| Gastro-oesophageal reflux and gastrooesophageal reflux disease in infants and children. | |
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MedLine Citation:
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PMID: 21158357 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Gastro-oesophageal reflux (GOR) is a norma physiological process occurring daily in healthy infants with similar frequency in both breast- and bottle-fed infants. It is generally considered uncomplicated and self-limiting, resolving spontaneously by 12-14 months of age. In contrast, gastro-oesophageal reflux disease (GORD) is associated with more severe symptoms and, on occasions, oesophagitis. In the small percentage of cases that do not respond to simple feeding measures, a trial for 2-4 weeks using an extensively hydrolysed formula may be considered. Thickeners and antiregurgitation feeds may help with the frequency of overt regurgitation. Feeding difficulties can be a problem in infants with reflux, with some suffering extreme aversion to texture. In the small percentage of infants who experience faltering growth, high-calorie formulae can be used. In those with severe feeding difficulties or severe faltering growth, tube feeding may be required. Infants should ideally be managed within a multidisciplinary team including a speech and language therapist, psychologist, dietitian and paediatrician. |
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Authors:
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Jackie Falconer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The journal of family health care Volume: 20 ISSN: 1474-9114 ISO Abbreviation: J Fam Health Care Publication Date: 2010 |
Date Detail:
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Created Date: 2010-12-16 Completed Date: 2011-01-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101142028 Medline TA: J Fam Health Care Country: England |
Other Details:
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Languages: eng Pagination: 175-7; quiz 178 Citation Subset: N |
Affiliation:
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Chelsea and Westminster Hospital NHS Foundation Trust. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Diagnosis, Differential Enteral Nutrition Gastroesophageal Reflux / diagnosis*, etiology, therapy* Humans Infant Infant Care / methods* Infant Food Milk Hypersensitivity / diagnosis Nursing Assessment Parents / education, psychology Patient Care Team Pediatric Nursing / methods Severity of Illness Index Sudden Infant Death / epidemiology, etiology, prevention & control |
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