Gastro pads

Question 1

What neurological sx can coeliacs present with?

Answer 1

Peripheral neuropathy
Cerebellar ataxia
Epilepsy

Question 2

What conditions is coeliacs disease associated with?

Answer 2

Type 1 diabetes
Thyroid disease
Autoimmune hepatitis
Primary biliary cirrhosis
Primary sclerosing cholangitis
Down’s syndrome

Question 3

What are some complications of untreated coeliacs?

Answer 3

Vitamin deficiency
Anaemia
Osteoporosis
Ulcerative jejunitis
Enteropathy-associated T-cell lymphoma (EATL) of the intestine
Non-Hodgkin lymphoma (NHL)
Small bowel adenocarcinoma (rare)

Question 4

What are some causes of vomiting in children?

Answer 4

• Overfeeding
• Gastro-oesophageal reflux
• Pyloric stenosis (projective vomiting)
• Gastritis or gastroenteritis
• Appendicitis
• Infections such as UTI, tonsillitis or meningitis
• Intestinal obstruction
• Bulimia

Question 5

What is the presentation of GORD in babys and children over 1 yr?

Answer 5

It is normal for babies to have some reflux after larger feeds. It becomes more troublesome when this causes them to become distressed. Signs of problematic reflux include:

Chronic cough
Hoarse cry
Distress, crying or unsettled after feeding
Reluctance to feed
Pneumonia
Poor weight gain

Children over one year may experience similar symptoms to adults, with heartburn, acid regurgitation, retrosternal or epigastric pain, bloating and nocturnal cough

Question 6

Management of GORD in children

Answer 6