GER

Question 1

GER definition

Answer 1

Passage of stomach contents into the esophagus

Question 2

Is GER common?

Answer 2

Yes, it’s common in infancy and usually resolves by 12-14 months

Question 3

GER patho

Answer 3

Physiologic reflux occurs when the lower esophageal sphincter (LES) relaxes and swallowing doesn’t occur –> allows the passage of stomach contents into the esophagus

Question 4

Why does GER occur more often in neonates and infants?

Answer 4

shorter length of the esophagus, delayed gastric emptying, decreased LES pressure, and immature peristalsis

Question 5

Diagnosis of GER

Answer 5

Based solely on parenteral history and PE, invasive testing isn’t required

Question 6

GER treatment

Answer 6

Parental reassurance, positional changes, dietary changes

Question 7

Preferred position for sleeping infants

Answer 7

Supine

Question 8

Dietary changes for GER

Answer 8

Changing the volume or frequency of feeding, trying a hypoallergenic or anti-reflux formula, and thickening the formulas to increase caloric density