LPRD in Children: Journal Reading Tita Puspitasari Supervisor: Dr. Ongka M. Saifuddin, SPTHT-KL (K)
LPRD in Children: Journal Reading Tita Puspitasari Supervisor: Dr. Ongka M. Saifuddin, SPTHT-KL (K)
LPRD in Children: Journal Reading Tita Puspitasari Supervisor: Dr. Ongka M. Saifuddin, SPTHT-KL (K)
Journal Reading
Tita Puspitasari
Infants
Failure to thrive Children
Wheezing Cough
Stridor Hoarseness
Persistent cough Stridor
Sore throat
Apnea
Asthma
Feeding difficulties
Vomiting
Aspiration Globus sensation
Regurgitation Wheezing
Recurrent croup Aspiration
Recurrent
DISEASES AFFECTED BY REFLUX
• Subglottic stenosis
• Laryngomalacia
• Asthma
• Recurrent otitis media
• Vocal cord nodules
• Vocal cord granuloma
• Eosinophilic esophagitis
• Allergic rhinitis
• Recurrent respiratory papillomatosis
IMPAIRED SWALLOWING AND ASPIRATION
• LPRD and asthma, are often present together, the effect of treatment of
one on the status of the other requires further research.
HOARSENESS
• History :
Feeding : Regurgitation, emesis (timing), adequate weight gain .
Previous airway issues : Subglottic stenosis, laryngomalacia, and
RRP .
Choking incidents, chronic cough, and recurrent crouplike
episodes may suggest an underlying anatomic airway issue or
even microaspiration.
• Test : Esophageal biopsies, barium esophograms, 24-hour pH
probe.
TREATMENT : Lifestyle modifications
• Milk thickening
Taken at night.
Ranitidine as a syrup