1. GER: Answer uncomplicated recurrent spitting & vomiting in healthy infants that resolves spontaneously 2. GERD: : Answer is present when reflux causes secondary symptoms or complications 3. GERDTest: Answer UGI when anatomic etiologies of recurrent vomiting are considered, but should not be considered to be a test for 4. GER and GERD pharmacotherapy: Answer • There is no sufficient evidence to support the use of prokinetic agents for GERD Rx • Medications are usually not recommended unless pathologic GER has been demonstrated 5. EOE: Answer • Occurs in all ages, most frequently • Initial presentation feeding dysfunction & vague nonspecific S/S GERD -abd. pain, vomiting & regurgitation • History -Personal & FMH atopy, asthma, dysphagia, heartburn, feeding dysfunction, orfood impaction -Young children- lengthy chewing, long mealtimes, washing food down w liquids & avoiding highly textured foods -Adolescents - solid food dysphagia, acute & recurrent food impactions • Suspect EoE when S/S unresponsive to Rx Most common complications: esophageal food impaction and stricture 6. EOE treatment: