds but gains weight well. He has no bilious vomiting, blood in stool, respiratory distress, or feeding refusal. Examination is normal and parents worry about reflux disease. Which of the following is the most appropriate next step in management?

Accepted Answer

Reassure and recommend conservative feeding measures

Answer

Switch every infant to elemental formula

Answer

Schedule pyloromyotomy

Answer

Order upper endoscopy today

Answer

Start proton pump inhibitor routinely

Infant reflux — USMLE Step 3 MCQ

A 2-month-old boy spits up after feeds but gains weight well. He has no bilious vomiting, blood in stool, respiratory distress, or feeding refusal. Examination is normal and parents worry about reflux disease. Which of the following is the most appropriate next step in management?