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Upper GI Results


Forum: FTT and Weight Gain Issues

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  #1  
January 18th, 2006, 06:20 AM
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Eliana's Upper GI was Friday at 11am and for some reason my phone must have gone array as I didn't hear the phone ring at all Friday afternoon.

Yesterday I had a 817 area code number come across and of course didn't answer cuz that is not in my area. I had a message indicator. I checked it and had 4 messages.

I get to the last message. It was the doctor's office at about 330pm. I called them back to see what they wanted. The results had come back already on Friday afternoon.

In a way I'm happy and in a way sad. The GI no longer showed reflux. But yet she still vomits. For a 4-5 month period she was only vomiting once every 2 weeks. And for the last 5-6 weeks it has been 2-3 times a day. Finally she has not vomited since Saturday except once when she got super mad. I read some of my old medical records from when I was 5-5 1/2. I got the same way if I got upset enough I started coughing, choking then vomiting.

I also know that when I was 6 months old I was in the hospital as I would not eat. I was in for 6 weeks and would not eat on my own. I was tube fed for 6 weeks. The doctors were about to give up and send me to a children's hospital as I was in a German hospital. I then finally started to eat.

Eliana has had similiar things going on with her as I did as a young child. Except I didn't have reflux or maybe I had a mild case of it and they didn't know this back then 30 years ago. The only difference is that after my not eating spell I did eat and never had food aversions.


We are now dealing with Eliana's food aversion since it has been confirmed the reflux is no longer there. Eliana and I have a long road ahead of us to try and treat the food aversion.


Food refusal in younger children and infants, especially refusing to begin to take solids, is usually a different matter.



By seven or eight months however, if your child still refuses to take solids, then you should have an evaluation with your Pediatrician. If he is otherwise growing and developing normally, then his refusing to take solids may very well be normal, but it is important to rule out other disorders, so that treatment, if necessary, can be started.

This is what Eliana does ... An evaluation is especially important if your child is not gaining weight (failure to thrive) and developing normally, or if he coughs, chokes, gags, or vomits during feedings, which may indicate that he is aspirating during feedings and can lead to recurrent respiratory problems.


Common reasons for infants to refuse to take solids and have difficulty swallowing (dysphagia) include, but are not limited to:

gastroesophageal reflux: children with this condition will usually spit up a lot, which can lead to esophagitis and pain when swallowing, causing irritability.
oral motor dysfunction: can lead to aspiration and recurrent pneumonia, especially in children that cough or gag when eating.
food aversion disorders: this usually occurs in children with a chronic medical problem, who may have been hospitalized at a young age, requiring help breathing with a ventilator, intravenous nutrition or tube feedings.
neuromuscular disorders: such as cerebral palsy can cause trouble swallowing.
obstruction: delayed gastric emptying or other gastrointestinal obstruction
achalasia: an uncommon condition, especially in younger children, in which the muscles of the esophagus do not work properly, so that foods do not move through the esophagus to the stomach normally.
many other anatomical and neuromuscular disorders can also cause dysphagia.
A thorough evaluation by your Pediatrician, with special attention to your child's growth and development, is usually required for children with dysphagia. If your child is growing and developing normally and has good weight gain, then it is not unreasonable to wait a month or two and continue to try and feed small amounts of solids.

Additional testing may be required if your child has dysphagia and he is not growing and developing normally, or if he is not improving after a period of watchful waiting.

This was done Dec 22 ... Further evaluation is usually with a speech pathologist or occupational therapist, who can observe how your child swallows, or attempts to swallow, foods of different consistencies. These specialists are usually part of the early childhood intervention programs that are available in most areas.

The most common test performed for children with swallowing difficulties is a video swallow or video fluoroscopy, which is a type of barium swallow. In this test, barium with different consistencies is given to the child to drink. X-rays are then taken to see if the barium is swallowed or aspirated. This test is usually done with the assistance of a speech pathologist that can observe and look for swallowing abnormalities.

Treatments for dysphagia depend on the underlying cause. Reflux is usually treated with an antacid. This is why the speech therapist is coming 1 hour a week ... Food aversion and oral motor dysfunction is usually treated by a speech pathologist and/or an occupational therapist.

This is going to be fun ... Treatments include changing the position the child is in when he feeds, and offering foods with different consistencies. The speech pathologist will also attempt to desensitize your child to having solid foods in his mouth, especially if he seems hypersensitive to having things in his mouth. Special adaptive feeding devices may also be used.


Thanks for taking the time to read and listen!
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Jeannette
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11.14.04




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  #2  
January 19th, 2006, 06:14 PM
pattyandthemoos's Avatar Administrator
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That is exactly what happened with Brandon. He had dysphagia and food aversion (and reflux, not sure if he still has that). We worked with an occupational therapist and a speech pathologist at a feeding clinic.

((Hugs)) it will get better. I hope they get you a referral for a swallow study and feeding clinic soon.
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  #3  
January 24th, 2006, 09:53 AM
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Thanks Patty! I hope it gets better soon too. Hopefully I can get a referral soon. I wrote a letter to the doctor as I'm not good with talking on the phone or in person.
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  #4  
January 25th, 2006, 09:23 AM
pattyandthemoos's Avatar Administrator
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((Hugs)) please let us know what you find out.
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