Clinical Pathways
Clinical Pathways
No pleuritic pain, SOB, rales, wheeze, cough, sickle cell disease, cystic fibrosis
No pleuritic pain, SOB, rales, wheeze, cough, sickle cell disease, cystic fibrosis

No pleuritic pain, SOB, rales, wheeze, cough, sickle cell disease, cystic fibrosis

View The Full Pathway

Decision

Reflux, worse when supine; vomiting, epigastric tenderness?

icon
Yes → Administer famotidine, acetaminophen trial (Class II)

Background

Treatment of Gastrointestinal Conditions

Children with gastritis, gastroesophageal reflux, or esophageal spasm as a cause of pain typically respond well to oral famotidine 1 mg/kg/day divided every 12 hours (up to a maximum of 40 mg/day) and oral acetaminophen 15 mg/kg/dose (up to a maximum of 650 mg/dose) every 6 hours. Dietary changes such as reducing spicy foods, removal of other offending agents, and limiting food portions may also improve symptoms.

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References
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No reflux, worse when supine; vomiting, epigastric tenderness
No reflux, worse when supine; vomiting, epigastric tenderness

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