InfantReflux.Org Forums: Breastmilk vs barium weight and impact on diagnosi

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Harvest72
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Topic: Breastmilk vs barium weight and impact on diagnosi
Posted: 10 April 2012 at 7:15pm

Hi, newbie to forum, unfortunately not to reflux.
Took DS for upper gi and small bowel follow through.
Mild reflux, lots of air while swallowing. He is breastfed and also gulps air/overactive letdown.
My question: do the docs take into consideration the weight if the barium vs breastmilk? The radiology doc said mild was no big deal but DS is choking when he refluxes even when inclined.

Any thoughts? Waiting to talk to doc later this week. TIA

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hellbennt
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Posted: 10 April 2012 at 8:47pm

the upper GI is not to determine reflux - it's not to diagnose mild or not mild. the upper GI is to look for structural abnormalities. it's a snap shot in time, if you were. if your baby didn't reflux during the upper GI they would not be able to tell you your baby doesn't have reflux. they could say he did not reflux at the time of the test...

if you're worried about aspiration, I would TELL dr your baby needs a Swallow Study. This looks at the mechanics of swallowing and they can tell if liquid is getting into the lungs.

as for breastfeeding, there is a lot of information about OAL, overactive letdown, also known as fore/hind milk imbalance...

http://kellymom.com/bf/got-milk/supply-worries/fast-letdown/

http://web.archive.org/web/20091002072029/http://www.users.qwest.net/~fsdebra1/refluxoal.html

http://web.archive.org/web/20090216042347/http://lalecheleague.org.nz/articles/gaining_gulping_grimacing.htm

try unlatching ds after your milk lets down and let it spray into a washcloth first. When it stops, put him back on. and you can also try block feeding -nurse from only one side per feeding and sometimes from the same side more than once to ensure that the breast gets emptied

I know this all sounds so brief and non-emotiona

l- but I like to provide a lot of info as quickly as I can...

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!

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Harvest72
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Posted: 10 April 2012 at 9:34pm

.Thanks Laura! I appreciate the quick and to the point response! I need to know what to ask, with my daughter I fear my lack of knowledge prolonged her (and our) suffering. Biggest concern is the problem respiratory indication. So I will be asking for the swallow study. Thanks again!

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hellbennt
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Posted: 10 April 2012 at 9:48pm

I would also find a IBCLC - int'l board certified lactation consultant...this might make you fell more at ease w/ the breastfeeding aspect/letdown, etc...

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!

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Harvest72
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Posted: 11 April 2012 at 4:05pm

Thanks Laura, I will. I have followed your responses here and I am wondering two things: dosing for Gaviscon and Mylanta. Little Tummy's doesn't even begin to help, Mylicon is off the market.....and our little guy is so bound up by the barium he hasn't stopped kicking and lunching all day. Any thoughts? P.s. thank you for responding to my posts. I can imagine how busy you are and I really appreciate the help.

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hellbennt
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Posted: 11 April 2012 at 8:16pm

I know nothing about gaviscon...I would try to find

mylanta -it's hard to find, but you can find store brand equivalents; try Bartell Drug (West coast), Dollar General, meijer, cvs brand, rite-aid, walmart, target, etc- just look for one that does not list aluminum in the ingredients. you can give 1ml up to 5 times a day- it's safe, even for newborns. if you see loose stools back off.

~laura~
Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos
Ari 7/06 REFLUX FREE, so miracles do happen!

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Harvest72
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Posted: 11 April 2012 at 10:10pm

Thank you! I will try to find Mylanta!

