Reflux Management

  • 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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  • Early introduction of solids & allergy

    Early introduction of solids & allergy

    The EAT Study group suggests that the window of opportunity to prevent food allergies developing may be very early in life. Emerging information from the LEAP study (looking at Peanut Allergy) reveals that infants are sensitized to foods that can cause allergies far earlier than previously realized. 10% of infants under 6 months of age who [...]
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  • Cough & throat clearing symptoms tested for reflux.

    Cough & throat clearing symptoms tested for reflux.

    Reuters Health has reported that Patients with cough or throat clearing are not likely to have gastroesophageal reflux disease (GORD), according to new findings. Based on the findings, patients with these untypical symptoms should undergo impedance-pH testing, rather than a trial of proton pump inhibitors (PPIs), Dr. Mustafa Abdul-Hussein, of the Medical University of South [...]
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  • Baked Beans & Reflux

    Baked Beans & Reflux

    What’s in a Baked bean?  A dish containing beans, sometimes baked but, despite the name, usually stewed, in a sauce. Commercially canned baked beans are made from haricot beans. A tomato and sugar sauce is most commonly used. When canned the haricot bean remains fresh, unlike other beans and pulses, which is one reason why they were [...]
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  • Infant Probiotic Use ‘Reduces Risk Of Gastrointestinal Disorders’

    Infant Probiotic Use ‘Reduces Risk Of Gastrointestinal Disorders’

    PAST studies have suggested that consuming probiotics on a daily basis can benefit our digestive health. And these benefits may also apply to infants, as a new study suggests that giving probiotics to children in their first 3 months of life may reduce their risk of developing gastrointestinal disorders. The research team from the Aldo [...]
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  • Do Reflux Medicines Really Work for Most Babies?

    Do Reflux Medicines Really Work for Most Babies?

    Proton Pump Inhibitor medicines do not ease crying in fussing in infants. Are esomeprazole, lansoprazole, omeprazole, or pantoprazole any good? Proton pump inhibitors (PPIs), given to crying infants with the thinking that the discomfort of gastroesophageal reflux (GER) explains the babies’ tears, do not decrease crying or irritability, according to a systematic review. Dorota Gieruszczak-Bialek, MD, from the [...]
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  • When you can’t see your GP

    When you can’t see your GP

    It’s pretty difficult to get a GP appointment at short notice these days. Often you get asked the question “is it an emergency?” by the receptionist and if you are anything like me, I think medical emergencies are best placed with A & E, so my reply is “no” and I am then offered an appointment date [...]
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  • Don’t believe what you read – lies about colic in the tabloids

    Don’t believe what you read – lies about colic in the tabloids

    Recently, my attention was diverted to an article that popped up on my timeline about infant colic. It was aimed directly at new parents because of the emotive strapline asking if your baby cried in pain with a bloated tummy. I read this article several times and concluded that it was factually incorrect, alarmist and somewhat misleading. [...]
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  • ‘Does he still need reflux medication?’ by Dawn

    ‘Does he still need reflux medication?’ by Dawn

    That inevitable question – ‘do you think he still needs reflux medication?’ **Always seek a doctors advice before weaning off medication. Reducing meds MUST be done in a controlled manner with a doctors supervision and a proper plan in place. It took us 3 months just to swap from one reflux drug to another just [...]
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  • Reflux and (not) sleeping – Grace

    Reflux and (not) sleeping – Grace

    I see lots of friends with freshly done hair, makeup on and show-home standard houses with newborns. I always ask them how they manage it and they reply ‘they sleep all the time I have loads of time to get things done’ Argh that explains it when you have a reflux baby they don’t sleep, [...]
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  • Dexter versus food – Dawn

    Dexter versus food – Dawn

    Before I start I just want to clarify not all refluxers will have food aversions. Just like not all children with food aversions will have reflux. This is just our experience with Dexter and the 2 issues combined. For him they are linked. This is his food aversion story. When Dexter was 4 months old [...]
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