Posted By Posting
Jan 29, 2010
gastric emptying test for reflux?
I found it interesting that Max did not reflux ONCE during his test. A whole hour, flat on his back, right after a bottle. I would think that would be prime refluxing time! The nurse said that is not the "best" test for refluxing. He also emptied at 22% and she said they like it to be 50% (she thinks). Any thoughts??
Jan 30, 2010
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site:
Hello, a gastric emptying test should not be used to test for the severity of reflux. It is used to see if the muscles in the stomach contract work well enough to empty food out and into the intestines.

There is a second test (for tube feeders only) that test the contraction of the intestines to see if they are moving properly. There can be different areas of the GI tract that can cause gastric emptying issues.

That said, if he only emptied that much.....he has Delayed Gastric Emptying. Do they or are they working on a game plan for medication to improve this?

What type of formula are you using??? Using a broken down formula will aide the stomach in emptying faster. WE used Alimentum before age one and then switch to a toddler formula that was completely broken down called Peptamen Jr.

Currently there are only 2 meds approved by the US for children/adults to use for DGE (Delayed Gastric Emptying). They are Erythromycin and Reglan. We have used both.

I would suggest calling the GI and talking to them about your options in regards to both of these meds. They both have side affects. For us, Reglan worked the best but cause more side affects. EES (erythromycin) worked good...not as good as Reglan but had very few side affects.

Let me know if you have any questions. We have been down the DGE trail and it is not fun. Jedd also had extensive testing on his GI tract so I can tell you about those as well if need be.

The good news is that DGE can and will get better with age. Jedd's did. We are totally off motility meds and control his with diet alone. It took a while, but we did it.

DGE that is cause by a malfunction of the intestines is harder to outgrow though. There are some types of DGE that a child will NOT out grow though. Some kids have/are born with malfunctioning intestines and of course, they will not out grow theres.

Feb 04, 2010
Kathryn, Pager Volunteer and mommy to Emily Mia 02/04/07. 3 years old with GERD. 30mg Prevacid and Pepcid AC. Mylanta needed for flares. Failed prilosec med switch. Tried and failed many med weans but GERD and pain are well controlled. Functional constipation. Reoccurring SBBO. Suspected IBD or autoimmune disease. Resolved issues: MSPI, CSID (acquired), Stage 2 kidney reflux, Chronic diarrhea.
Audrey Meadow 06/20/08. born 34/35 weeks. Still b/f and eats everything! ftt and chronic constipation.
i agree with jeddsmommy that the milk scan test is NOT a test for reflux. some kids will reflux during testing (just like an UGI) but neither are a test for reflux. Example- Emi had an upper GI series and and small bowel follow through. She did not reflux once during the UGI series but after the initial 15 mins and during the SBFT she refluxed up a storm! They almost canceled the test b/c she threw up/spit up so many times.

Emily has had DGE and has since she was an infant. She has not had it to a large degree though. Initially we had her on nutramigen which she did well on until almost 20 month. our Gi at the time believed it was better for her system to straight switch her to milk. she did horrible at first then a few months later she seemed okay. (this was only after we tried reglan and she had side effects from it and b/c of her kidneys she is not able to try EES.)

Emily does have a slight, unknown, inflammation/malfunction of her small intestine which is the main cause of her DGE. She also has a weak LES valve which does not help either but she is not expected to outgrow her reflux or DGE any time soon. although we have not had extensive testing done, i still might be able to answer some questions as well. good luck!
Feb 16, 2010
jjfighter1 - get legal help with reglan side effects
be careful
you should be very careful with this. Reglan causes quite a few side effects that may be irreparable. So watch what you do...and I will keep you in my prayers.
Check with your
doctor first!