The baby/child is given a white strawberry flavoured liquid to swallow. For babies this will be administered from a bottle, or through a nasal gastric tube if necessary. An X-ray is taken by a Radiologist (X-ray Doctor), which is projected on a video screen, and then analysed.
This investigation is positive in approximately 50 to 60 percent of babies/children who clinically suggest GOR (gastro-oesophageal Reflux). The examination may demonstrate reflux, the wave pattern in the oesophagus, and the rate of emptying of the stomach. Importantly, this investigation shows whether the anatomy of the oesophagus and stomach are normal and if the baby/child has a hiatus hernia.
Babies/children with GOR may not reflux during the period of the screening, producing a normal reading. A Barium Swallow is therefore not a very reliable test for reflux, as it is possible for a baby/child to have reflux but it not to be picked up by this investigation.
It is common for the Barium preparation to cause constipation, and it should not be left to harden in the bowel. Therefore a laxative may need to be used if constipation is, or becomes a problem. It is useful to take the baby/child’s favourite bottle or cup to administer the barium preparation, as this may make the procedure more acceptable to them.
This investigation involves 15 minutes under a general anaesthetic if the symptoms and signs suggest reflux oesophagitis. The endoscopist (the doctor who performs the endoscopy) is able to assess the degree of oesophagitis (inflammation in the oesophagus), and whether there are any problems in the stomach and duodenum. A biopsy (specimen of the oesophageal lining) may be taken for pathological examination.
Other conditions such as coeliac disease (gluten intolerance), food allergies, lactose and other sugar intolerances, helicobactor pylori etc. can also be diagnosed from appropriate biopsies taken during an endoscopy.
This investigation is also a very important step before surgery is considered.
A probe sensitive to pH changes (thus an index of acidity) is positioned in the oesophagus. This investigation demonstrates the presence, frequency and duration of reflux episodes. For accuracy of result, the probe is left in the oesophagus for 18 – 24 hours, and an X-ray needs to be taken once the probe is in place to confirm it is positioned accurately.
This is a good test for determining whether a baby/child has reflux or not, and the severity of the condition. Several types of readings are taken, but the most crucial one is the % of reflux over 24 hours. In general: – under 5% is normal, 5 – 10% is mild, 10 – 20% is moderate and over 20% is severe. However, the severity of the condition is no indication of treatment needed e.g. a baby/child with mild reflux may still need Omeprazole, whereas a baby/child with severe reflux may remain well controlled on Zantac.
Diagnosing GER in Children – http://www.medscape.com/viewarticle/742615?src=mp&spon=9 – “The measurement of pH is the predominant modality used to diagnose gastroesophageal reflux (GER) in children. However, pH monitoring provides only part of the answer with respect to whether a child has reflux episodes. Multichannel intraluminal impedance monitoring can measure acidic and nonacidic reflux episodes using pressure-sensing electrodes along the length of the probe.” I haven’t heard of impedance monitoring being used in New Zealand.
© Gastric Reflux Association for the Support of Parents/babies (GRASP) and Crying Over Spilt Milk Gastric Reflux Support Network New Zealand for Parents of Infants and Children Charitable Trust (GRSNNZ) 2004. Used, edited and added to by GRSNNZ with permission.
Page may be printed or reproduced for personal use of families, as long as copyright and Crying Over Spilt Milk‘s URL are included. It may not be copied to other websites or publications without permission and acknowledgement. This information (unedited) was also provided (by GRASP) to health professionals in New Zealand to use ” to continue to support and inform families with babies/children with Gastro-oesophageal Reflux.”
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Safe sleep day is all about promoting safe sleep for babies, so that every sleep is a safe sleep. Mata ki te rangi, i tōna moenga motuhake Back to sleep in baby’s own bed The safe sleep campaign is a national campaign focused on raising awareness about safe infant sleep practices. By positioni...
Hi Ladies, my 12 week old has silent reflux, was put on neocate with suspected milk intolerance but symptoms never went away untill we suspected reflux was put on gaviscon, helped alot, still wouldnt sleep in the day would wake crying so was put on losec, been on this for three weeks and stil no improvement. And he has started to spill now with every feed. Im wondering if the neocate isn't right for him and considering normal formula. Or would that make things worse?? Any ideas :) Thanks
Did you know that gastro-esophageal reflux disease can present as a behaviour disturbance?
