Gastro-Oesophageal Reflux

Question 1

Risk factors for GORD

Answer 1

Preterm delivery

Neurological disorders

Question 2

Clinical features of GORD

Answer 2

Typically develops before 8 weeks

Milky vomits after feeds

Crying/irritability

Arching of the back

Drawing up of knees into chest

Question 3

Management of GORD

Answer 3

Conservative - keep baby upright, burp after feeds, cot on slight incline for sleeping)

Medical - infant gaviscon, omeprazole

Surgical in severe cases (fundoplication)

Question 4

Investigations for GORD

Answer 4

Simple reflux does not warrant further investigations if the child is still feeding and gaining weight