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Gastro-oesophageal reflux — DCH MCQ

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EasyGrowth and nutritionGastro-oesophageal refluxDCH

A 6-week-old breastfed infant is thriving but has frequent small possets after feeds. There is no bile, blood, apnoea or poor weight gain. Examination is normal. What is the most important red flag?

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Correct answer: E — Bilious vomiting

Bilious vomiting is a red flag for intestinal obstruction and needs urgent assessment. Small possets in a thriving infant are usually physiological reflux and can be managed conservatively. The pearl is that colour of vomit, growth and hydration guide urgency in infant vomiting.

Reference: NICE NG1