Peds Dysphagia Exam 2
Inflammatory Disorders
1. GERD (gastroesophageal reflux disease)
2. EoE (eosinophilic esophagitis)
3. EGE (eosinophilic gastroenteritis)
4. Infections
GERD (gastroesophageal reflux disease)
A digestive disease in which stomach acid or bile irritates the esophagus
eosiniphilic esophagitis (EoE)
presents with esophageal dysfunction resulting primarily from severe
predominantly eosinophilic inflammation
Eosinophilic Gastroenteritis (EGE)
a chronic relapsing inflammatory disorder characterized by eosinophilic
infiltration of the stomach, duodenum, and less commonly the small
intestines, and the colon
S/S of GERD from regurgitation
Emesis- vomiting (with malnutrition)
Gagging
Choking
Cough
Apnea
Halitosis
Frequent swallowing
Burping
Respiratory S/S of GERD
Recurrent pneumonia
Apnea (central and obstructive)
, Blue spells
Recurrent croup
Stridor
Chronic cough
Asthma
Hiccups
Brief resolved unexplained events (BRUEs)
Gurgling respirations
S/S of GERD from Acid-Related Inflammation
Heartburn
Irritability
Food refusal
Swallowing problems (dysphagia)
Opisthotonus (back arching)
OtalgiaTorticollis (Sandifer's syndrome)
Chest/abdominal pain
Hematemesis (with anemia)
Esophageal obstruction
Chronic laryngitis/hoarse voice
Chronic rhinosinusitis
Bronchospasm/laryngospasm
Neurobehavioral S/S of GERD
Infant "reflux" spells (seizure-like with posturing, apnea, cyanosis)
Severe sleep disturbances
Irritability
Food refusal
Three non-medical, nonsurgical helps for GERD
1. dietary
2. position
3. activity
Inflammatory Disorders
1. GERD (gastroesophageal reflux disease)
2. EoE (eosinophilic esophagitis)
3. EGE (eosinophilic gastroenteritis)
4. Infections
GERD (gastroesophageal reflux disease)
A digestive disease in which stomach acid or bile irritates the esophagus
eosiniphilic esophagitis (EoE)
presents with esophageal dysfunction resulting primarily from severe
predominantly eosinophilic inflammation
Eosinophilic Gastroenteritis (EGE)
a chronic relapsing inflammatory disorder characterized by eosinophilic
infiltration of the stomach, duodenum, and less commonly the small
intestines, and the colon
S/S of GERD from regurgitation
Emesis- vomiting (with malnutrition)
Gagging
Choking
Cough
Apnea
Halitosis
Frequent swallowing
Burping
Respiratory S/S of GERD
Recurrent pneumonia
Apnea (central and obstructive)
, Blue spells
Recurrent croup
Stridor
Chronic cough
Asthma
Hiccups
Brief resolved unexplained events (BRUEs)
Gurgling respirations
S/S of GERD from Acid-Related Inflammation
Heartburn
Irritability
Food refusal
Swallowing problems (dysphagia)
Opisthotonus (back arching)
OtalgiaTorticollis (Sandifer's syndrome)
Chest/abdominal pain
Hematemesis (with anemia)
Esophageal obstruction
Chronic laryngitis/hoarse voice
Chronic rhinosinusitis
Bronchospasm/laryngospasm
Neurobehavioral S/S of GERD
Infant "reflux" spells (seizure-like with posturing, apnea, cyanosis)
Severe sleep disturbances
Irritability
Food refusal
Three non-medical, nonsurgical helps for GERD
1. dietary
2. position
3. activity
