Symptoms and diagnosis of gastro-oesophageal reflux disease in children 1 year or older

Gastro-oesophageal reflux disease (GORD) in children is a clinical diagnosis with regurgitation and associated complications. Signs that may be associated with GORD in children include oesophageal complications (eg oesophagitis, stricture, gastrointestinal bleeding) and extra-oesophageal manifestations (eg failure to thrive, oral aversion, recurrent pneumonia, unexplained anaemia, dental erosions).

Seek expert advice for the management of a child who is failing to thrive, has suspected aspiration, difficulty swallowing, haematemesis or melaena. National Institute for Health and Care Excellence (NICE), 2015.