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Suggest Treatment For GERD, Vomiting And Chest Congestion

Posted on Tue, 18 Aug 2015

Question: My 6 yrs old son is suffring with gerd , daily vomiting even empty stomach in the morning, or any time in day, he doesn't want to eat anything, loss of wt, pl suggest the treatment , . When he was 4 months old he suffered with fever and cold then dr had given antibiotic and paracetamol for 5 days, after that he lost the appetite, and after that every month he has suffered with chest congestion and taken antibiotic, and this developed reflux problem and heartburn and acidity daily

He used to say that chest is getting hot or burning and the mosly he vomits

Answered by Dr. Arun (33 minutes later)

Brief Answer:
Needs endoscopy

Detailed Answer:
Hi
Thanks for writing to us.
Based on your history and description it looks like your son has been suffering a lot because of Gerd.
I would advice the following
1. Endoscopy is must as he has been suffering for many years. Endoscopy might give information on extent of Gerd and presence of gastritis. Biopsy if required may be done endoscopically to identify rare possibilities like esinophilic gastritis or inflammation.
2. Radionuclide milk scan along with barium meal will be helpful too to assess Gerd and anatomical issues like stricture or obstruction.
3. Lanzoprazole at 15 mg daily once before breakfast will help in reducing symptoms till you complete the evaluation.
4. Also check his hemoglobin, liver and kidney function by blood test to rule out other causes of poor eating like anemia.

Let me know if you need further assistance
Wishing your son good health.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Arun (12 minutes later)

Is endoscopy safe for a smaal children, as i hv studied on net it may harm the intestine, and for how many days lanzol could b given

I don't want endoscopy, pl tell me the medication

Answered by Dr. Arun (19 minutes later)

Brief Answer:
not possible

Detailed Answer:
Endoscopy is very safe and absolutely essential.
It doesn't harm your child.
Giving medicines blindly without knowing what is happening inside his stomach wouldn't do good ( especially because it has persisted for years)
Lanzoprazole is the only medication I can recommend now to such kids in my clinic. Depending on endoscopy findings specific targeted medicines are possible.

You can give it for upto 2 weeks to assess response.
Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Arun (9 hours later)

Sir,
GI TEST using Barium Xray will help or not. Is it possible to simultaneously check the upper and lower intestine check by x ray to check any digestive disorder, different types of barium test are there, which would you recommend for my son. Please reply asap
regards

Answered by Dr. Arun (17 minutes later)

Brief Answer:
yes it is possible

Detailed Answer:
Barium tests are
1. Barium swallow - upper digestion tract
2. Barium meal - stomach and intestinal issues
3.Barium enema - large intestinal issues.
For your son the first two should be done initially.
This involves not eating for 8 hours before procedure.
You can go ahead with these tests.
Regards

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Above answer was peer-reviewed by : Dr. Prasad