Constipation week – Day 4: Evidence on Tough Topics

Cite this article as:
Clarke, A. Constipation week – Day 4: Evidence on Tough Topics, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.5638

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

Cite this article as:
Davis, T. Constipation week – Day 3 – Treatment, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.5651

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…

Constipation week – day 2- understanding constipation

Cite this article as:
Davis, T. Constipation week – day 2- understanding constipation, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.5436

It may seem mundane, but successfully managing constipation can make a massive difference to the lives of families. Although it’s all about faeces; it can lead on to other issues including pain and social embarrassment. Time spent managing this can have a knock on effect on the whole family, as well as the patient. See…

Dark red stools – could it be another intussusception?

Cite this article as:
Yamamoto, L. Dark red stools – could it be another intussusception?, Don't Forget the Bubbles, 2014. Available at:
https://dontforgetthebubbles.com/dark-red-stools-another-intussusception/

A 7-month old male infant arrived in the ED at 7:45 a.m. after passing a dark maroon colored stool with clots at 7:00 a.m. He has passed small amounts of blood in his stools intermittently since 4 months of age, but this current episode is the worst it has ever been.

What could cause bright red blood vomits in a neonate?

Cite this article as:
Yamamoto, L. What could cause bright red blood vomits in a neonate?, Don't Forget the Bubbles, 2014. Available at:
https://dontforgetthebubbles.com/bright-red-blood-neonate/

A 6 day old infant male vomits a large amount of bright red blood at home and is taken to a rural emergency department. The child looks good, but the amount of blood on the baby’s blanket brought in by his mother is very impressive.

Ondansetron in Gastro

Cite this article as:
Davis, T. Ondansetron in Gastro, Don't Forget the Bubbles, 2014. Available at:
https://dontforgetthebubbles.com/podcast-week-ondansetron-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…

Vomiting from noodles, or are we missing something?

Cite this article as:
Yamamoto, L. Vomiting from noodles, or are we missing something?, Don't Forget the Bubbles, 2014. Available at:
https://dontforgetthebubbles.com/vomiting-from-noodles/

A 7 year old female is brought to the ED with a chief complaint of abdominal pain. She vomited once and feels weak. Emesis occurred about 1 hour after eating saimin (a local soup/noodle dish, also called ramen) from a neighborhood lunch/snack truck (a small mom and pop type business).

braces

Do braces cause anorexia nervosa?

Cite this article as:
Davis, T. Do braces cause anorexia nervosa?, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.5185

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

Cite this article as:
Konstantinidis, T. Cow’s milk protein allergy, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.2789

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…