[Dysphagia] thickening breast milk

[MICHAEL at email.chop.edu (Staci Michael)]

I never said it was ruled out by a gastroenterologist- I would never rule out reflux or other GI dysmotility based on testing alone- I look at a combination of objective test data AND clinical signs- often the clinical signs being much more of an indicator when all tests are negative- we all know how often that happens!  

>>> <hillivie423@adelphia.net> 07/08/04 01:31PM >>>
Staci, what tests were done to rule out reflux?
> 
> From: Irene Campbell-Taylor <eripley@yahoo.com>
> Date: 2004/07/08 Thu PM 12:46:57 EDT
> To: Staci Michael <MICHAEL@email.chop.edu>,  sorriso@adelphia.net, 
>         dysphagia@b9.com,  Kate.Farabaugh@bannerhealth.com 
> Subject: Re: [Dysphagia] thickening breast milk
> 
> 
> 
> Staci Michael <MICHAEL@email.chop.edu> wrote:
> Reflux was conclusively ruled out.
> 
> ** With respect - I never accept that statement from gastroenterologists. They rarely perform all of the tests required to "rule out" GER in infants, children or adults and the best that can be said is that reflux was not seen when test X was performed. I have had infants and children with clear Sandifer syndrome and classic signs of reflux identified as "GER not present." Adults with all of the classic clinical signs, the same. So a pound or two of salt is often required with that Dx especially in infants.
> 
>  
> 
> 
> 
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com 
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