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Gastro-oesophageal reflux — MRCPCH FOP MCQ

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EasyGastroenterologyGastro-oesophageal refluxMRCPCH FOP

A 10-week-old thriving baby brings up small amounts of milk after feeds but is comfortable, gaining weight and has normal examination. The parents ask whether medication is needed. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Reassure, review feeding technique and provide safety-netting

Effortless posseting in a thriving and comfortable infant is physiological reflux, so reassurance and feeding advice are appropriate. Proton-pump inhibitors are not indicated without troublesome symptoms or evidence of oesophagitis. Ultrasound would be considered when vomiting is projectile or there are concerning features. The pearl is that growth and distress help separate reflux from reflux disease.

Reference: NICE NG1 Gastro-oesophageal reflux disease in children