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Approach to Infants with GERD-like Symptoms
Begin by obtaining a detailed history, focusing on feeding patterns, regurgitation frequency, and associated symptoms such as irritability and poor weight gain. Conduct a thorough physical examination to identify signs of distress, such as arching of the back, fussiness during or after feeds, and respiratory symptoms. Rule out other causes of similar symptoms, including infections, metabolic disorders, and structural abnormalities. Evaluate the infant's feeding technique, assess for possible overfeeding or intolerance to certain formulas, and consider breastfeeding practices. Implement non-pharmacological interventions, such as feeding position adjustments, smaller and more frequent feeds, and thickening of feeds with rice cereal. If conservative measures prove ineffective, consider acid-suppressing medications under the guidance of a pediatric gastroenterologist, taking into account potential risks and benefits.
About the Speaker
Dr Pandu Chouhan
Consultant Pediatric Gastroenterology, KIMS Hospital, Hyderabad
Worked as Assistant Professor in Rajshree Medical Research Institute (Sept 2021- May 2022) Total 6 years and 9 months experience (2015-2022) – 3 Years as Senior Resident and 3 Years as Junior Resident Performed more than 30 liver biopsies in children Performed more than 100 upper GI endoscopy and more than 30 Sigmoidoscopy / Proctoscopy Performed more than 50 EVL (Endoscopic Band Variceal Ligation) Performed 3 capsule endoscopies Performed more than 100 therapeutic paracentesis
Upcoming Case Discussions
Gynaecologist’s Guide to Ovarian Cancer
Join us for a special webinar on World Ovarian Cancer Day, titled "Gynaecologist’s Guide to Ovarian Cancer." This expert-led session will delve into the latest advancements in early diagnosis, risk stratification, and evidence-based management of ovarian cancer. Tailored for gynecologists and healthcare professionals, the session will also explore real-world case discussions and multidisciplinary treatment approaches. Let’s come together to raise awareness and empower clinicians in the fight against this silent but deadly disease
Massive Transfusion Protocol
Massive Transfusion Protocol (MTP) is a standardized medical procedure activated in cases of severe hemorrhage, typically involving the rapid administration of large volumes of blood products. The goal is to restore circulating volume, maintain hemostasis, and prevent the lethal triad of hypothermia, acidosis, and coagulopathy. MTP usually involves a balanced ratio of packed red blood cells, plasma, and platelets, often in a 1:1:1 ratio. Early activation and coordination among trauma teams, laboratory services, and blood banks are essential for its success.
Sleep Apnea and Daytime Fatigue
Sleep Disorder Breathing is a term for a group of conditions with abnormal breathing patterns during sleep. This affects everyday functioning and well being.There are few types of SDB which include upper airways resistance, hypopnea, apnea, catathrenia and heavy snoring. People suffering with SDB can have daytime symptoms that result in poor sleep also. There can also be sleepiness, depressed mood, irritability and cognitive dysfunction.
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