Helen Evans

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Peak frequency age 1-4 months 60% better by 6 months; 90% by 12 months › Denser, smaller volume, solid feeds › More time spent upright › LES function matures Symptoms after 18 months more likely suggest chronic disease Symptoms may change with age › Vomiting predominance to epigastric pain
Over-interpretation of “normal” infant behaviours & symptoms GOR & respiratory symptoms Link between GOR & food allergy
Page 2 and 3: Common in all babies Normal crying
Page 4 and 5: 25-40% babies Rule of 3s › Cryin
Page 6 and 7: Adequate winding Holding & swaddli
Page 8 and 9: Common in all children › Mainly a
Page 10 and 11: Can occur in any baby More common
Page 12 and 13: Effortless vomiting Heartburn/epig
Page 14 and 15: GOR & GORD are clinical diagnoses
Page 16 and 17: No perfect investigation Barium sw
Page 18 and 19: “Gold standard” to quantify ref
Page 20 and 21: Non drug therapies Antacids/thicke
Page 22 and 23: Neutralise gastric pH Thicken feed
Page 24 and 25: Act at LES to close sphincter Also
Page 28 and 29: 60-70% infants vomit at least once/
Page 30 and 31: Isolated GOR without other symptoms
Page 32 and 33: CMPI in formula fed infants (Pharma
Page 34 and 35: Irritability is common in babies C
Page 36: Email for advice: helen.evans@adhb.

Helen Evans

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