Evaluate formula: If a 4 week old has sitting, it could very well be WNL; if breast fed, Mom's diet is crucial (Casein, gluten free , sugar free, processed foods free); Mom and baby on probiotics; unlikely baby has reflux. If baby spitting, poor wt. gain and very colicy, and formula change has not improved baby's wt. and crying, then a referral to a pediatric gastroenterologist is appropriate. PPI 's not rec.
Answered 6/3/2020
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