PT  - JOURNAL ARTICLE
AU  - Puntis, John W
TI  - Gastro-oesophageal reflux in young babies: who should be treated?
AID  - 10.1136/archdischild-2014-306232
DP  - 2015 Oct 01
TA  - Archives of Disease in Childhood
PG  - 989--993
VI  - 100
IP  - 10
4099  - http://adc.bmj.com/content/100/10/989.short
4100  - http://adc.bmj.com/content/100/10/989.full
SO  - Arch Dis Child2015 Oct 01; 100
AB  - Recent guidelines focus on a non-interventionist approach to management of gastro-oesophageal reflux in infancy and emphasise the importance of explanation, reassurance and simple measures such as attention to feeding. Relying on clinical history alone leads to over diagnosis of disease, and widely used medications are often ineffective for symptom relief and carry significant risk of harm. The association between vomiting in infancy and other problems such as crying and poor feeding should not be interpreted as implying causality. When there are strong pointers to underlying gastro-oesophageal reflux disease, invasive investigations are required in order to formulate appropriate intervention.