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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Difficulty In Breathing In A 1 Month Old Be Due To Acid Reflux?

Hi I have a 1 month old daughter & she was diagnosed with reflux since day4. She was put on meds at 2 weeks and I have decided I want to stop her meds b/c she is still throwing up while on them so whats the use. She is a happy baby not fussy not colicy but she saounds like she is having difficulty breathing all the time is this the reflux? It reminds me of while I have a panick attack. She is breastfead & sometimes she sounds like she is choking while nursing. I am worried it's something else going on sound I get a 2nd opinion?

Tue, 2 May 2017
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General & Family Physician 's  Response
Hello,
Thank you for your query.

Yes please get a second opinion. I believe that the parents instincts are always right.
*What tests did they do to confirm reflux?
* does she turn blue while nursing?
* what colour is her vomit? when does she throw up after feeds, how long after? is it a forceful kind of vomiting?
Based on her symptoms, I would like to rule out pyloric stenosis & tracheo-esophageal fistula. This is an abnormal connection between her food pipe and wind pipe.

It could just be reflux but it is better to confirm with proper imaging and tests.
I recommend
- please get a pediatric surgeon's and gastroenterologist opinion.
- a series if x-rays after swallowing a special contrast dye.
- an endoscopy if required.
- blood tests ( complete blood count, electrolyte levels)


Hope she recovers soon, please let me know if there is anything else I can help you with.
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Could Difficulty In Breathing In A 1 Month Old Be Due To Acid Reflux?

Hello, Thank you for your query. Yes please get a second opinion. I believe that the parents instincts are always right. *What tests did they do to confirm reflux? * does she turn blue while nursing? * what colour is her vomit? when does she throw up after feeds, how long after? is it a forceful kind of vomiting? Based on her symptoms, I would like to rule out pyloric stenosis & tracheo-esophageal fistula. This is an abnormal connection between her food pipe and wind pipe. It could just be reflux but it is better to confirm with proper imaging and tests. I recommend - please get a pediatric surgeon s and gastroenterologist opinion. - a series if x-rays after swallowing a special contrast dye. - an endoscopy if required. - blood tests ( complete blood count, electrolyte levels) Hope she recovers soon, please let me know if there is anything else I can help you with.