Ten-minute consult: Reflux Vs cow’s milk protein allergy

Dr Amit Saha, Paediatric Gastroenterologist, Hollywood 

Feeding-related symptoms in infancy account for a substantial proportion of general practice consultations, with gastro-oesophageal reflux, gastro-oesophageal reflux disease (GORD), and cow’s milk protein allergy (CMPA) frequently considered in the differential diagnosis.

They each have overlapping clinical features such as regurgitation, irritability and feeding difficulty. 

This conceptual overlap can contribute to significant overtreatment, particularly through unnecessary use of acid suppression therapy and dietary elimination.  ...

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