Beverly--Heartburn is a good way to describe GER. Many times it is associated with apnea, bradycardia,and desats in the premature infant. I have seen Reglan and erythromycin prescribed with questionable benefit. Use of anti-GER positioning post-feed is more conservative therapy but usually used in conjunction with meds. pH probe studies can be done to help with diagnosis. Pretty invasion though. Hope this helps.--Diane