Gastroesophageal reflux Flashcards Preview

Pediatrics > Gastroesophageal reflux > Flashcards

Flashcards in Gastroesophageal reflux Deck (8):
1

Number of infants with GOR at 4 months, 6-7 months and 12 months

At 4 months->67%
At 6-7 months 20%
At 12 months 5%

2

What is considered GORD

GOR with complications

3

When is GORD more common, what conditions (4)

Cerebral palsy
Down's syndrome
Cystic fibrosis
Upper GIT malformations->TOF, hiatus hernia, pyloric stenosis

4

Complications of GOR in children

Esophaitis
Failure to thrive
Aspiration

5

Symptoms of GORD

Irritability
Refusal to feed
Weight loss
Hematemesis
Chronic cough, wheeze
Apneas

6

When are investigations indicated

Symptoms of GORD

7

Management: general, 1. recurrent vomiting with symptoms of GORD, 2. recurrent vomiting with irritability, simple recurrent vomiting

Do not change formulas
Do not encourage to stop breastfeeding

1. Exclude other causes. Refer to general medical clinic for Ix.
2. If good weight, no GORD S->coincidental distress + vomiting. Exclude other causes. General measures. Symptom diary, GMC in 1-2 weeks, suppressant therapy-> if +concerns.
3. Exclude other causes. Reassure. General measures. Info sheet for parents.

General measures->
Prone position after feeding.
Milk thickening (rice cereal)

No evidence, but may try:
-ve smoke exposure
Avoid Overfeeding
Aerophagia- avoid
Smaller more frequent meals

8

Suppressant therapy if indicated

Omeprazole:
Under 10 kg: 5 mg once daily
10-20 kg: 10 mg once daily (max 20 mg/day)
Over 20 kg: 20 mg once daily (max 40 mg/day)

Decks in Pediatrics Class (58):