Gastroesophageal Reflux Disease

Cite this article as:
Tan, L. Gastroesophageal Reflux Disease, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.2754

A 5 month old infant is brought into the Emergency Department by her parents because they feel she has been persistently irritable and back arching after feeds for the last month. They have looked up ‘infant reflux’ on the internet, but upright positioning and changing formulas several times has not made any difference. They are…

Upper GI Bleed

Cite this article as:
Tan, L. Upper GI Bleed, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.3205

A 7 year old boy is referred from a peripheral hospital for a 2 day history of passing black tarry stool. On the 3rd day he passes loose stools mixed with dark maroon blood clots. For the last week he had been having upper respiratory tract symptoms and had daily doses of ibuprofen for his…

Probiotics in review

Cite this article as:
Goldstein, H. Probiotics in review, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9304

Like almost every other human entering a pharmacy in the ten last years, I was offered some probiotics when I collected a prescription recently. On my walk back to the car I mused about the evidence behind the shop-assistant’s attempted up-sale. I reminded myself of the use of probiotics to prevent necrotising enterocolitis, and was…

Pyloric stenosis

Cite this article as:
Sharwood, E. Pyloric stenosis, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.2768

Key points: Think of pyloric stenosis in a vomiting infant. Only about 1 in 7 cases will have the classic triad of projectile vomiting, visible peristalsis and the palpable “olive”. Hypokalemia suggests several weeks of symptoms. Ultrasound is the most common diagnostic modality, in addition to Hx & Examination. Rehydrate and correct electrolyte disturbances before…

Gastrostomy Week – Complications

Cite this article as:
Wu, C. Gastrostomy Week – Complications, Don't Forget the Bubbles, 2015. Available at:
http://doi.org/10.31440/DFTB.6390

You review a patient on the ward for abdo pain and pyrexia, and they have some sort of tube with feeds going into their stomach. You need to call the surgeons for a consult for their abdo pain. But what you call it? Do you know the difference between your PEGs and gastrostomies? Do you…

Gastrostomy Week – Devices

Cite this article as:
Wu, C. Gastrostomy Week – Devices, Don't Forget the Bubbles, 2015. Available at:
http://doi.org/10.31440/DFTB.6355

You review a patient on the ward for abdo pain and pyrexia, and they have some sort of tube with feeds going into their stomach. You need to call the surgeons for a consult for their abdo pain. But what you call it? Do you know the difference between your PEGs and gastrostomies? Do you…

Gastrostomy Week – types

Cite this article as:
Wu, C. Gastrostomy Week – types, Don't Forget the Bubbles, 2015. Available at:
http://doi.org/10.31440/DFTB.6353

You review a patient on the ward for abdo pain and pyrexia, and they have some sort of tube with feeds going into their stomach. You need to call the surgeons for a consult for their abdo pain. But what you call it? Do you know the difference between your PEGs and gastrostomies? Do you…

Gastrostomy Week – why and when?

Cite this article as:
Wu, C. Gastrostomy Week – why and when?, Don't Forget the Bubbles, 2015. Available at:
http://doi.org/10.31440/DFTB.6351

You review a patient on the ward for abdo pain and pyrexia, and they have some sort of tube with feeds going into their stomach. You need to call the surgeons for a consult for their abdo pain. But what you call it? Do you know the difference between your PEGs and gastrostomies? Do you…

Constipation week – Day 5 – Advice and information for parents

Cite this article as:
Clarke, A. Constipation week – Day 5 – Advice and information for parents, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.5639

Education of the child and family of the physiology of constipation and mechanism of overflow soiling is important.  Below are some tips, tricks, and generally things not to forget. See our other Constipation Week posts   What other recommendations can I give? You can mix the PEG 3350 with other fluids: Whichever Macrogol PEG you use, you…

Last updated by at .