Gastroesophageal%20reflux%20disease%20in%20children Patient Education

Patient Education

Patient/Parent/Guardian Education

Positional Modifications

Infants should be kept in an upright position during feeding
Infants & children should be fully awake when ingesting food
Semi-supine positioning for at least 2 hours after food ingestion may help reduce reflux-related respiratory events
Supine positioning during sleep is recommended

Obesity

Weight loss should be considered in older obese children
Studies have shown improvement in pH profiles in children who lost weight

Smoking & Alcohol

Smoking cessation & avoidance of alcohol intake is strongly encouraged adolescents
Exposure to secondhand smoke also increases irritability in infants & should be avoided

Lifestyle Modification

Dietary changes

May consider switching to milk formula that contains extensively hydrolyzed protein or amino acid-based formula instead of regular formulas
Maternal diet modification is encouraged for mothers of breastfeeding infants
- Avoidance of egg & milk intake may be considered

Thickeners (thickening agent, rice cereals) may be considered in healthy formula-fed infants but should be used with caution especially in preterm infants at increased risk for necrotizing enterocolitis
May try small, frequent feedings instead of one big meal while ensuring appropriate total daily amount of nutrition
Eating before bedtime should be avoided
Food that may trigger symptoms in adolescents (eg caffeine, carbonated drinks, chocolate, mint-containing food, spicy food) should be avoided

Expert consensus: Patient profile should guide antihistamine choice in primary care setting

10 Dec 2019

Oral H₁-antihistamines are the initial treatment of choice for allergic rhinitis (AR) and chronic urticaria in the primary care setting. However, in a diverse population of patients with AR and urticaria, primary care physicians are faced with the challenge of prescribing the best therapy amid a wide armamentarium of antihistamines available.

Acute diarrhoea is the second leading cause of death in children aged younger than 5 years, accounting for approximately 1.9 million deaths worldwide each year; however, diarrhoea is a preventable and treatable condition. In Malaysia, acute gastroenteritis accounts for about 1.3% of all deaths in children aged younger than 5 years annually. Diarrhoea is defined as the passage of three or more loose or watery stools within 24 hours, and it may be clinically categorised as either acute watery diarrhoea (AWD), acute bloody diarrhoea, persistent diarrhoea or diarrhoea with severe malnutrition.

01 Sep 2020

Acute diarrhoea is the second leading cause of deathin children aged younger than 5 years, accounting forapproximately 1.9 million deaths worldwide each year;however, diarrhoea is a preventable and treatable condition.In Malaysia, acute gastroenteritis accounts for about 1.3%of all deaths in children aged younger than 5 years annually.Diarrhoea is defined as the passage of three or more looseor watery stools within 24 hours, and it may be clinicallycategorised as either acute watery diarrhoea (AWD), acutebloody diarrhoea, persistent diarrhoea or diarrhoea withsevere malnutrition.

Product Highlight-Skycellflu

27 Sep 2018

SKYCELLFLU – Inactivated quadrivalent influenza vaccine (inj) 0.5 mL - AJ Biologics