A 2-month-old female presents to the office for her WCE. The parents complain about her throwing up all the time. Upon further discussion, they state the baby has always spit-up. They have changed formula multiple times. She appears to be meeting her developmental milestones. Which of the following would NOT indicate the need for a trial of nizatidine?
Correct!
Wrong!
EXPLANATION
Correct Answer – C) Stable weight gain at the 10th percentile.
Poor weight gain is one of the differentiators for GERD. Other indicators are posturing, feeding refusal, and irritability. Babies that are “happy spitters” or who have good weight gain are diagnosed with GER (Gastroesophageal Reflux) without the disease.
OMM is a possible treatment modality for both GER and GERD.