GI Issues related to Mouth Odor/Teeth Darkening

Domanda

The mother of a 12-year old girl has reported symptoms that she feels may be indicative of larger problems and need further evaluation. Her doctor does not agree. The child had been healthy until recently. She began to omit a rotten odor from her mouth/head, her teeth began to darken, and she seemed to be congested with mucus. The child was hospitalized for one week and released after symptoms of congestion and odor seemed to subside. Dental concerns were ruled out and Mom tried to pursue an endoscopy. The Gastroenterologist stated that since the child has had a Nissen and was on Prilosec that she was not able to reflux, therefore an endoscopy would not be necessary. The diagnosis provided during the recent hospital stay was a severe virus causing gastroenteritis. Mom reports that the child is still exhibiting arching

Mom is seeking an endoscopy (or full upper GI) and possibly an ENT evaluation to rule out sinusitis

Is her request for an endoscopy or other further follow up warranted? Is it possible to reflux silently even after a Nissen and while on Prilosec?

Risposta dei nostri esperti

You can reflux after a Nissen. You can have esophagitis even on Prilosec. Sinusitis can cause these symptoms also. A follow up GI study is warranted, as well as an ENT evaluation

CP/TK 7-13-10

Approvato daClinical Advisory Board (CAB)

La risposta è controllata e valida per

Trova altre pagine che condividono lo stesso argomento di questa pagina Reflux9 Reflux3 Reflux38 Mouth, nose and throat3 Mouth, nose and throat14

Raccomandazione

Reflux

R32

Consider always gastro-oesophageal reflux disease (GORD) in any individual with CdLS owing to its frequency and wide variability in presentation, which includes challenging behaviour.

R33

Modification of nutrition and proton pump inhibitors (PPI) are the first-line treatments of GORD. Anti-reflux medications need to be used to their maximum dosage. Surgical interventions for GORD should be limited to those individuals with CdLS in whom nutritional and medical treatments have been unsuccessful or airway safety is at risk.

R34

If GORD symptoms persist, endoscopy should be strongly considered whilst an individual with CdLS is still in paediatric care.

R35

Surveillance for Barrett’s Oesophagus needs to be discussed with and decided together with the family, balancing the potential gain in health and burden for the individual with CdLS.

Raccomandazione

Mouth, nose and throat

R42

The anaesthesiologist should be aware of the potential difficulty with intubation in individuals with CdLS.

Disconoscimento legale

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GI Issues related to Mouth Odor/Teeth Darkening

Domanda

Risposta dei nostri esperti

Raccomandazione

Raccomandazione

Disconoscimento legale

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