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Gastro-oesophageal reflux disorder

• 50% of people with severe and 70% with profound learning disabilities or cerebral palsy have GORD.

• Indicators include indicators of abdominal pain (e.g. onset of disturbed sleep, onset of problem behaviours), regurgitation, vomiting, regular coughing after eating, borderline/low Hb, dental erosions.

• It is painful, and can cause oesophageal strictures, swallowing problems, and increased cancer risk.

• A normal endoscopy does not exclude GORD.

• Many people with learning disabilities cannot describe their pain.

• If suspected, consider a treatment trial of a proton-pump inhibitor, then reassessment.