{"id":2600,"date":"2025-05-21T15:23:39","date_gmt":"2025-05-21T15:23:39","guid":{"rendered":"https:\/\/papergp.com\/index.php\/paediatrics\/gord-in-children\/"},"modified":"2025-05-21T17:19:11","modified_gmt":"2025-05-21T17:19:11","slug":"gord-in-children","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/paediatrics\/gord-in-children\/","title":{"rendered":"GORD in children"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\"><strong>Data gathering<\/strong><\/h4>\n\n\n\n<p>GOR is common in infants due to their anatomy, supine positioning and frequent liquid feeds. Only 5% suffer from pathological reflux with a risk of pulmonary aspiration. 50% of babies with GORD are likely to have underlying cow&#8217;s milk allergy.<\/p>\n\n\n\n<p>PPIs should only be considered after a cow&#8217;s milk elimination diet has been trialed without success.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>History<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Feed refusal<\/li>\n\n\n\n<li>Back arching<\/li>\n\n\n\n<li>Coughing<\/li>\n\n\n\n<li>Distressed behaviour<\/li>\n\n\n\n<li>Faltering growth<\/li>\n\n\n\n<li>Chronic cough<\/li>\n\n\n\n<li>Hoarseness<\/li>\n\n\n\n<li>Pneumonia<\/li>\n\n\n\n<li>CPMA &#8211; eczema, GI symptoms, FH of atopy<\/li>\n<\/ul>\n\n\n\n<p><strong>Examine<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Abdomen<\/li>\n\n\n\n<li>Hydration status<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Clinical management<\/strong><\/h4>\n\n\n\n<p><strong>Investigations<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p><strong>Treatment<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anti-reflux formula &#8211; Carobel<\/li>\n\n\n\n<li>Gaviscon infant (1-2 week trial) &#8211; can cause constipation<\/li>\n\n\n\n<li>Health visitor &#8211; weight, feeding assessment<\/li>\n\n\n\n<li>PPI (2-4 week trial) if CMPA ruled out<\/li>\n\n\n\n<li>Safety net: projectile vomiting, yellow\/green vomit, blood in vomit, faltering growth, regurgitation beyond 1 year of age<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Source<\/strong><\/h4>\n\n\n\n<p><a href=\"https:\/\/www.derbyshiremedicinesmanagement.nhs.uk\/assets\/Clinical_Guidelines\/Formulary_by_BNF_chapter_prescribing_guidelines\/BNF_chapter_1\/GORD_in_children_and_young_people.pdf\">https:\/\/www.derbyshiremedicinesmanagement.nhs.uk\/assets\/Clinical_Guidelines\/Formulary_by_BNF_chapter_prescribing_guidelines\/BNF_chapter_1\/GORD_in_children_and_young_people.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering GOR is common in infants due to their anatomy, supine positioning and frequent liquid feeds. Only 5% suffer from pathological reflux with a risk of pulmonary aspiration. 50% of babies with GORD are likely to have underlying cow&#8217;s milk allergy. PPIs should only be considered after a cow&#8217;s milk elimination diet has been &hellip; <a href=\"https:\/\/papergp.com\/index.php\/paediatrics\/gord-in-children\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">GORD in children<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":14,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2600","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2600","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=2600"}],"version-history":[{"count":2,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2600\/revisions"}],"predecessor-version":[{"id":2604,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2600\/revisions\/2604"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/96"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=2600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}