GORD Flashcards
(22 cards)
Define GORD
content of the stomach relfx through the lower oesophageal sphincter into thte oesophagus throat and mouth
why are babies prone to GORD
immaturitiy of the LOS
-allows stomach content to easily relfux into oesophagus
-normal for babies to reflux feeds and provided there are no additoinal syx or concerns about growth its fine
90% of babies sotp having reflux by 1 year
signs of problematic GORD in a baby 6
chronic cough
hoarse cry
distress, crying or unsettled after feeding
reluctance to feed
pneumonia
poor weight gain
syx of GORD in a child over 1 yo
similar to adults
heartburn
acid regurg
retrosternal or epigastric pain
blaoting
nocturnal cough
possible causes of vomitiing in a baby 8
overfeeding
GORd
pyloric stenosis- projectile vomit
gastritis or gastroenteritis
appendicitis
infections like UTI,tonsillitis or meningitis
intestinal obsturction
bulimia
red flag GI syx and their cause
-not keeping any feed down 2
pyloric stenosis or intestinal obstruction
red flag GI syx and their cause
-projective or forceful vomit 2
pyloric stenosisi
intestinal obstruction
red flag GI syx and their cause
bile stained viomti
intenstinal obstruction
red flag GI syx and their cause
haematemesis or melaena 3
peptic ulcer
oesophagitis
varices
red flag GI syx and their cause
abdominal distention 1
intestinal obstruction
red flag GI syx and their cause
reduced consciousness, bulging fontanelle, neuro signs 2
meningitis
raised ICP
red flag GI syx and their cause
respiraotry syx 1
aspiration with infection
red flag GI syx and their cause
blood in stools 2
gastroenteritis
cows milk protein allergy
red flag GI syx and their cause
signs of infectino 5
pneumonia
uti
tonsiliti
otitis
meningitis
signs of a cows milk portein alergy in a child 4
rash
angioedema
other allergy signs
blood in stools
simple managemnt of GORD 4
explanation reassurance practical advice
small, frequent meals
burping regularly to let milk settle
not over feeding
keeping baby upright after feed
problematic GORD managemnt 3
Gaviscon mixed with feeds
thickened milk or formula s
PPIs (omeprazole)
further investigations for sever GORD 2
barium meal
endoscopy
managemnt of sever GORD
surgical fundoplication
-rarly requied or performed
state a rare syndrome that is associated with GORD in children
Sandifers syndrome
key features of sandifers syndrome 2
*usually neurologically intact
torticollis- forceful contraction of the neck muscles -> twisting of the neck
Dystonia- abnormal muscle contractions causing twisting movements, arching of the back and unusual postures
overview of sandifers syndrome management
tends to resolve with treatment/improvement of the reflux
ALWAYS referrred to specalists as differentials includ infantile spasms and seizures