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Author	Message
Harvest72 Newbie Joined: 10 April 2012 Online Status: Offline Posts: 5	Topic: Breastmilk vs barium weight and impact on diagnosi Posted: 10 April 2012 at 7:15pm
	Hi, newbie to forum, unfortunately not to reflux. Took DS for upper gi and small bowel follow through. Mild reflux, lots of air while swallowing. He is breastfed and also gulps air/overactive letdown. My question: do the docs take into consideration the weight if the barium vs breastmilk? The radiology doc said mild was no big deal but DS is choking when he refluxes even when inclined. Any thoughts? Waiting to talk to doc later this week. TIA

	IP Logged

hellbennt Admin Group Joined: 28 August 2003 Location: United States Online Status: Offline Posts: 13403	Posted: 10 April 2012 at 8:47pm
	the upper GI is not to determine reflux - it's not to diagnose mild or not mild. the upper GI is to look for structural abnormalities. it's a snap shot in time, if you were. if your baby didn't reflux during the upper GI they would not be able to tell you your baby doesn't have reflux. they could say he did not reflux at the time of the test... if you're worried about aspiration, I would TELL dr your baby needs a Swallow Study. This looks at the mechanics of swallowing and they can tell if liquid is getting into the lungs. as for breastfeeding, there is a lot of information about OAL, overactive letdown, also known as fore/hind milk imbalance... http://kellymom.com/bf/got-milk/supply-worries/fast-letdown/ http://web.archive.org/web/20091002072029/http://www.users.qwest.net/~fsdebra1/refluxoal.html http://web.archive.org/web/20090216042347/http://lalecheleague.org.nz/articles/gaining_gulping_grimacing.htm try unlatching ds after your milk lets down and let it spray into a washcloth first. When it stops, put him back on. and you can also try block feeding -nurse from only one side per feeding and sometimes from the same side more than once to ensure that the breast gets emptied I know this all sounds so brief and non-emotional- but I like to provide a lot of info as quickly as I can...
	~laura~ Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos Ari 7/06 REFLUX FREE, so miracles do happen!
	IP Logged

Harvest72 Newbie Joined: 10 April 2012 Online Status: Offline Posts: 5	Posted: 10 April 2012 at 9:34pm
	.Thanks Laura! I appreciate the quick and to the point response! I need to know what to ask, with my daughter I fear my lack of knowledge prolonged her (and our) suffering. Biggest concern is the problem respiratory indication. So I will be asking for the swallow study. Thanks again!
	IP Logged

hellbennt Admin Group Joined: 28 August 2003 Location: United States Online Status: Offline Posts: 13403	Posted: 10 April 2012 at 9:48pm
	I would also find a IBCLC - int'l board certified lactation consultant...this might make you fell more at ease w/ the breastfeeding aspect/letdown, etc...
	~laura~ Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos Ari 7/06 REFLUX FREE, so miracles do happen!
	IP Logged

Harvest72 Newbie Joined: 10 April 2012 Online Status: Offline Posts: 5	Posted: 11 April 2012 at 4:05pm
	Thanks Laura, I will. I have followed your responses here and I am wondering two things: dosing for Gaviscon and Mylanta. Little Tummy's doesn't even begin to help, Mylicon is off the market.....and our little guy is so bound up by the barium he hasn't stopped kicking and lunching all day. Any thoughts? P.s. thank you for responding to my posts. I can imagine how busy you are and I really appreciate the help.
	IP Logged

hellbennt Admin Group Joined: 28 August 2003 Location: United States Online Status: Offline Posts: 13403	Posted: 11 April 2012 at 8:16pm
	I know nothing about gaviscon...I would try to find mylanta -it's hard to find, but you can find store brand equivalents; try Bartell Drug (West coast), Dollar General, meijer, cvs brand, rite-aid, walmart, target, etc- just look for one that does not list aluminum in the ingredients. you can give 1ml up to 5 times a day- it's safe, even for newborns. if you see loose stools back off.
	~laura~ Jonah 7/03:GERDfree@12mos! Silent Reflux@birth(apnea episodes/NICU);Past Sandifer Symptoms, breastfed->15mos Ari 7/06 REFLUX FREE, so miracles do happen!
	IP Logged

Harvest72 Newbie Joined: 10 April 2012 Online Status: Offline Posts: 5	Posted: 11 April 2012 at 10:10pm
	Thank you! I will try to find Mylanta!
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