Hi, im after some advice/help. I have a 7 week old son that has been diagnosed with servere reflux and colic.( he also has a upper lip tie and doesnt feed well anyway) We were prescribed infant gavison to help with the reflux but it has blocked him up horrendously. we were told to stop it and have been given a laxative to help clear him out. yesterday the doctor was talking about prescribing him an entensively hydrolysed formula (pepti Junior) and trialing before we can look at the Neocate as she thinks he may have a cows milk allergy. Today she has rung and said there is a new formula out from Karicare. Its called Karicare Plus comfort which is partially hydrolysed. And that i need to pick one and trial it. Im so confused and googling all this info has confused me even more. HELP PLEASE
Hi ladies, is it ok to give a reflux baby infacol wind drops?? Or will it make his reflux worse??? Thanks
The most efficient way to speak to one of the Gastric Reflux Support Network NZ staff is to text a message to 022 585 5935. Include your name, phone numbers or email and a brief explanation of why you are contacting us. We will contact you as soon as possible. Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust (GRSNNZ) appreciates your donations so that we can continue to support families coping with gastric reflux. http://www.givealittle.co.nz/org/GRSNNZ
Can you get samples of Neocate or similar from anywhere?
Does anyone know if there is any kind of parents support page for kids with allergies? Sorry not entirely reflux related but since they often go hand in hand thought id ask here. Thanks :)
The most efficient way to speak to one of the Gastric Reflux Support Network NZ staff is to text a message to 022 585 5935. Include your name, phone numbers or email and a brief explanation of why you are contacting us. We will contact you as soon as possible.
Hi there, I have just today searched for & found your page as I am desperate to find some relief for my 7.5 week old who is in pain & discomfort. My 7 week old was born 4weeks early via c-section & we are seeing a cranio-osteopath for a number of the interventions she needed during & post birth. After the last 2 treatments she has what seems like reflux symptoms, last time (3 weeks ago) was for 6 days, this time we are on day four. She screams for hours after feeds in pain, no holding position really works better than others, we just fluke a good position which may only offer a few minutes relief or she goes into an exhausted pained sleep. She can't sleep on her back in bed during the day (have tried propping it) so I either put her on her tummy (works sometimes) or hold her upright tummy to tummy at varying degrees on me in the ring sling, we need to sleep like that at night sometimes too. She used to wind well & was spilly at times but it didn't seem like an issue. Now she often doesn't burp or spill at all, gets tense & upset instead. Also her saliva gets so thick & it sounds like she's choking & struggling to breathe past it in her throat. I have tried shorter feeds more often but it doesn't really help - and how does this work if she is screaming for 2-3+ hours (more feeding makes it worse) then going to sleep? How will she get enough if every feed is smaller? I don't want to wake her as it all starts again & we both need to recharge too. Any advice much appreciated, I don't know what to do for her & it's so distressing!
http://www.medscape.com/viewarticle/812388?nlid=35583_2047&src=wnl_edit_medn_peds&uac=76049AV&spon=9 :-) - Conclusion is also that it is likely to do no harm either.
Studies vary too widely in products and dosages used to permit definitive conclusions, investigators say.
HAMILTON people - how many of you are out there and reading this post??? I'm just replying to a message regarding our COGS Funding Application for the Hamilton area. As our Trust has just moved from the Hamilton area to the Canterbury area, they want to know how many people we are supporting in Hamilton on a weekly basis. I know how many members we have in Hamilton, but of course we support more via our website and this Facebook page. Please LIKE this post if you are in Hamilton and reading this BUT only if you are in Hamilton. :-) Many thanks for your help. Roslyn National Coordinator Gastric Reflux Support Network NZ for Parents of Infants and Children Charitable Trust
Constipation with infant gaviscon...just wondering if baby's system "gets used to it"?
Sorry but need to vent...my daughter who is now 18months had a pre-op check today for her grommet procedure on Monday, met with another new doctor today who obviously only briefly read her file and noted reflux she then proceeded to check her arms and state how chubby she was and that would make inserting a drip harder and because she is reflux there is a chance the mask could make her sick - she then stated 'obviously she hasn't got bad reflux because she is still quite chubby!' um, well obviously you haven't been her doctor for the last 18months and have no idea of the ordeal the reflux actually has been fir her or our family...this made me wild! Anyone else encountered this attitude??
To my Gastric Reflux Support Network NZ email address "I am interested in buying some of your products for our clients in Manila Philippines.While surfing for some purchases online,I came across that your company stocks some of our required goods and could help provide this items..." LOL what do they want to purchase??? Screaming sounds, vomit, curdled milk, preloved stained carpets... ;-)