Posted By Posting
Feb 20, 2009
Jordyn 11/30/04 DX GERD at 1month old
Any Ideas?
Last night about 10 minutes after putting J to bed she started coughing,gagging,retching. I jumped up sure to find a puddle in bed with her but there wasn't. She was crying and said she was scared but fell back to sleep rather quickly. Thr out the rest of the night she had a really wet sound to her breathing. Before hand there were no signs of a cold or impending asthma attack. I gave her 2 albuterol treatment thru the night and she seams fine today accept for the occational irratated sounding cough. Is there a chance there was some aspiration from her her gagging and trying to catch it. She dosen't have the sunken breathing that she gets with an asthma flare and she dosen't have any other signs of a cold. Should I be worried about this? Should I bump up the inhaled steroids like I normally do with a cold. We don't see the asthma doc for 3 months and we still have another month to see the new GI. I don't think it's worth the risk of a trip to the ER just to get sick if she isn't already. The asthma docs office didn't have nurse callbacks today. Just looking for some advice and ideas on a possible cause. Than you all I don't know what I would do without you all.
Feb 20, 2009
Lorenzo b.4/25/07 1 week in NICU w/ aspirate pneumonia from a reflux episode; diagnosed GERD at 9weeks; Used Zantac for 5months. Currently using Chinese Medicine and Craniosacral Therapy. GERD, Obstructive Sleep Apnea, Sensory Processing Disorder. Ask me about breastfeeding a refluxer! Pic: day 5 in the NICU.
It sounds a lot like an aspiration. My son does this periodically, and, so far it rarely evolves into a serious problem. Just be sure to keep an eye out for developing breathing trouble and/or fever, as these may indicate pneumonia. I always consider it a good idea to inform your pediatrician when it happens, so that it can be documented, and they can provide any input they may have. A lot of kids can compensate when they aspirate a bit, but you just never know. I'll be thinking healthy, easy breathing thoughts for her!
Feb 20, 2009
Mary & Nicholas 7-17-03 (non-refluxer)allergies, asthma on Singulair and Flovent & Aidan 1-28-07(my refluxer)Nissen Fundoplication on June 20, 2008, FTT, MSPI, DGE, ear tubes, allergies and severe GERD now currently taking just Prevacid and drinking Elecare Vanilla 1+.
I was always under the impression from both GI and pulmo that the coughing is a good sign that they are protecting their airways and clearing their lungs. If you are using a preventative med like Flovent then it should be protecting her lungs even if a small amount was aspirated. My son did have aspiration issues but even when he wasn't aspirating he had that wet nasally sound until we did his fundo. No one could really explain it. I would not bump up inhaled steriods unless there is an obvious issue with breathing like wheezing, struggling for air or obvious air capacity issues. I hope that helps some but I think it is an abnormal normal part of reflux. Don't feel bad about worrying though. I have two with asthma breathing issues and I am always contemplating what to do when they are coughing. There just really isn't a clear path for treatment with these issues.
Feb 21, 2009
mom to 4 kids with probable
Mitochondrial Disease
Dealing with Fundo, J tube feedings,Severe Dysmotility,Aspiration,Asthma,
Connective Tissue Disorder,
Visceral Hyperalgesia, and more
Many meds
My son aspirates frequently on reflux and did on swallow,causes him severe complications, my daughter also aspirates on reflux and has breathing problems from it. It could be a little aspiration, but as said above, coughing is a good sign, and the fact that she is alright today probably means she cleared it fine. It happens sometimes in kids with reflux, as long as it isnt on a constant basis(which there would be pneumonias/frequent breathing trouble/lung damage) it usually isnt an issue. I wouldnt up her meds or take her to the ER when she isnt exhibiting symptoms, they wont do anything anyway. If she spikes a fever/breathing problems within the next 2 days or so get a CXR for precaution.
Check with your
doctor first!