Reflux Flashcards
1
Q
Px
A
Vomit after feed Colic- crying esp while feed, knees up, neck posture Hoarseness or chronic cough Pneumonia Unexpl feeding diffic Fail hrive
2
Q
Diffs
A
Normal positing, maybe overfeed (should be 150ml/kg/day)
GORD- haematemesis, recurr chest infec from asp, fail thrive, pain eg back arching
Cow mil prot intol- more comm than lactose in babies. Test by remove from diet, incl mums diet if breast feeding. Skin prick immed IgE hypersens.
3
Q
Mx
A
Observe feeds, HV inv
Trial GOR advice eg smaller regular feeds, thickened feeds, tilt bed
Sachet infant gaviscon
Trial CMP free
Ranitidine or PPI if sure is reflux (ie pos 24hr pH test or v strong hx) and above not worked. 4 wk trial initially.
4
Q
Why GORD risk in under 1s
A
Delayed gastric emptying
Short narrow oesophagus
5
Q
GORD RFs
A
Preterm Parent hx Obesity Hiatus hernia Congenital diaph hernia hx Congenital oes atresia hx Neurodisability
6
Q
Complics
A
Oesophagitis
Asp pneum
Recurr acute OM
Dental erosion
