Patient's question:
My child is ten days old and was just diagnosed with congenital esophageal atresia yesterday. The Handan Central Hospital in Handan cannot treat it. Now I'm at home, unsure of what to do. The boy is ten days old. His past treatment history and effectiveness: There is still phlegm in his throat, and the doctor said it will continue to grow even after suction. The help I need: I want to know where it would be better to receive treatment. My home is in Handan.Doctor's answer:
The treatment principle is to increase gastric reflux, reduce the irritability of reflux material, and stabilize the function of the lower esophageal sphincter.(1) Increase reflux: Since reflux is more likely to occur at night when the patient is in a horizontal position or in a head-low, foot-high position, the bed should be raised to create an incline from the head of the bed to the foot of the bed. This way, even if reflux occurs, it can be eliminated more quickly and thoroughly. Instruct the patient not to defecate before bedtime, and the interval between dinner and sleep should be extended to more than 3 hours. After each meal, the patient should be in an inverted position or take a walk after eating, using gravity to aid in food emptying. Additionally, avoid foods and prevent strenuous exercise.