What is the initial management strategy for GORD in infants?

The initial management strategy for gastroesophageal reflux disease (GORD) in infants focuses on feeding assessment. This approach involves evaluating the infant's feeding patterns, including the volume and frequency of feeds, as well as the positioning during and after feeding. Adjustments can often be made to feeding techniques, such as smaller, more frequent feeds or keeping the infant upright during and after feeding, which can significantly reduce symptoms of reflux.

By assessing feeding, healthcare providers can identify potential issues such as overfeeding, inappropriate feed types, or incorrect feeding positions that may contribute to reflux symptoms. Addressing these factors is typically the first line of intervention before considering pharmacological treatments, thickening agents, or surgical options, which are generally reserved for more severe cases where conservative measures have failed.