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Brockton's GI appt.

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Jeanie,

The GI will ask you a lot of questions about how he eats, how often

he uses the bathroom, if he has constipation issues, etc. He will

weigh and measure him, too. Then he will ask Brockton to lay down

on the examing table and press on his stomach and poke and prod.

That is about it.

You should take some info with you about the complications that can

occur with an RSS child: delayed gastric emptying, reflux,

constipation, vomiting and the dangers of ketones and

dehydration.... Try to set up a plan just in case Brockton gets a

stomach bug. Let him know what the usual protocol is (I can remind

you if you have forgotten) and see if he will support you if

Brockton gets sick.

Don't forget that many RSS kids have silent reflux. You want to ask

him about this and if he thinks that may be the case with Brockton.

I think this is a good place to start. List your questions,

concerns, information so that you are prepared and use the time

wisely. Most doctors like it if you are prepared and have your

concerns written down before you get there.

If he suspects that Brockton has any of the conditions I listed,

then there will need to be tests done. These include an upper GI

study, a milk scan to check for delayed emptying, and, if he thinks

reflux and it does not show on the upper GI, a ph probe. I won't go

into details right now (it's getting late and I have to go to bed),

but if you want info, let me know and I will write to you about it.

I hope I have helped answer some of your questions. It's always

good to have a GI on your team and on your side.

Jodi Z

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