Gastro-eosphageal reflux

• What is the most common cause of vomiting in infants?

  GORD
• What are some complications of GORD?


  Distress

  Aspiration

  Failure to thive

  Frequent otitis media

  Dental erosion (older kids)
• What are some risk factors of GORD?


  Preterm delivery

  Neurological disorders
• What are some signs and symptoms of GORD?


  Milky vomits after feeds (especially if lying flat)

  Excessive crying (especially while feeding)
• When does GORD usually develop?


  Before 8 weeks
• How is severe GORD managed?


  Fundoplication
• How is GORD managed conservatively?


  Thickened formula

  Smaller more frequent feeds

  Position with head at 30 degrees
• How is GORD managed medically?


  Alginates (gaviscon)

  Prokinetic agents (metoclopramide)