The Cribsiders S5 Ep105: Reflux, Celiac, & Constipation: Rapid Review (Fables from the Cribside!)
Mar 13, 2024
The podcast touches on pediatric GI disorders like constipation, reflux, and celiac disease. It discusses the nuances of infant reflux, management of reflux in children, symptoms and management of celiac disease, monitoring celiac patients, practical tips for constipation, and specialized treatment strategies for constipation in patients with neurodivergent conditions.
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Understanding Normal Infant Reflux
- Infant reflux is often normal due to their shorter esophagus and large feeding volume relative to weight.
- A four-ounce feed for an infant is like an adult drinking a gallon quickly, naturally causing reflux episodes.
Symptoms Don't Always Indicate Reflux Disorder
- Crying and arching in infants do not correlate with reflux disorder and shouldn't prompt acid suppression treatment.
- Milk reflux is non-acidic and generally not painful, challenging common assumptions about reflux symptoms.
Practical Reflux Feeding Modifications
- Manage infant reflux by giving smaller, thicker feeds starting with one teaspoon of rice or oat cereal per ounce.
- If thickening formula does not reduce symptoms immediately, consider alternative diagnoses beyond reflux.