Managing GORD

 Managing Gastro-oesophageal Reflux Disease (GORD)

This page was previously called “Managing Silent Reflux”.  Silent Reflux is a term that we are no longer using – Laryngopharyngeal Reflux is the correct term.  The stomach contents go up the oesophagus and into the throat, but are not consistently vomited or spilt.  It may or may not cause concerning symptoms which is why this page has been renamed.

GORD occurs when stomach acids are “refluxed” into the oesophagus/throat and cause inflammation and discomfort/pain, or other complications such as feeding or breathing problems.  There may or may not be spilling or vomiting.

Roslyn Ballantyne (RN), National Coordinator 2013 – 2020, Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust (GRSNNZ) December 2013.  Updated January 2020.


  The information provided on Crying Over Spilt Milk is designed to support, not replace the relationship that exists between a patient/site visitor and his/her existing physician. Please do not change medical treatment without first consulting a personal health professional.
Please note that GRSNNZ does not provide advice on dosages of complementary or conventional medications.

General Management Techniques


If you haven’t already, you need to take your baby to a doctor for a proper diagnosis if you think they may have gastric reflux and it is a problem.

The doctor may or may not prescribe medication.

In most areas of NZ, children will only be seen by publicly funded paediatricians for GORD if there are severe concerns about their health or growth. For this reason, you may need to pay to see a private paediatrician if your baby/child requires treatment outside of your GP’s area of expertise.

If GORD is severe, complicated or ongoing investigations may be required:

Investigations can help guide treatment including the need for surgery if GORD is complicated or severe:

Mother, Baby

© Gastric Reflux Association for the Support of Parents/babies (GRASP) and Crying Over Spilt Milk Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust (GRSNNZ) 2005. Used and edited with permission by Roslyn Ballantyne (RN), Regional Coordinator, GRSNNZ (in consultation with Dr Rodney Ford, Paediatrician) May 2005 and Jennifer Howard, National Coordinator, GRSNNZ September 2011.  Last updated by Roslyn Ballantyne, National Coordinator, January 2020.

Page may be printed or reproduced for personal use of families or health professionals, as long as copyright and Crying Over Spilt Milk‘s URL are included. It may not be copied to other websites or publications without permission and acknowledgement. This information (unedited) was also provided (by GRASP) to health professionals in New Zealand to use “to continue to support and inform families with babies/children with Gastro-oesophageal Reflux.”

Last Updated on August 21, 2020 by Crying Over Spilt Milk