Acid Reflux In Newborns
Have you had your baby at home for a month or two, and is a cutie - no doubt. There is a problem if a problem that had not seen coming: he pukes all the time! It is not just a little 'URP. We speak through the nose and the shoulder kind of thing. You are embarrassed to keep it different. Aunt Betty, who always knows better than to think, your child needs to see a specialist immediately, and your neighbor tells you that you know someone who knows someone whoslobbering had a baby suffocated and died in his sleep.
Acid Reflux In Newborns
They start from the middle of the night-the-asylum managed to control the child's breathing. The baby monitor is so loud you can hear the hum of tension, and hopes to win again in the morning, you really call your doctor and ask to see a specialist. Meanwhile, the baby sleeps. There are no unusual noises on the monitor, and vomiting in the manger. Your baby is fine, but the situation is that you drivecrazy.
Acid Reflux In Newborns
This is just spitting? Or is it a problem?
Acid Reflux In Newborns
Most of the time the baby spit a temporary form of gastroesophageal reflux disease (GERD). It is a condition caused by a loose valve on top of the stomach. From a mechanical point of view, the stomach is quite simple. Pure food and mixed with acidic digestive juices, and gets angry. Then the stomach is a large contraction, forcing food into the small intestine.
For many it is the problem of the scene. IfStomach down, the valve at the bottom will open and the valve remains closed at the top. But in children with gastroesophageal reflux disease, the valve jumps high into the more open, so that the food goes in both directions - up and down.
Unfortunately, GERD is not the only cause of death of children vomiting. There are life-threatening causes. Bowel obstruction. Infection. Metabolic disorders (eg PKU). So how do they differ? Well, you can not do it alone. You can find a family doctor and let them decide.Here are some questions to ask is:
If the projectile regurgitation? Intestinal obstruction by creating a high degree of pressure. These children have very severe vomiting, often through the room.
Is there blood or bile in the vomit? These are signs seriously. The blood may indicate erosion or high blood pressure in the digestive tract and biliary disability.
Your child choking on the spit-up? We are more than a little 'red in the face gag-talking here. If your child breaksBreathing or dark blue in the face, you should immediately consult a doctor. Although serious reflux can cause this problem, heart failure, blood infections and meningitis.
Your child is the right weight? Reflux can lead to severe weight loss, but your doctor to rule out other possibilities.
The answers to these questions, physical examination, will determine the next step. When used as a reason to suspect any other causeThe return is scheduled for some tests. The most common test is the "upper GI." Your baby is drinking a bottle of barium and the radiologist takes x-rays. Barium-lit, shows the structure of the intestinal tract. We hope that your baby is spitting a little 'business during the audits. The radiologist for reflux as it happens, and you have your culprit. On the other hand, your child can not cooperate. Can not show any reflux during the test alsoReflux is really the problem. Do not worry, this is not the last time, refuses to appear for you.
Other tests are possible, but only a handful of children. For most of the return may be based on physical diagnosis and history alone. And 'as my grandmother used to say: If it looks like a duck and walks like a duck and quacks like a duck, it probably is a duck.
So let's say we find that your child has reflux. What's next? How canTake? After all, the question that brought you to Well, not like the answer. The answer is that doing nothing, unless the reflux is the cause of the problem. The laundry does not count here. We continue to speak of irritability, difficulty breathing, loss of weight.
For irritability, does something to reduce stomach acid is usually the trick - antacids and Zantac are good examples. Your baby is still spitting, but at least he is with Aunt Betty, smiling as heSoil blouse. Children with breathing problems or weight loss are a difficult group. It is necessary to reduce the vomiting.
You can start by reducing the flow. Infants tolerate boiling water 2 ounces every 2 hours to 4 ounces every 4 hours. Also, try to keep the child upright during and after the meal. This allows gravity to keep milk on the bottom of the stomach. Your doctor may have the rice cereal with milk. Not Rice Krispies. Rice porridge. Not Laughing. I did. More often, the milk stays down better, but at a price - weight gain.
Sometimes these simple measures are not sufficient. Your child may need medication and possibly surgery to stop the vomiting. This is reserved for severe cases of reflux. Medicine and surgery can cause side effects and unexpected results, so it's best to ensure that potential benefits outweigh the risks of consequences. Your doctor will help you decide.
For most children,Treatment> reflux is not necessary. These are infants with projectile vomiting. There is no blood or bile in their saliva-up. You do not suffocate. They have no respiratory symptoms. No weight loss. No extreme irritability. It is normal to leave the milk on the shoulder or the nose to fly. It's okay if the ground Aunt Betty's blouse. What you have is not a problem for children. There is a laundry problem - and this is something that knows everything about Aunt Betty.
Copyright 2006 Mike Patrick Jr,MD
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