Occasional Postprandial Vomiting in Pediatrics — 12yo Child | Pediatric Gastroenterology | SMLE Q#601

SMLE Question #601

Pediatrics Pediatric Gastroenterology
Last updated: February 2026
A 12-year-old girl has 1 year of epigastric pain and retrosternal burning with occasional postprandial vomiting. Symptoms worsen after meals and when lying supine and are not exertional. She is not taking medications. Examination shows mild epigastric tenderness only. She has no fever, weight loss, dysphagia, or nocturnal diarrhea. Stool testing shows mucus and trace blood. What is the most appropriate treatment at this time?

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