Regurgitation infant
It is always
difficult to tell the difference between a trivial regurgitation in infants and
gastro-oesophageal reflux true. Gastro-oesophageal reflux is mentioned as
severe vomiting causing digestive symptoms:
1 - esophagitis:
agitation baby during feeding and during sleep, sometimes anorexia (lack of
appetite), a DYSPHAGIA;
2 - thrive
impact, the child no longer grows;
3 - respiratory
symptoms and acute or chronic ENT;
4 - or asthma;
5 - serious
ailments of the baby, which would be due to a slowing of the heart or apnea,
associated with the presence of stomach acid into the lower esophagus.
Mundane
regurgitation yield to 5-7 months, events of gastro-oesophageal reflux will
last up to 2 or 3 years.
Additional tests
are required only if atypical symptoms: severe discomfort, respiratory and ENT
repetition, further examination is the reference PH METRY. Sometimes ultrasound
or endoscopy stomach will be required.
TREATMENT
The simple
regurgitation requires only simple dietary measures: thickening of the bottle
and the bottle after postural advice.
Pathological
regurgitation causing infectious pulmonary complications, a faltering weight,
require, in addition to dietary measures, drug therapy.
It will give the
milk to predominate in favor of soluble proteins in milk casein predominant.
Y add
thickeners.
Note the
excellent effect of milk ENFAMIL AR exists in milk for infants up to 4 months
and the second milk after age 4 months.
In addition:
- It should not
be given to drink between meals and before bedtime,
- Avoid fruit
juices that are acidic liquids
- Avoid older
children soft drinks, chocolate and mint (decrease SPHINCTER factors, see this
term, lower esophagus)
- Avoid PASSIVE
SMOKING.
Drug treatment
is based cisapride, administered in 4 divided doses during the day according to
medical advice.
We will be
adding the administration of alginate or smectite in complicated cases.
Treatment in
gastro-oesophageal reflux should be continued until the age of 18 months.
Finally, surgery
should only be considered to gastro-oesophageal reflux that persists beyond 3
or 4 years.
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