GOR-GORD Vomiting in infants_children

Mothers presenting with infants with possible gastroesophageal reflux or gastroesophageal reflux disease is very common in general practice. This review of GOR-GORD in infants on A4Medicine presents the clinician with an easy visual of this common problem.The differences in GOR-GORD, risk factors are mentioned and the box on red flags helps the clinician in considering and ruling out more serious causes. An assessment of GOR-GORD is followed by pharmacological management. Use of anti-reflux medications as proton pump inhibitors, Gaviscon, H2RA are cited and the author has reviewed the current management of GOR-GORD. The GP is also presented with an aid to help decide which patients may need further assessment in secondary care.

GOR-Passage of stomach contents into the oesophagus Considered physiological in infants when symptoms are absent or not troublesome More common in infants than in older children and young people -effortless regurgitation of feeds in young babies Gastro-oesophageal reflux ( GOR ) is very common affects at-least 40 % infants Usually begins before 8 weeks May be frequent ( 5 % of those affected have 6 or more episodes / day ) Usually becomes less frequent with time and resolves in 90 % of infants before they are 1...