Archive for May 21st, 2009

YOUR CHILD HEALTH CARE/BOWEL DISORDERS: GASTRO-OESOPHAGEAL REFLUX

Author: admin Post Date: May 21 2009

Cause

Regurgitation of food can occur in babies if the valve-like mechanism between their oesophagus (gullet) and stomach is weak. The exact cause of this is unknown but the condition is often associated with the presence of a hernia (protrusion of bowel) upwards through the diaphragm (hiatus hernia).

Clinical features

The symptoms of reflux usually develop within the first month after birth. Your baby may begin to vomit feeds and this becomes consistent during, between and after feeds. It should not be confused with normal posseting of small amounts of milk, which is seenthis problem by the time they become toddlers, presumably because by this age they are spending more time in an upright position, as well as eating more solid foods. A small number may continue to have symptoms beyond the toddler period. In babies, the regurgitating of the acid contents of the stomach into the gullet may cause pain and discomfort, and may be a cause of colic.

Investigations

The doctor may order an X-ray study of the gullet and stomach (barium swallow) to demonstrate the reflux. In a small number of children, pH monitoring may demonstrate the presence of acid from the stomach in the gullet. It is also possible that in a few children the doctor may wish to have a look at the lining of the gullet. This is done under anaesthetic.

Treatment

If your baby’s reflux is mild, and his weight gain is satisfactory, all you may need to do to ease the problem is to nurse him in a more upright position. Propping the child up for an hour after feeds can be beneficial. Feeds can be thickened with cereals to make them easier to keep down.

If your child seems to be in pain after regurgitation, the use of a mild antacid may help. Other medications can sometimes be added to the feeds to enhance the emptying of the stomach. Your doctor can advise you on the most appropriate treatment for your baby. It is always advisable to consult your doctor if your baby is vomiting a lot with feeding.

*351/90/8*

make a comment