Difficulty in defecation in infants with gastroesophageal reflux treated with smaller volume feeds thickened with rice cereal.

Abstract:

:We prospectively evaluated the incidence of difficulty in defecation in infants with gastroesophageal reflux who were treated with smaller volume feeds thickened with rice cereal and also assessed the effect of changing the cereal to oatmeal. We evaluated 53 thriving infants with uncomplicated gastroesophageal reflux who were treated with smaller volume feeds thickened with rice cereal. Parents maintained records of bowel movements for 7 days. Rice was substituted by oatmeal cereal in those infants developing difficulty in defecation and another 7 days' record was kept. Of the 53 infants enrolled, 34 (64%) reported no difficulty in defecation, 8 (15%) reported mild difficulty, and 11 (21%) reported severe difficulty in defecation during rice-based feedings. In these symptomatic 19 infants, after rice was substituted by oatmeal cereal, 10 infants (52.6%) reported no symptoms, 6 (31.6%) had mild symptoms, and 3 (15.8%) continued to have severe symptoms. We conclude that difficulty in defecation is common during treatment of infants with gastroesophageal reflux with smaller volume feeds thickened with rice cereal. Substitution of rice with oatmeal cereal results in partial or complete resolution of symptoms in most of these infants.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Mascarenhas R,Landry L,Khoshoo V

doi

10.1177/000992280504400804

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

671-3

issue

8

eissn

0009-9228

issn

1938-2707

journal_volume

44

pub_type

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