Gastroenterology
Gastro-Oesophageal Reflux (GORD)
Reflux is very common in babies and young children. Understanding whether it is simple reflux or GORD is key to finding the right management plan for your child.
What is GORD / Reflux?
Reflux is when a baby brings up milk, or is sick, during or shortly after feeding.
It is very common and usually gets better on its own.
Silent Reflux
Sometimes babies may have signs of reflux but will not bring up milk or be sick. This is known as silent reflux.
Symptoms of GORD
- Bringing up milk or being sick during or shortly after feeding
- Coughing or hiccupping when feeding
- Being unsettled during feeding
- Swallowing or gulping after burping or feeding
- Crying and not settling
- Not gaining weight as they're not keeping enough food down
What Happens in GORD?
In GORD the acid from the stomach leaks up into the oesophagus.
Normally, a ring of muscle at the bottom of the oesophagus — the lower oesophageal sphincter — acts as a valve, keeping stomach contents from flowing back up. In babies and children with GORD, this valve is immature or weakened, allowing stomach acid and contents to reflux upwards.
- Lower oesophageal sphincter (valve) fails to close properly
- Stomach contents flow backwards into the oesophagus
- Acid causes irritation and discomfort
Management of GORD
Lifestyle & Feeding Measures
- Smaller, more frequent feeds
- Keeping baby upright after feeding
- Thickening feeds (formula-fed babies)
- Reviewing feeding technique
- Dietary changes for breastfeeding mothers
Medications
- Antacids
- Alginates (e.g. Gaviscon Infant)
- Proton pump inhibitors (PPIs)
- H2 receptor antagonists
Investigations (if required)
- pH / impedance study
- Upper GI endoscopy
- Barium swallow
How Can We Help You With Your Child's Symptoms?
Dr Mugilan Anandarajan is an experienced consultant in helping babies, children, and parents navigate through a child's clinical symptoms and concerns.
From testing to recovery, we will be with you every step of the way to get your little one feeling back to their usual, happy selves.
Common Questions
Frequently Asked Questions
About gastro-oesophageal reflux (GORD) in children in children
Is your baby or child affected by reflux?
Dr Anandarajan offers same-week appointments with no GP referral required. Both Kingsbridge Private Hospital and Ulster Independent Clinic locations available.