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...or UES, a group of muscles that we can consciously control, like during swallowing, burping, vomiting, etc. The UES keeps food from going down the windpipe. At the lower end of the esophagus, near where it attaches to the stomach, is the “Lower Esophageal Sphincter” or LES. Unlike the UES, we cannot consciously control the function of the LES. The main role that the esophagus plays in digestion is to carry food, liquid and saliva...

Patient History: As a newborn boy Benjamin weighed a healthy 6 lbs. 3 oz. but within days of his birth, he began to lose weight and break out in a rash all over his body. He was terribly unhappy and inconsolable. While Benjamin struggled to gain weight, he began to vomit every time he ate and often had diarrhea. At two and half weeks old, Benjamin’s parents took him to the emergency room...

...in his skin. To make matters worse, when he was awake the extreme discomfort caused Joseph to scream and yell throughout the day. “My husband and I were so frustrated with Joseph’s crying and vomiting, we took it out on each other. It got to the point that I didn’t want to take him to family gatherings so I would not have to hear how horrible he looks or answer the questions people would ask...

...GI tract. Allergic conditions that affect the GI system can be severe and might indicate the need for a hypoallergenic AAF like Neocate.9,12 While “severe” isn’t clearly defined, blood in the stool that doesn’t respond to management can signal a severe GI allergy.8,13 Specific conditions healthcare teams might look for when considering hypoallergenic formula options include food protein-induced enterocolitis syndrome (FPIES) and eosinophilic esophagitis (EoE). These can come with severe GI symptoms, like vomiting or...

...an allergy to soy, remove all soy from his/her diet immediately. A few symptoms of soy allergy are: Acne Asthma Diarrhea Eczema Fever Itching Lethargy Hives Vomiting Wheezing So, if you’re changing your child’s formula because he/she has a milk allergy, the recommended options are formulas whose protein comes from extensively hydrolyzed milk protein or from amino acids. Amino acid-based formulas have been clinically shown to relieve the symptoms of a milk allergy. As always,...

Patient History: A month after Christina and Tim brought their daughter Eva home from the hospital they noticed she had developed a horrible diaper rash. She showed continuous colic like symptoms such as uncontrollable crying and spitting up. Eva cried frantically and was miserable, she was spitting up and in pain that caused her to arch her back. “We couldn’t do anything and felt very helpless,” says Christina. Nutritional Management and Outcome: Eva’s...

...formula or bottle-fed breast milk by adding a small amount of rice cereal. This practice is somewhat controversial. Some physicians recommend it and others feel that it can actually worsen reflux for some infants. It also dilutes the nutrient content of formula or breast milk. Thickening bottle feedings is shown to reduce vomiting but there are mixed results in terms of its effect on reflux itself. Every baby is unique and for some babies, thickening...

...appointment: What symptoms have you observed? Itching, swelling, skin rash (hives), vomiting, and difficulty breathing are the most common symptoms due to immediate onset (IgE mediated) food allergy. These can occur individually or collectively. What is the timing of onset? IgE mediated food allergies can occur within minutes of ingestion, almost always within a few hours. Delayed onset allergies (milk protein allergy in newborns) may not occur for 1-2 days. How long did the symptoms...