THE DIFFERENCE BETWEEN GOR AND GORD

This article is written by reflux parents for the benefit of reflux parents, based on their own experiences. It is not meant to replace medical advice and is of a general nature only. If you have any concerns, please seek advice from your medical professional.

There seems to be a lot of confusion about the difference between Gastro-Oesophageal Reflux (GOR, reflux) and Gastro-Oesophageal Reflux DISEASE (GORD). Many people don’t realise there is a difference, that reflux is anything more than a ‘happy spitter’, or that it can present in so many different ways. This may be why so many reflux families struggle to find support and understanding amongst their family and friends, as well as the wider community. Another reason may be because it is so common it is seen by some as a trivial condition.

Gastro-Oesophageal Reflux is common amongst infants; and it often presents with vomiting or posseting. It tends to peak between one and four months of age, and normally resolves by twelve to eighteen months. For many children and their families, this causes no real problems, and may simply be a nuisance until it is outgrown. Although there can still be family strains and anguish prior to diagnosis, this form can often be successfully controlled by simple remedies such as thickened feeds, keeping the baby upright, and/or reassuring the parents.

There can be, however, a more serious side to reflux in children. When the reflux causes complications or long term problems such as oesophagitis, failure to thrive or respiratory difficulties, it is considered to be Gastro-Oesophageal Reflux Disease (GORD). It persists despite simple lifestyle measures and can, at times, be a serious medical problem. The child may suffer from issues such as poor weight gain; persistent irritability; excessive vomiting; coughing; feeding difficulties, breathing problems; and more, though may still appear to be happy and healthy at times. Medical intervention is often necessary, which usually involves the child having medication and/or investigations, and further treatments may need to be established. It can be a major source of distress and concern within families.

A child is generally referred to as having ‘reflux’ within the community, whether the child has uncomplicated gastro-oesophageal reflux or the more serious gastro-oesophageal reflux disease. This in itself creates a lot of confusion and misunderstanding, and as a result, many GORD families don’t get the support they need.