Reflux: When Is It More Than a Laundry Problem?
| Autor: | Benjamin Kornfeld, Bridget M Wild |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pediatric gastroenterologist Laundry Pharmacological management First year of life Disease Conservative Treatment Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Professional-Family Relations 030225 pediatrics Intervention (counseling) Medicine Humans 030212 general & internal medicine Intensive care medicine Referral and Consultation Milk protein business.industry Reflux Infant Proton Pump Inhibitors Histamine H2 Antagonists Pediatrics Perinatology and Child Health Gastroesophageal Reflux business |
| Zdroj: | Pediatric annals. 49(8) |
| ISSN: | 1938-2359 |
| Popis: | Despite growing cautionary evidence against routine pharmacologic management of infant reflux, proton-pump inhibitors and H2-receptor antagonists are regularly asked for and prescribed at pediatric well-visits in the first year of life. It is important to distinguish between physiologic gastroesophageal reflux and gastroesopheal reflux disease, even though the symptoms can seem interchangeable and overlap with other normal developmental phenomena and common conditions, such as cow's milk protein intolerance. Careful history, ample anticipatory guidance, and nonpharmacologic intervention should be attempted before consideration of acid suppression therapy in the first year of life. If the general clinician feels medication is warranted in the absence of clear indicating medical comorbidities, consultation with a pediatric gastroenterologist should be considered. [ Pediatr Ann . 2020;49(8):e329–e331.] |
| Databáze: | OpenAIRE |
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