Gastroesophageal reflux disease

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Reflux is common and usually improves with daily habits. Recommended supportive care with an emphasis on smaller meals, avoiding food triggers, finishing meals a few hours before bed, and staying upright after eating. Return precautions given including trouble swallowing, food getting stuck, vomiting blood or black stools, weight loss, severe pain, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Gastroesophageal reflux disease
• Heartburn and regurgitation consistent with gastroesophageal reflux
• Growing well
• No trouble swallowing, GI bleeding, persistent vomiting, severe pain, or chronic cough or hoarseness
• Reviewed meal timing, smaller portions, individual food triggers, and not lying down for a few hours after eating
• Follow up if worsening or not improving

Reflux is common and usually improves with daily habits. Recommended supportive care with an emphasis on smaller meals, avoiding food triggers, finishing meals a few hours before bed, and staying upright after eating. Return precautions given including trouble swallowing, food getting stuck, vomiting blood or black stools, weight loss, severe pain, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Assessment and growth
Alarm features
PPI or H2 blocker trial

Return precautions in the template

trouble swallowingfood getting stuckvomiting blood or black stoolsweight losssevere pain

Sources

Pediatric Care Online Key Points: GERD
Cribsiders: #75, GERD (December 14, 2022)
AAP clinical report: Lightdale JR, Gremse DA; Section on GI, Hepatology, and Nutrition. Gastroesophageal Reflux: Management Guidance for the Pediatrician. Pediatrics…

Few formal guidelines cover this topic, so the template also leans on expert opinion.