15. 15
Guideline for the
management of GERD
·ºπ¿Ÿ¡‘ 1 : ·π«∑“ß°“√ª√–‡¡‘π·≈–√—°…“∑“√°∑’Ë¡’Õ“°“√¢¬âÕπ (regurgi-
tation) ·≈–/À√◊ÕÕ“‡®’¬π
Investigate for
other diagnosis
Complications of GER
No improvement
Resolve by 18
months of age
Observe for GERD
Physiologic GER
Infant with regurgitation and vomiting
Alarming symptoms of other diseases
Improve
GERDGER
ë Reassure
ë LSM 2-4 wks
yes
No
yesNo
1
2
3
4
5 8
6
7
8
8Consider
hypoallergenic
formula