Gastro-oesophageal reflux Flashcards
1
Q
Who commonly gets GOR?
A
- babies
- children with developmental disabilities
- Down’s Syndrome
2
Q
what kind of symptoms might you expect?
A
- vomiting
- failure to thrive
- oesophagitis
- aspiration
3
Q
what kind of things may oesophagitis cause as a consequence?
A
- irritability
- anorexia
- blood in vomit/ occult in stools
4
Q
what non specific signs may you see in a younger child particularly?
A
- opisthotonos (arching of the back)
- variable head posturing
5
Q
what can aspiration manifest itself as?
A
- choking episodes
- pneumonia
6
Q
what adverse emergency effects can reflux cause?
A
- reflex apnoea and bradycardia
7
Q
what investigations might you perform? (3)
A
- barium swallow
- 24 hour pH probe
- oesophagoscopy with biopsy
8
Q
what is the lifestyle/ dietary advice given?
medications?
what symptoms might warrant surgery? and what surgery?
A
- thickening feeds
- propping child
- attempt burping
- pro kinetics (erythromycin) to promote gastric emptying
- ranitidine/ omeprazole in oesophagitis
- recurrent aspiration
- apnoea
- fundoplication
