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[DYSPHAGIA] Infant GERD-Aspiration
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Tom - Is he pulling away from feeding even though he acts hungry? Is he
showing signs of struggle to breathe or suck when he's feeding? It might be
respiratory coordination if so. Do mom's breasts "spray"? - (mine did
occasionally when breast feeding my children and they would cough when that
happened). If he fussy w/ gas, is mom eating/drinking anything that might
cause gassiness? Just a few thoughts. Stacy, ped SLP
-----Original Message-----
From: Tom Sather [mailto:sather15@hotmail.com]
Sent: Wednesday, March 07, 2001 10:31 PM
To: dysphagia@medonline.com
Subject: [DYSPHAGIA] Infant GERD-Aspiration
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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<P><FONT SIZE=3D2>Tom - Is he pulling away from feeding even though he acts=
hungry? Is he showing signs of struggle to breathe or suck when he's=
feeding? It might be respiratory coordination if so. Do mom's =
breasts "spray"? - (mine did occasionally when breast feeding my =
children and they would cough when that happened). If he fussy w/ gas=
, is mom eating/drinking anything that might cause gassiness? Just a =
few thoughts. Stacy, ped SLP </FONT></P>
<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Tom Sather [<A HREF=3D"mailto:sather15@hotmail.com=
">mailto:sather15@hotmail.com</A>]</FONT>
<BR><FONT SIZE=3D2>Sent: Wednesday, March 07, 2001 10:31 PM</FONT>
<BR><FONT SIZE=3D2>To: dysphagia@medonline.com</FONT>
<BR><FONT SIZE=3D2>Subject: [DYSPHAGIA] Infant GERD-Aspiration</FONT>
</P>
<BR>
<P><FONT SIZE=3D2>Hello,</FONT>
<BR><FONT SIZE=3D2>My question relates to prevalence, symptoms and manageme=
nt of aspiration </FONT>
<BR><FONT SIZE=3D2>and/or GERD in infants. Full-term 3 week old baby,=
C-section delivery with </FONT>
<BR><FONT SIZE=3D2>7,9 Apgars, healthy, gaining weight well. The last=
few days he has had </FONT>
<BR><FONT SIZE=3D2>increased coughing while breast-feeding. Additiona=
lly, he has become </FONT>
<BR><FONT SIZE=3D2>fussier with increased gas and some bloating noted. =
; His respirations sound </FONT>
<BR><FONT SIZE=3D2>more "rattled" at the trachea when he is laid =
down on his back. </FONT>
<BR><FONT SIZE=3D2>Demonstrates no overt signs of respiratory distress and =
respiration rate </FONT>
<BR><FONT SIZE=3D2>remains in WNL for infants. Has been a voracious e=
ater, but recently is </FONT>
<BR><FONT SIZE=3D2>eating less. Occasionally spits up.</FONT>
</P>
<P><FONT SIZE=3D2>Oh, by the way, I should mention that this little bundle =
of joy is also our </FONT>
<BR><FONT SIZE=3D2>first child! Hopefully I'm not being an overcautio=
us new parent and </FONT>
<BR><FONT SIZE=3D2>over-reading into his status, but just want to be sure.&=
nbsp; We have a call into </FONT>
<BR><FONT SIZE=3D2>the pediatrician, but his nurse didn't sound as if it wa=
s a big deal at all.</FONT>
</P>
<P><FONT SIZE=3D2>I looked through my resources and found some info regardi=
ng further </FONT>
<BR><FONT SIZE=3D2>exploration of symptoms. The breast-feeding lady a=
t the hospital said that </FONT>
<BR><FONT SIZE=3D2>any type of coughing during feeding is not considered ty=
pical.</FONT>
</P>
<P><FONT SIZE=3D2>Clinically, I really don't have any experience with dysph=
agia this young, </FONT>
<BR><FONT SIZE=3D2>but was just wondering if any one can relate experiences=
that may be </FONT>
<BR><FONT SIZE=3D2>helpful. I'm probably overly sensitive to teh pote=
ntial of reflux. We've </FONT>
<BR><FONT SIZE=3D2>started some postural changes during feeding and while h=
e's sleeping with a </FONT>
<BR><FONT SIZE=3D2>little success. I'd like to discuss with the MD a =
pH probe if things don't </FONT>
<BR><FONT SIZE=3D2>change. Any thoughts.</FONT>
</P>
<P><FONT SIZE=3D2>Thanks very much.</FONT>
<BR><FONT SIZE=3D2>Tom S., MS/CCC-SLP</FONT>
<BR><FONT SIZE=3D2>________________________________________________________=
_________</FONT>
<BR><FONT SIZE=3D2>Get your FREE download of MSN Explorer at <A HREF=3D"htt=
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</P>
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BR>
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completeness or usefulness of any information, apparatus, product,<BR>
or process disclosed. Further, the views and opinions of the<BR>
author expressed herein do not necessarily state or reflect <BR>
that of the Cumberland County Hospital System, Inc., its<BR>
management or its trustees.<BR>
If you have received this email in error please notify the system manager<B=
R>
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