The parent of a 3-month-old reports that the infant arches and gags while feeding and spits up undigested formula frequently. The infant's weight gain has dropped to the 5th percentile from the 12th percentile. What is the best course of treatment for this infant?

Question

Quizplus · Accepted Answer

The symptoms described are consistent with gastroesophageal reflux (GER) which can be managed with a trial of extensively hydrolyzed protein formula (EHF). EHF is easier for an infant's digestive system to break down and absorb, thereby reducing the likelihood of regurgitation and other GER-related symptoms. Acid suppression with a PPI or esophageal pH testing is typically reserved for more severe cases of GER. It is not appropriate to simply reassure the parent that the symptoms will resolve on their own as  the infant has experienced a drop in weight gain percentile.

The Parent of a 3-Month-Old Reports That the Infant Arches