ChloeMommy wrote: Do you think I should go to GI specialist? YES I think you should see a GI ASAP!!!!
What the upper GI study could show? An UGI will show if all the anatomical parts are formed correctly YEs and UGI can show reflux but htat is NOT what an UGI was designed to show and DX.
Is the study could show if my daughter has reflux or not? Yes, like stated beofre it CAN show relfux but it is not the best test for htat, I’ll get to the best tests here in a min.
And what kind of study that could check if the liquid doesn’t go to her lung? You need to have a swallow study done. That will show which end she is/can be aspirating from (aspiration is liquid going into the lungs, NOT GOOD). Aspirations form ABOVE can be corrected with therapy and thickening of liquids. Asoirations form below NEED to be corrected by doing a Fundo/Nissen ont eh child. (a medical procedure where they “tie” the fundos off in the childrne there by stoppiing the relfux from entering the lungs.
Thank you, many opinions or advise would be appreciated.
All of this happened since I started her on 100% formula, when I do breastfeeding, nothing happened.
So I start breastfeeding again.
I tried milk and soy based already.
IMHO I would get the swallow study done ASAP..REALLY. If she is having problems swallowing you don’t want that entering the lungs and causign permanet damage. Sometimes you can go see an ST who is trained in dealing with feeding reflux issues and thye can tell by watching the feed whether in their opinion any aspirations are going on as well. Not the best way, but a GOOD ST can do this.
You can also have an Impendance probe done. They will place a small tube doown the nose and it will enter the gastric space asn will record the acid reflux flares over the courseof a 24 hour period. That is the #1 test for DXing reflux.
The old test was a Ph probe. I would hold out for a Impendance though IMHO…We did th eimpendacne and never loooked back. WAY more info. An impendance probe cna tell the difference between acidic and non acidic reflux. It will give the EXACT PH of whatever is coiming up the child’s arirway. Teh machine is calibrate to the child’s body. I have some picutre of Jedd’s Impedance I’ll add them on another thread at the end.
Now as far as the relfux/spitting up getting worse…..you have to remember tha breastmilk is MUCH easier to digest. A child will eat LESS on formula becasue it is harder to pass. You could be giving he rtoo much so she is vomitting due to that. I woudl keep track of hwo much she takes in in a 24 hour period.
Also, how does she act WHEN she vomits. Now that Jedds’ reflux is 100% controlled he can vomit and NOT be in pain at all. He just opens his mouth and out is comes…no pain period….
Also another thing that can mimick relfux is a motility issue…that is where the stoamch doens’t empty properly. That can cause vomitting as well. The child stays full for too long after being fed. Jedd has had issues with this in the apst as well. There ar eother tests for that but unless you have a G you really don’t want to do the BEST test for that.
The next best test for DGE (delayed gastric emptying) is a GES (gastric emptying scan) That will be done int ehnuclear medicine part of th ehosptal. They ahv eth ehicld drink formula with a “tracer” in it. Then they scan the child for about 20 mins. Then you are allowed to walk around the hosptla (no more food is allowed to ve given) and then go back and get rescanned for 5 mins. VERY essay test.
I owul dstart with an UGI, Impendance Prpbe and then look into the GES tests.
Good luck. Let me know if you have any other ????
Jessica
P.S. sorry about he typos…I am bad for them…
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Here is a closer one…don’t worry about my hand. Jedd’s relfux was soo sever ehe is tube fed. We are currnelty NOT using the tube. BUt with that tube back in his nose he reverted and would NOT drink enough so we had to give him a srynge bolus…the extension and tubing is runnign into hsi Gastic Feeding tube in his belly…You can see at the botton of his shirt how the tubing goes underneath it. (don’t worry about he ornage formula…it’s flavored so h e will drink it…lLOL)
Here are a couple to show you that they do actually get used to the tubing being in their nose….
Jedd got used to his impendanc eutbe pretty fast becasue he used to have a nasal gastric feeding tube that went down his nose and into hisstomach before gettign the permant one in his belly wall….Here is a pix of an NG tube…
And here is a pix of his G tube when it was super new in the hospital…
