Hi doctors,my daughter has eosophageal atrezia with fistula when she born.two ops has been done for her(4 the atrezia & anti reflux after 1 yer)after that she had a cronic cough.is their any solution?
I don’t have a detailed history of your child’s case but common causes of respiratory symptoms and chronic cough in children with a history of Esophgeal Atresia with TE fistula include:
-retained secretions due to impaired mucociliary clearance secondary to tracheomalacia (weakening of the walls of the trachea)
-aspiration related to impaired esophageal peristalsis or esophageal stricture
-recurrence of the TE Fistula
-GERD (reflux).
N.B. Previous antireflux surgery does not exclude the possibility of GERD (reflux).Some children have recurrent GERD.
Investigations that should be considered include :
1) an upper GI series to assess esophageal motility, and should include injection barium with a catheter to exclude a recurrent TEF
2) 24hr PH metry to exclude reflux (GERD)
3) bronchoscopy to evaluate the presence (or degree) of tracheomalacia
So I advise you to reconsult your pediatrician or your pediatric surgeon about your child’s problem.
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