Search results
1 maj 2013 · Lifestyle changes to treat GERD in infants may involve a combination of feeding changes and positioning therapy. Modifying maternal diet if infants are breastfed, changing formulas, and reducing the feeding volume while increasing the frequency of feedings may be effective strategies to address GERD in many patients.
4.3 Based on expert opinion, the working group suggests a 2 – 4 week trial of formula with extensively hydrolyzed protein (or amino-acid based formula) in formula fed infants suspected of GERD after optimal non-pharmacological treatment has failed (Algorithm 1, or see ESPGHAN 2012 CMPA guidelines).
Formula fed infants require extensively hydrolysed formula, obtained via prescription from a paediatrician. Over the counter formula options include Novalac Allergy® or Aptamil Allerpro®
Wessex Infant Feeding Guidelines and Appropriate Prescribing of Specialist Infant Formulae. NICE NG1: Flow Chart for managing GASTRO-OESOPHAGEAL REFLUX (GOR) and GORD. Red Flags: *Require same day referral. Infant presents with Gastro-Oesophageal Reflux. * Bile-stained vomit: * Frequent forceful (projectile) vomiting especially if <2m old .
4 lis 2022 · For the formula-fed infant, a formula with extensively hydrolyzed protein is recommended. For more information about cow’s milk protein allergy in this clinical context, see the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHN) guidelines for 2018 [ 2 ] .
21 gru 2023 · The diagnosis and management of GER in infants will be reviewed here. Reflux in premature infants, and the clinical manifestations, diagnosis, and pathophysiology of GERD in older children, are discussed separately.
20 gru 2023 · It is important to distinguish between acidic, weakly acidic and non-acidic refluxate in order to guide therapies. For infants with weakly acidic or non-acidic refluxate, acid suppression – the mainstay of infant reflux pharmacotherapy – is ineffective as the pH of reflux is already >6.0.
