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…

Constipation week – Day 3 – Treatment

Emptying the bowels There are two essential components – stimulants and softeners. In the past we used enemas and stool softeners. Enemas can be effective, but often you are just unblocking at the bottom end which doesn’t deal with the whole problem. When discussing the effects of a treatment with families, it is useful to…

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…

Parenteral Nutrition

You are working in the NICU as a registrar and have just admitted a 28 week premature baby weighing 1kg. The consultant would like to start parenteral nutrition as well as small volume trophic feeds of expressed breast milk.

braces

Do braces cause anorexia nervosa?

This week the Irish newspapers were buzzing with headlines about the possible link between orthodontic braces and anorexia nervosa.  “Braces on teeth may be a cause of anorexia” said the Irish Independent. But before we start petitioning orthodontists, let’s have a look at the journal article.

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…