Abstract
Single best answer
The parents of a 6-week-old baby are concerned about their baby who is having episodes of inconsolable crying. The episodes are usually after feeds, especially the night feeds, when they try to lay him flat. They describe mild vomiting after feeds too. The baby is bottle fed, looks healthy and is thriving.
Arrange for coeliac screening testing Four-week trial of a proton pump inhibitor Switch to lactose free formula Two-week trial of smaller feeds followed by a 2-week trial of thickened formula feeds if unsuccessful Urgent referral to secondary care paediatric allergy services
Answer DOI 10.1177/17557380211005669q