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What's the prevalence of reflux in your countries?

At the peak age around 2-4 months, prevalence rates of regurgitation have been reported to be as high as 67-87% #DidYouKnow #GER

How do you confirm that your patient has GER and not something else?

Is your diagnosis of GER based on Rome IV criteria?

The main differentiation between GER and GERD is the troublesome symptoms that we see in infants with GERD. What symptoms of GERD do you mostly see?

Which of the following therapeutic interventions do you find most efficient in reflux management? a) Pharmacological treatment (PPI, antacids, H2 blockers…) b) Adapting volume and frequency c) Feeding modifications (AR formulae) d) Positioning interventions

Joint Recommendations of NASPGHAN & ESPGHAN: The working group suggests to use thickened feed for treating visible regurgitation/vomiting in infants with GERD (JPGN 2018;66:516-54)

Trial of PPIs as a diagnostic test for #GERD in patients presenting with extra-intestinal symptoms is recommended

Joint Recommendations of NASPGHAN & ESPGHAN: Based on expert opinion, the WG suggests not to use a trial of PPIs as a diagnostic test for GERD in patients presenting with extra-intestinal symptoms. (JPGN 2018;66:516-54)

In formula-fed infants, which type of formula do you usually recommend in case of reflux?

Based on your practice, which thickening agent is being the most efficient in managing reflux episodes?

#DidYouKnow Long-term use of PPI in infants has been associated with severe health consequences reported in several studies

Wishing Adha Mubarak to all my friends who are celebrating

Friends in Beirut, I hope you are safe. Stay strong !

Good morning fellows, what pediatric topic do you wish to know more about?

I hope you are doing good dear friends. What pediatric topic would you like us to discuss next?