Pergunte ao perito

tada

Abdominal pain


Pergunta

Our teenage son was treated for H. pylori. He later had a fundoplication. Following that, an Upper GI with small bowel follow through took 5 hours to reach the cecum (first part of the large intestine). He was put on Reglan but continues to have frequent severe abdominal pain.

Resposta dos nossos peritos

H. pylori can certainly come back. A breath test or esophagogastroduodenoscopy (EGD) would be helpful. If that is normal and there doesn't appear to be a problem with the Nissen fundoplication, a careful abdominal pain work up would be recommended. This includes looking at the kidneys, pancreas, ruling out Irritable Bowel Syndrome, etc.

CP/TK 7-13-10

A resposta é verificada e válida para
us
Encontrar outras páginas que partilhem o mesmo tópico que esta página Gastrointestinal Problems14 Gastrointestinal Problems3 Gastrointestinal Problems12 Reflux9 Reflux3 Reflux38

Recomendação(ões)

Gastrointestinal Problems

R28
Every new born suspected or proven to have CdLS should be carefully evaluated for signs and symptoms consistent with gastrointestinal malformations.

Recomendação(ões)

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.

Relatação legal

Por favor note que o Pergunte ao perito service/ é composto por profissionais voluntários em várias áreas de foco. As respostas não são consideradas uma consulta médica, comportamental, ou educacional. Perguntar ao Perito não substitui os cuidados e atenção que o médico pessoal, psicólogo, consultor educacional, ou assistente social do seu filho pode prestar.

Tem uma pergunta que gostaria de fazer?

Faça uma pergunta

Precisa de ajuda com urgência? Contacte o Linha Raríssimas - Linha Rara!

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

tópico que contém este tópico
Health difficulties in CdLS...
'
Informação