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Everything You Need to Know About Dysphagia in Kids

What is Dysphagia? 🤔Dysphagia is when someone has difficulty swallowing food or liquids. This can make kids feel like food is “stuck” or hard to move down. There are three types of dysphagia, and each one affects a different part of the swallowing process.


Types of Dysphagia:

  1. Oral Dysphagia This type of dysphagia happens in the mouth. It can make it hard to chew or move food from the mouth to the throat. Some children may have trouble with the coordination of their mouth muscles or control of their tongue, making chewing or swallowing a challenge.

  2. Pharyngeal Dysphagia Pharyngeal dysphagia occurs in the throat. This type happens when the throat muscles don’t work as they should, causing food or liquids to get “stuck” in that area. It can also cause coughing or choking while swallowing.

  3. Esophageal Dysphagia This type of dysphagia occurs in the esophagus, the tube connecting the throat to the stomach. In this type, food may get trapped in the esophagus or have trouble moving down to the stomach.


Common Causes of Dysphagia 💡Several issues can lead to dysphagia in children. Some of the most common include:

  • Eosinophilic Esophagitis (EOE) 🌿EOE is a condition where an allergic reaction occurs in the esophagus. Cells called eosinophils build up in the lining of the esophagus and cause inflammation, making swallowing painful or uncomfortable.

  • Gastroesophageal Reflux Disease (GERD) 🔥Reflux happens when the stomach contents move back up into the esophagus, causing irritation and a burning feeling. Over time, constant reflux can make the esophagus inflamed or even damaged, which makes swallowing harder.

  • Neuromuscular Issues 💪Some children have conditions affecting their muscles or nerves, making it hard to control the movements for swallowing. This can happen with conditions like cerebral palsy, where controlling mouth and throat muscles is more difficult.

  • Structural Problems 🚧Sometimes, the esophagus or throat has structural changes, like strictures (narrowing), which prevent food or liquids from moving down smoothly.


Our Role as Pediatric Gastroenterologists As pediatric gastroenterologists, our job is to help identify the cause of dysphagia in children and create a treatment plan that improves their quality of life. This includes:

  1. Evaluation and Diagnosis 🔍First, we evaluate each patient to understand where the issue is and what is causing it. This may include tests like endoscopies (to view the esophagus and stomach) or swallow studies to see how food moves down the esophagus.

  2. Personalized Treatment 🎯Depending on the cause, we offer treatments such as:

    • Medications 💊 to reduce reflux or inflammation, in cases of GERD or EOE.

    • Customized diets 🥦 to avoid foods that may trigger allergies or worsen reflux.

    • Swallowing therapy 👅 with a specialized therapist to help strengthen muscles and improve swallowing coordination.

  3. Family Education and Support 🤗We know dysphagia can be worrisome for both parents and kids. We make sure families understand the diagnosis and treatment plan and provide support throughout the process.


Conclusion Dysphagia is a challenge, but with the right evaluation and support, kids can improve. As specialists in pediatric gastroenterology, we’re here to help children swallow comfortably and painlessly, giving them the chance to enjoy their meals again. 🍲

 

Hello, super parents and awesome kiddos! 🚽💩

Yep, we’re talking about poop today! It might seem a little icky, but trust me, it’s one of the best ways to figure out how healthy you are on the inside. So, let’s dive into the rainbow of poop colors and what they mean (without blushing, I promise). Ready? Let’s go!

Brown Poop: The Gold Standard (or should we say, Brown Standard!)

The “default” poop color. Brown poop is the superstar of the poop world — healthy, normal, and just doing its job. The brown color comes from a substance called bile, which helps digest food. If your little one’s poop is brown, give yourself a high five! 👏 Everything is on track.

Green Poop: Hulk Smash or Too Many Veggies?

Seeing green poop? Don’t panic! Sometimes it’s just a sign that your child ate a little too much spinach, broccoli, or peas (yay for veggies!). Other times, it could mean food is moving through the intestines super fast, so bile doesn’t have time to turn brown. If it’s a one-time thing, no biggie. If it sticks around for a few days, check with your pediatrician.

Yellow Poop: Mustard or Trouble in Paradise?

Yellow poop can be a bit tricky. If it looks like mustard (especially in babies), it’s totally fine. But if it’s bright, greasy, and smells extra stinky (not the regular stinky), it could be a sign that your kiddo isn’t absorbing fats properly. This could happen with certain conditions like celiac disease or food intolerances. Time to chat with your doc if you see this regularly!

Red Poop: Red Alert or Too Many Beets?

First, take a deep breath. Red poop doesn’t always mean something scary. Did your kid eat a big bowl of beets, red velvet cake, or tomato sauce recently? 🎂🍅 If yes, that might be the culprit. But if there’s blood in the stool (bright red or mixed in), it’s time to give your doctor a call.

Black Poop: A Pirate’s Treasure or Something Else?

Arrr matey! Black poop can sometimes look like a pirate’s booty, but don’t start celebrating yet. Sometimes, black poop is from iron supplements or certain medicines. Other times, it could mean there’s bleeding somewhere in the upper digestive tract. If it looks like tar and sticks around, don’t wait — give your pediatrician a call ASAP!

White or Clay-Colored Poop: 🚨 Poop Emergency Alert! 🚨

White or pale poop is a big red flag (well, a white flag, but you get it). It usually means there’s an issue with the bile duct, which helps poop turn brown. It could signal liver or gallbladder problems. If you see white poop, it’s time to head to the doctor, no questions asked.

Blue or Purple Poop: Did We Time Travel to a Sci-Fi Movie?

Okay, blue or purple poop is super rare, but if your little one just had a blueberry smoothie or some crazy-colored candy, don’t be surprised. It’s usually food coloring, but it still might give you a chuckle (or a little heart attack at first!). If it doesn’t go away after a few days, it’s worth checking in with a doc.


When to Call the Doctor ?🩺

If you notice strange poop colors once or twice, it’s probably just a result of something your child ate. But if unusual colors (especially red, black, white, or yellow) stick around or your child feels sick along with it, it’s time to chat with your pediatrician.

Remember: Poop might seem like a weird topic, but it’s one of the best clues about what’s happening inside your kiddo’s body. So next time, don’t be afraid to take a peek before you flush! 💩💨

Now that you’re a poop color expert, go forth and conquer! 🎉 Remember, even when it comes to the weird stuff, we’ve got your back.

Stay healthy, stay happy, and may all your poop be the perfect shade of brown!


Got more questions about your child's digestive health? Feel free to reach out to us at egpedgastro.com or book an appointment today!

 
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Esthermari Gonzalez Polanco, MD

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