Constipation week – Day 4: Evidence on Tough Topics

Bottom line: (pun definitely intended!) A PR examination should only be undertaken by a doctor competent to interpret features of anatomical abnormalities or Hirschsprung’s disease e.g. paediatric surgeons TFTs and coeliac screen should only be ordered by specialists in patients with intractable constipation Abdominal xrays and abdominal ultrasounds are not recommended to aid diagnosis of…

Ondansetron in Gastro

This week’s recommendation is a podcast by the fabulous Brad Sobolewski at PEM Currents. We use ondansetron all the time in kids with gastro. This bite-sized podcast explains how it works, if it’s any good, and what the potential side effects are. If you only listen to one podcast this week. Make it this one. Listen to the…

Cow’s milk protein allergy

A six week old baby is referred to you for urgent assessment for blood stained loose stools. He was born at term and there were no antenatal/postnatal complications of note. He received IM Vitamin K at birth. He was initially breastfed for two weeks and then started on feeds with cow’s milk formula. He is…