A 10 month premature baby is not able to eat on his own. It had a CDH surgery right after birth and a re-herniation at 6 months. The smallest amount of food causes choking and vomiting, visible trouble in swallowing (but only the food). The baby is fed through an NG-tube.
- acid reflux excluded
- vascular ring excluded (an esophageal stricture had been suspected)
- another re-herniation excluded
The baby is under a Speech and Language Therapist care. Gastrologists can't find the cause. What are the most common diagnosed problems of CDH babies responsible for feeding difficulties? How to treat them? What should be checked?
Common causes could be related to gastro oesophageal reflux, phrenic nerve damage or congenital defects in oesophagus.
Can you elaborate more regarding inability to eat ; is he can not suck , in coordination sucking -swallowing or anorexia , what about his Hb
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