This episode of the Clinical Update podcast discusses the range of feeding, nutritional and gastroenterology problems a GP might encounter in a paediatric population, including gastro-oesophageal reflux disease (GORD), cow’s milk allergy (CMA), and malnutrition.

The podcast discusses learning points for primary care professionals around infant feeding and childhood nutrition. It also looks at the stepwise management of GORD, clinical diagnosis of CMA, and the hidden prevalence of malnutrition. 

How to accurately plot faltering growth and when to trigger specialist referrals or safeguarding protocols is also highlighted.

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to: 

• Differentiate between gastro-oesophageal reflux and GORD 
• Identify red flag symptoms in vomiting infants that might indicate urgent secondary care referral
• Recognise the clinical presentation of IgE- and non-IgE-mediated cow’s milk allergy
• Understand the impact of ultra-processed foods on malnutrition in children with obesity
• Apply UK-WHO growth chart thresholds to accurately identify significant faltering growth
• Recall the medical and behavioural differentials for suboptimal weight gain in infants
• Evaluate the role of multidisciplinary teams in managing avoidant-restrictive food intake disorder (ARFID) and sensory aversions
• Understand the GP’s professional responsibility regarding safeguarding in cases of growth failure

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

Presenters

Sangeeta Krishnan, medical editor

Pat Anderson, editor

MIMS Learning

Twickenham

UK 

Episode produced by Jude Owen

MIMS Learning resources

Malnutrition in children

NICE guidance on GORD in children

Feeding difficulties in infants

Faltering growth

Podcast: Dr Joy Shacklock on child safeguarding in primary care

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