Reflux Management

  • Gastric Emptying Study

    Gastric Emptying Study

    A Gastroesophageal Reflux Study (Gastric Emptying Study) is a diagnostic imaging procedure that measures the time it takes the stomach to empty and detects gastroesophageal reflux. This study can help: Detect gastroesophageal reflux Measure gastric emptying time Detect aspiration Evaluate a reason for nausea and vomiting Evaluate why a child is not gaining weight Assess [...]
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  • Barium Swallow

    Barium Swallow

    The Barium Swallow is most often carried out for infants who have frequent reflux episodes or difficulty in swallowing. The test requires the patient to drink a solution of barium (metallic element barium in water). Baby will be hungry having been asked not to feed before hand for up to 12 hours, so it will [...]
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  • 24-hour pH probe study

    24-hour pH probe study

    Parents and guardians can contribute to the success of this test and are often invited to participate. The 24-hour pH probe study is a test that uses a thin probe or tube placed in the oesophagus or food pipe, that connects the mouth to the stomach, to help your doctor diagnose and treat acid reflux. Placement [...]
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  • Avoiding over-prescribing medications for infant GORD*

    Avoiding over-prescribing medications for infant GORD*

    Distinguishing between Gastro-oesophageal reflux (GOR) and Gastro-oesophageal reflux disease (GORD) in infants is critical to providing appropriate treatment and avoiding over classifying infants with GORD that leads to over testing and over treatment. Paediatricians need to learn how to recognise infants with “simple GOR in whom conservative recommendations are more appropriate, and identifying infants with GORD in [...]
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  • PPIs for infant reflux?

    PPIs for infant reflux?

    Proton pump inhibitors (PPIs), in common use for treating gastric reflux symptoms in babies, are unnecessary and ineffective in this age group, concludes an Australian systematic review. Published in Pediatrics, the review of 12 studies of almost 900 children aged 0-17 noted the paucity of evidence to support the current widespread prescribing of PPIs in [...]
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  • Guide to Reflux & Silent Reflux

    Guide to Reflux & Silent Reflux

    ‘Reflux’ is the general word used to describe what happens when the stomach contents move, without any effort, into the oesophagus (food pipe) and in some cases into the throat and out of the mouth. Silent reflux describes the same method of stomach contents moving into the oesophagus, whereby it rises to a point and [...]
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  • Reflux Laryngitis

    Reflux Laryngitis

    Damage to the voice box Reflux can cause changes to the voice. You may notice a baby’s voice & cry becoming hoarse.  Chronic reflux can cause damage to the voice box (Larynx). The vocal cords are located at the top of the airway, and are medically classified as part of the respiratory system. Acid reflux [...]
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  • PH Probe Test/Impedance Study

    PH Probe Test/Impedance Study

    Gastroesophageal reflux monitoring: pH and impedance The armoury of tools available to diagnose GORD has become more sophisticated as new technologies and approaches have been introduced. pH monitoring studies have been recently included with medical investigation of oesophageal symptoms (heartburn, regurgitation, dysphagia, etc.) and more recently to understand the causes of persistent oesophageal symptoms in patients. [...]
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  • Weaning: Solids, how much to give?

    Weaning: Solids, how much to give?

    Solids can either help or make reflux worse when introduced. It is best to start with a small amount and increase this very slowly. Puree the foods very smooth. Perhaps start with half a teaspoon to 2 teaspoonfuls per meal in the beginning and keep a note of the quantities your baby is consuming. If [...]
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  • How my baby’s reflux affected my whole family

    How my baby’s reflux affected my whole family

    Apart from the obvious anxiety and frustration parents feel when they can’t resolve a baby’s health issues or take them on themselves, there are some very subtle undercurrents that can impact on a family coping with a baby suffering with reflux. From my own personal experiences with our third child Willow, I felt guilty that [...]
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  • Effect of Body Position Changes on GOR(D)

    Effect of Body Position Changes on GOR(D)

    Summary Van Wijk and colleagues reviewed familiar aspects of infant feeding: gastroesophageal reflux (GER) is common in premature infants, reflux immediately after a meal is only weakly acidic, and reflux becomes more acidic as time passes after a meal. More acidic reflux is thought to produce more problematic symptoms in infants. Transient lower esophageal sphincter [...]
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  • Why does reflux happen?

    Why does reflux happen?

    Experts are constantly researching and revising the reasons why reflux, GOR and GORD, occurs so readily in infants. Prematurity. Premature babies are more likely to have reflux episodes in their early days because their digestive systems are not mature and the signals from the brain that control digestion aren’t regulated. Constipation. Constipation can slow digestion [...]
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