1: GI - GORD Flashcards
What is gastroesphageal reflux
Inappropriate reflux stomach acid into oesophagus
What is GORD
When reflux causes symptoms
When is GORD a common problems for infants
first-year
In infants what are 4 causes of GORD
- Reduced LOS tone
- Delayed gastric emptying
- Milk diet
- Horizontal posture
What can cause GORD in older children
Cerebral palsy
Gastric-acid hyper secretion
Delayed gastric emptying
LOS dysfunction
What are 4 symptoms of GORD
- Vomiting and distress after-feeds
- FTT
- Apnoea
- Recurrent aspiration pneumonia
Why is GORD a more common problem in first year of life
- Weaker LOS
- Supine
- Milk Feeds
How is GORD usually diagnosed
Clinically
What 4 conservative measures are indicated for GORD
- Small, frequent meals
- Avoid over-feeding
- Do not feed before bedtime
- Nurse infants with head at 30’
What is second-line for GORD
Cow’s milk protein-free diet
What medication is given for GORD for term infants
Antacid (Sodium - Magnesium Alginate)
What antacid is given for GORD
Infant gaviscon
How is gaviscon given
Tablespoon following breast feeds
What is given to prevent GORD in pre-term infants
Carobel - thickens feeds
What is third-line medication for GORD
Ranitidine
