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Reviewed by: Priscilla Lynch
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Feeding difficulties are very common during early infancy, especially during the first six weeks following birth. Although the aetiology can be varied, the majority of infants present with similar symptoms which include irritability, difficulty in completing feeds and poor sleeping patterns. Therefore, differentiating between benign causes and more pathological underlying clinical conditions can be challenging. However, failure to thrive is rarely associated with feeding issues that have an underlying pathophysiology and knowledge of normal infant growth and weight gain patterns is an important first step for distinguishing between benign and more serious causes. In this module, we discuss the commonest feeding issues encountered over the first three to six months of age (colic, gastroesophageal reflux disease, cow’s milk protein allergy and lactose intolerance) and suggest an approach to their management
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