Posted By Posting
Feb 28, 2009
preguntas
New here - Barium Swallow ques
Hi, I'm new to the site/forum and so far have found all the information here very helpful! We recently saw a GI for my daughter's reflux (previously treated by her pedi) and he increased her dose of prilosec and wants to do a barium swallow. I'm not sure how much information we'll get out of it since it seems like it's more to ensure no *plumbing problems* as the Dr put it. What have other parents' experiences been w/ the barium swallow? Did it provide useful information? How was it for the child? I was also really surprised the GI didn't talk to us at all about other ways to help her (elevate her after feedings, during sleeping, etc) so not sure I how feel about this Dr... She seems to be doing ok on the higher dose of prilosec, at least during the day - although she does a lot of gulping/swallowing (silent reflux I'm guessing) and still seems to sleep poorly so i'm not sure if we've hit the right treatment or not.
Mar 01, 2009
stickybean
I am Jacky, mommy to Joslyn Olivia (April 2008) and Katelyn Isabel (November 2009).
Joslyn was dx'ed with Silent Reflux with breath apnea at 5 days old. VERY SCARY!
Katelyn is a spitter reflux baby. Started at 3 days old as well. (Both were/are breast fed.. symptoms came on when my milk came in).
Joslyn has been reflux free since she was 12 months (suffered poor weight gain for a few months) and Katelyn is now on Zantac... waiting to see if it works.
hi

Joslyn had this done at 4 days old. She just drank it froma little bottle and we were able to be in the room.

It should us how much fluid was going back up into her throat (it is kind of on an xray machine and you can see it is real time.)

It will tell you how bad your baby has reflux. Joslyn had silent reflux as well. I say had cause she is now off all med (HURRAY) at 10.5 months old.

The barium swallow will tell you if there is reflux and how severe and where to go from there! There was no harm to Joslyn.... just some white chalky stuff around her mouth. It was hard to watch though. We could not see her as she was covered by a hanging blanket. Very hard to watch your 4 day old go through that.

I wish you luck!I would do other stuff to help IE: elevate, burb often, and so on.

Good luck!

Jacky

Mar 01, 2009
jessicalynn
mom to 4 kids with probable
Mitochondrial Disease
http://ourbeautifulchaoticlife
.blogspot.com/
Dealing with Fundo, J tube feedings,Severe Dysmotility,Aspiration,Asthma,
FTT,CVS,Dysautonomia,Resp.Distress
Connective Tissue Disorder,
GERD,EGID,
Visceral Hyperalgesia, and more
Many meds
It can be a little tough getting the child to actually drink the barium, that is the worst part.My older kids didnt have a problem with it, but Brent has had a lot of upper GI's and it is always very traumatic for him, but he also has a lot of medical problems and extreme fear of doctors/medical equipment. It isnt the best test to measure reflux, the child will actually have to reflux during the test, which doesnt always happen. So if your child doesnt reflux during the test, that doesnt mean that she doesnt have relux. A lot of the time, they are able to catch some though, and if it is very severe it may warrant further tests. It is mainly done to rule out anatomical problems causing symptoms. The barium may constipate her just so know know, and she will have whitish colored stools as it passes.Good Luck!
Mar 01, 2009
stickybean
I am Jacky, mommy to Joslyn Olivia (April 2008) and Katelyn Isabel (November 2009).
Joslyn was dx'ed with Silent Reflux with breath apnea at 5 days old. VERY SCARY!
Katelyn is a spitter reflux baby. Started at 3 days old as well. (Both were/are breast fed.. symptoms came on when my milk came in).
Joslyn has been reflux free since she was 12 months (suffered poor weight gain for a few months) and Katelyn is now on Zantac... waiting to see if it works.
oh yeah I forgot the poop!
I forgo tit was white for days after! hehe

you reminded me!

Mar 01, 2009
shan
Barium swallow
Hi there

My son had a barium swallow in Dec at age 13 months, to rule out any anatomical problems (e.g. abnormal stomach, valve etc) and to ensure there was no other cause for his feeding problems and vomitting aside from his reflux. It was not done to diagnose reflux and in fact it didn't show any reflux, although he definately has it!

He refused to drink the barium from his bottle or cup, so they poured it into his mouth while he was crying and he involuntarily swallowed enough to do the test. The actual amount that needs to be swallowed isn't actually alot, although ideally they drink the bottle which is about 100ml or so i think.

My husband and i were both there, and my son had to be held down with his arms above his head for the test. It took about 15-20 minutes. Since having the test he is very scared when we go to doctor appointments, even when they arn't doing anything to him. It was pretty traumatic for all of us, but not as bad as i was expecting. The result showed no problems, so it was a HUGE relief to know there was nothing else going on, and i am 100% glad we had it done. (my son's reflux has worsened with age, rather than improved)

If they couldn't get him to drink enough of the barium they were going to put a naso-gastric tube down, thankfully it didn't come to this. Also, a NG tube bypasses the oesophagus which they wanted to look at, to check for any ulceration due to reflux.

Not sure if this is helpful for you or not, but just thought i would share our experience since it was recent and i was also very nervous about having it done. Good luck!!! :)

Mar 01, 2009
slimfast13
This is our dd, Alessandra. Dx with GER 10/07. Ran the gamut with meds and now done with them (crossed fingers). Using magnesium, probiotics and prebiotic supplements. With the exception of teething and general sassy attitude, all is well now. They really CAN grow out of it!
We had the swallow done mainly for constipation issues, but it did show major refluxing as well - yes, she managed to puke up that thick barium. It doesn't dx reflux, but it does show you how quick it can happen and how much! It's mainly to check to see if there are any anatomical abnormalities and is usually the first step before a scope.

It's tough for them to get the barium down sometimes, so bring a bottle and nipple you don't mind getting lanced in case the hospital doesn't have sone avail (like us - I brought 3) We were in the room and my hubby fed her the bottle. Not really an issue at all except that the poop was completely white - if there are some constipation issues, I'd ask the MD about doing a laxative the next day - we had to do 3 before we got her to go.

Mar 01, 2009
jessicalynn
mom to 4 kids with probable
Mitochondrial Disease
http://ourbeautifulchaoticlife
.blogspot.com/
Dealing with Fundo, J tube feedings,Severe Dysmotility,Aspiration,Asthma,
FTT,CVS,Dysautonomia,Resp.Distress
Connective Tissue Disorder,
GERD,EGID,
Visceral Hyperalgesia, and more
Many meds
FYI, they can put a nasogastric tube in if the child wont drink the barium and STILL get an accurate look at the esophagus. They just barely put it in the upper portion of the esophagus, not all the way down in the stomach like normal. They have done this with Brent many times. Upper GI probably wont show ulceration or esophagitis unless it is very severe,an endoscopy has to be done to see that, but it may show strictures/narrowing,evidence of esophageal dysmotility disorders like achalasia,anatomical defects like fistulas/atresia,hernias,etc.
Mar 02, 2009
preguntas
Thank you so much to everyone for the information!! I'm so happy I found this forum and it is so active w/ knowledgeable folks! I'm a little confused about why some Dr's pursue the barium swallow and others don't and why kids seem to get them at different ages/times in their treatment. Are there any other indicators of anatomical problems that would prompt the study or are some GI's just more conservative than others? Jessicalynn - how is the NG tube placed when your son gets it? Jacky, that's wondeful that your daughter is off meds, how did you know you could try to take her off? I have another question about meds but maybe I should start that as a new topic. thanks again! - Shaina
Check with your
doctor first!