GORD

Question 1

focussed hx

Answer 1

during/after feed?
frequency
crying during feeds?
reduced intake?
to liquids & solids?
chocking
gagging

Question 2

vomiting red flags (5)

Answer 2

Blood in vomit
Reduced consciousness / movement
Projectile vomiting
Fever / Rash
Diarrhoea / blood in stools

Question 3

Explain GORD to a parent

Answer 3

There’s an immaturity in your child’s food pipe which is quite common in babies // weak sphincter

This causes food to come back up into the mouth

This is normal and nothing to worry about and typically resolves in a year

Question 4

What are the 3 main common causes of GORD

Answer 4

Overfeeding

Not regular and often

Not eating upright

Question 5

So how do we typically manage GORD initially?

Answer 5

Conservatively

=> Don’t overfeed 150ml/kg/day
=> Regular and often
=> Eating upright (30 angle)

Question 6

How do we manage GORD medically? (٣)

Answer 6

Thickener

Gaviscon mixed with feeds

Omeprazole

Question 7

structure of counselling

Answer 7

focussed hx
red flags
explain + reassure
common causes
initial mx
medical mx