GORD

Question 1

What is GORD?

Answer 1

Non-forceful regurgitation of stomach contents back up into the oesophagus and sometimes into the mouth.

Question 2

What is the cause of GORD in infants?

Answer 2

Immature LOS (supine position)

Question 3

What is this a presentation of?
Regurgitation of gastric contents or large vomit after a feed. Uncomfortable during feeds: drawn up legs, arched back, crying. Poor weight gain.

Answer 3

GORD

Question 4

How is GORD diagnosed?

Answer 4

Clinical, exclude overfeeding. Only investigate in poor growth (pH study).

Question 5

What is the management for GORD in infants?

Answer 5

1. Mostly resolve by 9 months and when infants sits upright.
2. Smaller more frequent bottle feeds (150ml/kg/d over 6-7 feeds).
3. Keep upright after feeds, consider cow’s milk protein free diet, thickened formula, Gaviscon.
4. Refer to paediatrics if above doesn’t help.
5. H2 antagonist/PPI if resistant to conservative management, fundoplication if severe.