CONSULT REQUEST GUIDELINES                                                                         Print

Gastroesophageal Reflux
Suggested Pre-Referral Evaluation and Management Guidelines Red Flags: weight loss, bilious vomiting, hematemesis, and/or apnea/cyanosis.

If no red flags, in children 2 months & older, Proton Pump Inhibitor:
  • Zantac 3mg/kg/dose BID or 2 mg/kg/dose TID in infants. If the child is irritable, can use a proton pump inhibitor
  • solu-tab Prevacid for younger children (not the liquid form, Zegerid), taken 20-30 minutes prior to breakfast on an empty stomach. 1mg/kg/day
NOTE: Zantac (or other H-2 antagonists) and proton pump inhibitors are antacid medications and are unlikely to have any impact on the regurgitation or spitting. There is not currently a safe and effective prokinetic medicine.
Suggested Additional Test/Management Prior to Specialty Visit Upper GI to rule-out anatomical abnormalities or ultrasound to rule-out pyloric stenosis, if clinically indicated.
Patient Education/Information (includes preps) Gastroesophageal Reflux in Babies and Children
Appointment Timeframe 3 months, sooner for Nurse Practitioners (typically 1-2 months)
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Fax records to 734-763-7359 prior to appointment.
A referral from the primary care physician is required prior to the appointment. Consult for a second opinion requires approval by a staff Pediatric Gastroenterologist. The covering staff physician may be reached by M-line.

It is helpful for us to have records of any prior laboratory studies, x-rays, prior endoscopy reports, other test results, or hospitalizations. Having the child's growth record (obtained from their primary care clinician) is very helpful.
Clinic Contact Information Physicians: 734-763-9650 or M-Line 734-936-3856
Patients: 734-763-9650
Clinic Location Sites C.S. Mott Children’s Hospital
UM Consulting Physician Pediatric Gastroenterology Faculty
Revised on: 10/17/2012
 
 

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