Chronic GI Pain

Domanda

My son has esophagitis, gastritis, and poor motility of bowels. He no longer eats his soft diet because it causes so much pain that he becomes self-injurious. He had little improvement with a Nissen Fundoplication and G-tube. As he has gotten older, the GI problems have become more severe.

Risposta dei nostri esperti

Does he still have esophagitis? Without more data the only suggestion I have is to put a pH probe in his stomach (beside the G-tube) and run it for 24 hours on his Prevacid. We have had a number of people with CdLS with remarkably poor acid control on what should be a correct dose of Prevacid. If the pH is low, I would give more frequent or larger doses of Prevacid until the pH showed he is neutral most of the time.

CP/ TK 7-13-10

Approvato daClinical Advisory Board (CAB)

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Trova altre pagine che condividono lo stesso argomento di questa pagina Pain and Behaviour3 Pain and Behaviour1 Pain and Behaviour15 Reflux9 Reflux3 Reflux38

Raccomandazione

Pain and Behaviour

R18

As pain can easily remain unrecognised in a child with CdLS, all care providers should be aware of the different manifestations and the possible sources of pain. Specific tools to assess pain are recommended.

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.

Disconoscimento legale

Si prega di prendere nota che il servizio Chiedi all'esperto è composto da professionisti volontari in varie aree di interesse. Le risposte non sono considerate una consultazione medica, comportamentale o educativa. Chiedi all'Esperto non è un sostituto per la cura e l'attenzione che il medico personale di tuo figlio, lo psicologo, il consulente educativo o l'assistente sociale possono fornire.

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Chronic GI Pain

Domanda

Risposta dei nostri esperti

Raccomandazione

Raccomandazione

Disconoscimento legale

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