Childhood Diseases

Question
Posted by: Peta | 2010-05-27

Q.

Refluxing again?`

Hi Dr

My 20 month old son has a Nissen Anti reflux procedure at 9 months and a feeding peg inserted due to being diagnosed with severe reflux and failure to thrive.

Since October last year, in certain circumstances, he has managed to vomit (a whole 180ml bottle on Sunday morning, in three vomit sessions) and since about Feb he gets that expression on his face when kids reflux - you know how they seem to taste something funny? He is a peg fed baby so shouldnt actually taste anything at all.

At what age do children outgrow their reflux? We are going to CPT to see his surgeon in beginning of June and they are going to run pH tests on him but I dont want to have to redo an op that may not be necessary or not redo it when it should be.

He is off his Nexiam and losec at the moment for the next 10 days so that we can run the pH tests.

At what age do kids usually outgrow reflux?

Thanks
Peta

Expert's Reply

A.

Paediatrician

Many children stop having a reflux problem from the age of 6 months,but many take much longer and are more than 2 years old before reflux stops. In some babies it appears to stop and then starts up again. Your son's Nissen has probably helped him to a large extent but he definitely still seems to be refluxuing and his stomach acid is causing him discomfortt.He really still needs to be treated with the Nexiam or Losec.If the pH test is still positive for reflux,he will not require another Missen op but will need to be treated on an anti-reflux medicine such as domperidone [Motilium] together with the Losec.

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