[DYSPHAGIA] Infant GERD-Aspiration

[sather15@hotmail.com (Tom Sather)]

Hello,
My question relates to prevalence, symptoms and management of aspiration 
and/or GERD in infants.  Full-term 3 week old baby, C-section delivery with 
7,9 Apgars, healthy, gaining weight well.  The last few days he has had 
increased coughing while breast-feeding.  Additionally, he has become 
fussier with increased gas and some bloating noted.  His respirations sound 
more "rattled" at the trachea when he is laid down on his back.  
Demonstrates no overt signs of respiratory distress and respiration rate 
remains in WNL for infants.  Has been a voracious eater, but recently is 
eating less.  Occasionally spits up.

Oh, by the way, I should mention that this little bundle of joy is also our 
first child!  Hopefully I'm not being an overcautious new parent and 
over-reading into his status, but just want to be sure.  We have a call into 
the pediatrician, but his nurse didn't sound as if it was a big deal at all.

I looked through my resources and found some info regarding further 
exploration of symptoms.  The breast-feeding lady at the hospital said that 
any type of coughing during feeding is not considered typical.

Clinically, I really don't have any experience with dysphagia this young, 
but was just wondering if any one can relate experiences that may be 
helpful.  I'm probably overly sensitive to teh potential of reflux.  We've 
started some postural changes during feeding and while he's sleeping with a 
little success.  I'd like to discuss with the MD a pH probe if things don't 
change.  Any thoughts.

Thanks very much.
Tom S., MS/CCC-SLP
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