GORD Flashcards
What is GORD?
Complications of the reflux of gastric contents back into the oesophagus
What is regurgitation?
Reflux of the gastric contents further than the oesophagus
How does reflux occur?
The tone of the lower oeseophageal sphincter is too low, allowing gastric contents to pass back up into the oesophagus
What are the risk factors for GORD?
Prematurity
Parental history
Obesity
Hiatus hernia
Neurodisability
Congenital abnormalities - oesophageal atreisa, short oesophagus,
What are the symptoms of GORD?
Distressed behaviour
Feeding difficulties
Hoarseness or chronic cough
Single episode of pneumonia
Faltering growth
What are the differentials of GORD?
Normal reflux
Cow’s milk protein allergy
Pyloric stenosis
Intestinal obstruction
Gastroenteritis
Sepsis
What are the management options for GORD?
Reassurance - reflux in an otherwise well child is normal
Alginate - mixed with water after feeds
Ensure infants are not being overfed
Use a pre-thickened formula milk
Decrease volume of feeds and increase frequency
Proton pump inhibitor
What are the complications of chronic GORD?
Most resolves on its own, rare complications include?
- Oesophagitis
- Recurrent aspiration pneumonia
- Recurrent acute otitis media
- Dental erosion
What is the first line management of GORD in children?
Breastfed children - alginate
Formula fed children - reducing volume and increasing frequency of feeds
