The Cribsiders

S4 Ep75: Stomachs in (re)Flux: Pediatric Gastroesophageal Reflux Disease

Dec 14, 2022
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ADVICE

Assessing Parental Concerns

  • Ask parents why they are concerned about their baby's spit-up.
  • Educate them on what's normal (e.g., up to four spit-ups daily).
INSIGHT

Red Flags for GERD

  • Spitting up an hour after feeding, bile in vomit, or blood in vomit are red flags.
  • Excessive crying or arching is not usually related to reflux.
ADVICE

Initial Interventions for Reflux

  • Try smaller, more frequent feeds and thickening feeds as initial interventions.
  • For formula-fed babies, try pre-thickened formulas or rice cereal.
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